Excessive Gestational Weight Gain

McDowell, Megan; Cain, Mary Ashley; Brumley, Jessica

doi:10.1111/jmwh.12927

Cited by 96 publications

(77 citation statements)

References 63 publications

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“…The observed suboptimal rates of GWG are alarming especially in light of their negative health implications for both the mother and infant. With excessive GWG, mothers tend to have an increased risk of GDM, hypertensive disorders of pregnancy, cesarean section, postpartum weight retention, in addition to a lifelong risk of chronic diseases later on in life for the mother [64][65][66]. On the other hand, women gaining insufficient weight during their pregnancy are at an increased risk of delivering preterm birth and SGA [3,67].…”

Section: Discussionmentioning

confidence: 99%

Dietary patterns and their associations with gestational weight gain in the United Arab Emirates: results from the MISC cohort

Itani

Radwan

Hashim

et al. 2020

Nutr J

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Background: Suboptimum weight gain during pregnancy may carry long term health consequences for the infant or mother. Nutritional imbalances are well recognized as a determinant of gestational weight gain. Few studies examined the effect of dietary patterns on gestational weight gain, especially in countries undergoing nutrition transition, such as the United Arab Emirates. Objectives: To characterize dietary patterns among pregnant women living in the UAE and examine their associations with gestational weight gain and gestational weight rate. Methodology: Data were drawn from the Mother-Infant Study Cohort, a two-year prospective cohort study of pregnant women living in the United Arab Emirates, recruited during their third trimester (n = 242). Weight gain during pregnancy was calculated using data from medical records. The Institute of Medicine's recommendations were used to categorize gestational weight gain and gestational weight gain rate into insufficient, adequate, and excessive. During face-to-face interviews, dietary intake was assessed using an 89-item culture-specific semiquantitative food frequency questionnaire that referred to usual intake during pregnancy. Dietary patterns were derived by principal component analysis. Multiple logistic regression analyses were used to evaluate the associations of derived dietary patterns with gestational weight gain/gestational weight gain rate. Results: Two dietary patterns were derived, a "Diverse" and a "Western" pattern. The "Diverse" pattern was characterized by higher intake of fruits, vegetables, mixed dishes while the "Western" pattern consisted of sweets and fast food. The "Western" pattern was associated with excessive gestational weight gain (OR:4.04,95% CI:1.07-15.24) and gestational weight gain rate (OR: 4.38, 95% CI:1.28-15.03) while the "Diverse" pattern decreased the risk of inadequate gestational weight gain (OR:0.24, 95% CI:0.06-0.97) and gestational weight gain rate (OR:0.28, 95% CI: 0.09-0.90). Conclusion:The findings of this study showed that adherence to a "Diverse" pattern reduced the risk of insufficient gestational weight gain/gestational weight gain rate, while higher consumption of the "Western" pattern increased the risk of excessive gestational weight gain/gestational weight gain rate. In view of the established consequences of gestational weight gain on the health of the mother and child, there is a critical need for health policies and interventions to promote a healthy lifestyle eating through a life course approach.

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Section: Discussionmentioning

confidence: 99%

Dietary patterns and their associations with gestational weight gain in the United Arab Emirates: results from the MISC cohort

Itani

Radwan

Hashim

et al. 2020

Nutr J

View full text Add to dashboard Cite

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“…3 In this way, it is described that excessive GWG increases the risk of gestational diabetes mellitus, hypertensive syndrome, and cesarean section (C-section). 4 Besides that, excessive GWG has been correlated with postpartum weight retention, obesity, and future metabolic disorders in women. 4 In the children, excessive GWG is associated with macrosomia and increased adiposity in infants, whereas insufficient GWG is associated with lower birthweight and preterm birth.…”

Section: Introductionmentioning

confidence: 99%

“…4 Besides that, excessive GWG has been correlated with postpartum weight retention, obesity, and future metabolic disorders in women. 4 In the children, excessive GWG is associated with macrosomia and increased adiposity in infants, whereas insufficient GWG is associated with lower birthweight and preterm birth. 3,4 Despite the adverse effects of excessive GWG, the influence of health-related behaviors on GWG is not completely understood.…”

Section: Introductionmentioning

confidence: 99%

“…4 In the children, excessive GWG is associated with macrosomia and increased adiposity in infants, whereas insufficient GWG is associated with lower birthweight and preterm birth. 3,4 Despite the adverse effects of excessive GWG, the influence of health-related behaviors on GWG is not completely understood. The association between modifiable behavioral factors such as dietary habits, physical activity, and psychological states with excessive GWG is controversial.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Paulino

Pinho-Pompeu

Raikov

et al. 2020

Rev Bras Ginecol Obstet

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Objective To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity. Methods A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed. Results The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35–6.46 and OR = 1.91; 95%CI: 1.01–3.63, respectively) and stress (OR = 1.63; 95%CI 1.01–2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03–2.96). Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

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“…18 Studies have shown that excessive GWG increases the risk of GDM, hypertensive diseases of pregnancy, cesarean section, postpartum weight retention, obesity, and future metabolic disorders. 19,20 Besides that, excessive GWG is correlated with macrosomia and childhood adiposity. 20,21 The maternal psychological state has also been linked with pregnancy outcomes.…”

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confidence: 99%