Geographic variability in gestational weight gain: a multilevel population-based study of women having term births in Florida (2005–2012)

Tabet, Maya; Nelson, Erik J.; Schootman, Mario; Chien, Lung-Chang; Chang, Jen Jen

doi:10.1016/j.annepidem.2017.05.015

Cited by 4 publications

(8 citation statements)

References 29 publications

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“…As GWG and prepregnancy BMI have a multifactorial origin [3,101], other factors were studied using subgroup analyses and meta-regressions. The relationship of maternal age and GWG agrees with previous studies supporting that older women have lower GWG in Europe and in the global population [19,36]. The year of recruitment showed that GWG is rising in all regions, according to previous studies in all regions [5,6].…”

Section: Comparison With Existing Literaturesupporting

confidence: 90%

“…Moreover, studies examining the compliance with the 1990 [6] or 2009 IOM GWG guidelines [5] and the WHO classification reported heterogeneous results in Europe and USA. The lack of compliance across countries could be explained by intercountry variability in several factors [18,19] such as physical activity [20][21][22]. dietary patterns [21,22], and psychological or social maternal characteristics [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

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Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis

Martínez‐Hortelano

Cavero‐Redondo

Álvarez‐Bueno

et al. 2020

BMC Pregnancy Childbirth

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Background Previous studies have reported a high prevalence of excessive gestational weight gain (GWG) in women with prepregnancy BMI classified as overweight and obese. However, the joint evidence regarding GWG and prepregnancy BMI in the worldwide population has not been synthesized. Thus, this systematic review and meta-analysis aimed to estimate global and regional mean GWG and the prevalence of GWG above, within and below 2009 Institute of Medicine (IOM) guidelines. Second, we aimed to estimate global and regional prepregnancy BMI and the prevalence of BMI categories according to World Health Organization (WHO) classification. Methods We searched Medline, Embase, the Cochrane Library and Web of Science to identify observational studies until 9 May 2018. We included studies published from 2009 that used 2009 IOM guidelines, reporting data from women in general population with singleton pregnancies. The 2009 IOM categories for GWG and the WHO categories for prepregnancy BMI were used. DerSimonian and Laird random effects methods were used to estimate the pooled and their respective 95% confidence intervals (95% CIs) of the mean and by category rates of GWG and prepregnancy BMI, calculated by global and regions. Results Sixty-three published studies from 29 countries with a total sample size of 1,416,915 women were included. The global prevalence of GWG above and below the 2009 IOM guidelines, was 27.8% (95% CI; 26.5, 29.1) and 39.4% (95% CI; 37.1, 41.7), respectively. Furthermore, meta-regression analyses showed that the mean GWG and the prevalence of GWG above guidelines have increased. The global prevalence of overweight and obesity, was 23.0% (95% CI; 22.3, 23.7) and 16.3% (95% CI; 15.4, 17.4), respectively. The highest mean GWG and prepregnancy BMI were in North America and the lowest were in Asia. Conclusions Considering the high prevalence of GWG above the 2009 IOM guidelines and women with overweight/obesity and their continuously increasing trend in most regions, clinicians should recommend lifestyle interventions to improve women’s weight during reproductive age. Due to regional variability, these interventions should be adapted to each cultural context. Trial registration Prospectively registered with PROSPERO (CRD42018093562).

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Section: Comparison With Existing Literaturesupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis

Martínez‐Hortelano

Cavero‐Redondo

Álvarez‐Bueno

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…The compliance with the IOM GWG guidelines [35,36] and the WHO classification appears heterogeneous among Europe and USA. The lack of compliance across countries could be explained by intercountry variability in several factors [37,38] such as physical activity [39,40], dietary patterns [40,41], and psychological or social maternal characteristics [42,43]. Moreover, some critics emerged regarding the IOM GWG targets which could be overly generous, particularly in class II and III obesity, where a GWG target of 0-4 kg has been recommended [44].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and practice of the 2009 Institute of Medicine (IOM) recommendations on the nutritional management of diabetes in pregnancy: an online national survey

et al. 2022

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Aims As recommended by the Institute of Medicine (IOM), health practitioners should encourage a healthy nutrition and adequate weight gain during pregnancy in order to ensure favorable pregnancy and fetal outcomes, and to prevent diseases later in life for both mother and child. The purpose of this online survey was to determine the knowledge, attitude, and practice of the 2009 IOM recommendations among healthcare professionals managing nutritional therapy in pregnancies complicated by diabetes in Italy. Methods A cross-sectional survey was conducted by using an online self-administered questionnaire undertaken between October and December 2021. Results Of the 220 participants 89% were diabetologists/endocrinologists/internal medicine specialists and 11% dietitians/nutritionists. The survey found that the 53% of respondents provide a personalized diet to pregnant women with diabetes, while 32% a standard diet plan and only 15% healthy dietary advice. The 69% of the participants investigated for appropriate gestational weight gain, mainly based on pre-pregnancy BMI (96%), gestational weight gain (GWG) at first prenatal visit (80%) and presence of twin pregnancy (58%). Maternal weight gain was evaluated at each regularly scheduled prenatal visit and compared with IOM recommendations for the 87% of healthcare professionals. Diet plan was periodically re-evaluated and/or modified (90% of participants), based on inadequate maternal weight gain and/or fetal growth abnormalities (78%), trimester transition (53%), changes in physical activity and/or a “feel hungry” (50%). Conclusions This survey reported the knowledge and attitude of IOM guidelines and the nutritional knowledge and practice of Italian professionals on the nutritional management of diabetes in pregnancy. The application of these recommendations seemed more feasible in clinics/team dedicated to "Diabetes in Pregnancy".

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“…However, another similar review stated that depression was not related to excessive GWG; instead, the authors reported a negative weight gain attitude and less knowledge about GWG were risk factors for excessive GWG [ 27 ]. There is also potential for variation in the GWG between rural and urban dwellers [ 28 ], or across geographic regions [ 29 ], factors that we did not examine in our study. Maternal factors such as pre-pregnancy underweight, smoking, and hypertension have been reported to increase the risk of SGA [ 2 , 30 32 ].…”

Section: Discussionmentioning

confidence: 99%

Lack of concern about body image and health during pregnancy linked to excessive gestational weight gain and small-for-gestational-age deliveries: the Japan Environment and Children’s Study

J‐P

Minami

Eitoku

et al. 2021

BMC Pregnancy Childbirth

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Background Pregnant women in Japan express various reasons for limiting gestational weight gain (GWG). We aimed to identify and characterise groups where the women share common reasons to limit GWG and to examine how these groups are associated with inappropriate GWG and abnormal foetal size. Methods We prospectively studied information from the Japan Environment and Children’s Study (JECS) on 92,539 women who gave birth to live singletons from 2011 through 2014. Pregnant women were recruited during early pregnancy. Their reasons for limiting GWG and other information were collected through self-reported questionnaires and medical records. We applied latent class analysis to group the women based on their reported reasons. We used multinomial logistic regression to compare the risks of inappropriate (inadequate and excessive) GWG and abnormal foetal size (determined by new-born weight for gestational age) between the identified groups. Results We identified three groups: Group 1 (76.7%), concerned about delivery and new-born health (health-conscious women); Group 2 (14.5%), concerned about body shape, delivery, and new-born health (body-shape- and health-conscious women); and Group 3 (8.8%), women without strong reasons to limit GWG (women lacking body-shape and health consciousness). Compared with Group 1 members, Group 2 members tended to be younger, have lower pre-pregnancy weight, be unmarried, be nulliparous, have practiced weight loss before pregnancy, and not have chronic medical conditions. Group 3 members tended to be less educated, unmarried, multiparous, smokers, and have a higher prevalence of pre-pregnancy underweight and previous caesarean delivery. Relative to Group 1, Group 2 had a lower unadjusted risk for inadequate GWG (relative risk ratio [RRR] = 0.86, 95% CI: 0.81–0.90) and large-for-gestational-age birth (RRR = 0.91, 95% CI 0.86–0.97), whereas Group 3 had a higher unadjusted risk for excessive GWG (RRR = 1.36, 95% CI: 1.29–1.43) and small-for-gestational-age (SGA) births (RRR = 1.15, 95% CI: 1.05–1.25). Conclusions In this Japanese nationwide birth cohort study, pregnant women who were less conscious about body shape and health had complex risks for excessive GWG and SGA birth. Health care providers should consider a woman’s perception of GWG when addressing factors affecting GWG and foetal growth.

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Geographic variability in gestational weight gain: a multilevel population-based study of women having term births in Florida (2005–2012)

Cited by 4 publications

References 29 publications

Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis

Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis

Knowledge, attitude, and practice of the 2009 Institute of Medicine (IOM) recommendations on the nutritional management of diabetes in pregnancy: an online national survey

Lack of concern about body image and health during pregnancy linked to excessive gestational weight gain and small-for-gestational-age deliveries: the Japan Environment and Children’s Study

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