Gestational weight gain among average-weight and overweight women — What is excessive?

Cogswell, Mary E.; Serdula, Mary K.; Hungerford, Daniel W.; Yip, Ray

doi:10.1016/0002-9378(95)90598-7

Cited by 153 publications

(90 citation statements)

References 12 publications

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“…We found no significant interactions between matemal race and weight gain, indicating that the influences of weight gain on the risk of such births were similar for Black and White women. Cogswell et al 5 also found no interaction between race and weight gain in their analyses of the pregnancy outcomes of more than 53 000 averageweight and overweight women. Our Table 1 and odds ratios reported in aExpected absolute change (as % of baseline) in incidence.…”

Section: Resultsmentioning

confidence: 93%

Implications of the Institute of Medicine weight gain recommendations for preventing adverse pregnancy outcomes in black and white women.

Caulfield¹,

Stoltzfus²,

Witter³

1998

Am J Public Health

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OBJECTIVES: This study examined the relation between gestational weight gain and risk of delivering a small-for-gestational-age or large-for-gestational-age infant by race, along with the implications of gaining weight according to the Institute of Medicine guidelines. METHODS: Logistic regression methods were used to identify risk factors for small- and large-for-gestational-age births among 2617 Black and 1253 White women delivering at the Johns Hopkins Hospital between 1987 and 1989. RESULTS: Rate of total weight gain was related to risk of small- and large-for-gestational-age births; the relationship differed according to maternal body mass index but not race. No differences in outcome by race were evident for women with low body mass indexes; among those with average or high indexes, however, Black women were at higher risk of small-for-gestational-age births and at lower risk of large-for-gestational-age births. CONCLUSIONS: Having Black women gain at the upper end of the recommended range is unlikely to produce measurable reductions in small-for-gestational-age births. Some beneficial reductions in the risk of large-for-gestational-age births may occur if weight gain recommendations are lowered for average-weight and overweight White women.

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Section: Resultsmentioning

confidence: 93%

Implications of the Institute of Medicine weight gain recommendations for preventing adverse pregnancy outcomes in black and white women.

Caulfield¹,

Stoltzfus²,

Witter³

1998

Am J Public Health

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show abstract

“…Others have reported similar findings. [27][28][29][30] All of these studies were analyses of women without GDM. The results of our study provide additional support to the significance of maternal weight and weight gain as it relates to birthweight, but more importantly demonstrate that the relationship exists in women with GDM.…”

Section: Discussionmentioning

confidence: 99%

Pre-pregnancy weight and excess weight gain are risk factors for macrosomia in women with gestational diabetes

et al. 2011

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Objective: To determine whether women with gestational diabetes mellitus (GDM) whose weight gain exceeded the 2009 Institute of Medicine (IOM) recommendations were more likely to have macrosomia.Study Design: Retrospective cohort study of the association of weight gain in women with Class A1 GDM, with term (X37 weeks) singleton liveborns and macrosomia (birthweight X4000 g). Multivariate logistic regression models were used to adjust for covariates and test for interactions.Result: Of 1502 women studied, pre-pregnancy body mass index (BMI) categories were: normal (39.6%), overweight (28.5%) and obese (31.9%). The mean ( ± standard deviation ) weight gain (lbs) for these groups was: 27.6±10.9, 24.2±13.0 and 18.8±16.3 (P<0.0001), whereas the occurrence of macrosomia was 7.4, 11.4 and 19.0%, respectively. Women with an obese BMI were twice as likely to have a macrosomic infant compared with women in the normal BMI group (odds ratio, OR 2.0; 95% CI 1.4-3.0; P ¼ 0.0005). Independently, women who exceeded the IOM guidelines were three times more likely to have a macrosomic infant (OR 3.0, 95% CI 2.2-4.2, P<0.0001).Conclusion: Maternal pre-pregnancy weight and weight gain during pregnancy appear to be significant and independent risk factors for macrosomia in women with GDM.

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“…MNT goals are to provide adequate maternal and fetal nutrition, energy intake for appropriate maternal weight gain (506), and any necessary vitamin and mineral supplements. For pregnancy complicated by diabetes, nutrition therapy should also attempt to achieve and sustain optimal maternal blood glucose control.…”

Section: Pregnant and Lactating Womenmentioning

confidence: 99%

Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications

et al. 2002

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Gestational weight gain among average-weight and overweight women — What is excessive?

Cited by 153 publications

References 12 publications

Implications of the Institute of Medicine weight gain recommendations for preventing adverse pregnancy outcomes in black and white women.

Implications of the Institute of Medicine weight gain recommendations for preventing adverse pregnancy outcomes in black and white women.

Pre-pregnancy weight and excess weight gain are risk factors for macrosomia in women with gestational diabetes

Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications

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