Gestational weight gain among minority adolescents predicts term birth weight

Ekambaram, Maheswari; Irigoyen, Matilde; DeFreitas, Johelin; Rajbhandari, Sharina; Geaney, Jessica Lynn; Braitman, Leonard E.

doi:10.1007/s12519-018-0143-9

Cited by 3 publications

(10 citation statements)

References 20 publications

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“…In the present study, excessive and insufficient GWG were the most common categories, appearing in four and three out of ten adolescents, respectively, similar to other studies performed with young and low-income women [34][35][36][37]. In our sample of pregnant adolescents from Mexico City, less than 30% had adequate GWG, which also coincides with several reports from the United States and Canada [3,38,39].…”

Section: Discussionsupporting

confidence: 91%

Disordered Eating Behaviors Are Associated with Gestational Weight Gain in Adolescents

et al. 2021

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Disordered eating behaviors (DEBs) and adolescent pregnancy are public health problems. Among adolescents, there is little evidence concerning the relationship of DEB with gestational weight gain (GWG) and the birth weight and length of their offspring. We aimed to determine the association between DEB with GWG and the weight and length of adolescents’ offspring. We conducted a study with 379 participants. To evaluate DEB, we applied a validated scale. We identified three factors from DEB by factorial analysis: restrictive, compensatory, and binge–purge behaviors. The main events were GWG and offspring’s birth weight and length. We performed linear regression models. We found that 50% of adolescents have at least one DEB. Excessive and insufficient GWG were 37 and 34%, respectively. The median GWG was 13 kg; adolescents with restrictive behaviors had higher GWG (13 vs. 12 kg, p = 0.023). After adjusting for pregestational body mass index and other covariables, the restrictive (β = 0.67, p = 0.039), compensatory (β = 0.65, p = 0.044), and binge–purge behaviors (β = 0.54, p = 0.013) were associated with higher GWG. We did not find an association between the birth weight and length of newborns with DEB, and suggest that DEB is associated with GWG but not with the birth weight or length of the offspring.

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Section: Discussionsupporting

confidence: 91%

Disordered Eating Behaviors Are Associated with Gestational Weight Gain in Adolescents

et al. 2021

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“…We identified six studies [ 9 , 32 , 36 , 38 , 40 , 43 ] that described that adolescents with a higher pregestational body mass index (pBMI) had a higher frequency of excessive GWG ( Table 1 ). In contrast, three studies did not find an association between pBMI and GWG [ 33 , 35 , 37 ]. Although those studies did not find any association with the GWG as reported in kilograms or pounds, they did not specify if the GWG was according to the IOM’s weight gain recommendations or not [ 33 , 35 ].…”

Section: Resultsmentioning

confidence: 95%

“…In contrast, three studies did not find an association between pBMI and GWG [ 33 , 35 , 37 ]. Although those studies did not find any association with the GWG as reported in kilograms or pounds, they did not specify if the GWG was according to the IOM’s weight gain recommendations or not [ 33 , 35 ]. Both studies were of good quality.…”

Section: Resultsmentioning

confidence: 95%

“…The samples from all the articles analyzed were 1571 adolescents from six retrospective cohorts [ 32 , 33 , 34 , 35 , 36 , 37 ], 568 from three prospective cohorts [ 38 , 39 , 40 ], 165 from a case–control study [ 41 ], and 395 from a cross-sectional study [ 42 ]. In addition, we included two studies with nationally representative samples of 78,001 adolescent women from the USA [ 9 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

“…Over the last 14 years, the USA has been the country with the most studies on pregnant adolescents and their association with GWG [ 9 , 32 , 33 , 34 , 35 , 36 , 38 , 43 ], followed by studies performed in Mexico [ 40 , 41 , 42 ], and, finally, studies in other countries such as Turkey [ 37 ] and Colombia [ 39 ]. Furthermore, most of the studies were performed in low-income countries [ 32 , 35 , 36 , 38 , 39 , 40 , 41 , 42 ], without government support for medical services or health insurance [ 32 , 35 , 39 , 40 , 41 , 42 ], and in vulnerable urban or suburban areas [ 32 , 35 , 36 , 38 , 39 , 40 , 41 , 42 ], with a variety in the levels of the studies’ quality.…”

Section: Resultsmentioning

confidence: 99%

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Individual, Family, and Social Factors Associated with Gestational Weight Gain in Adolescents: A Scoping Review

et al. 2023

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About 56% to 84% of pregnant adolescents have inappropriate (insufficient or excessive) gestational weight gain (GWG); however, the factors associated with GWG in this age group have not been systematically identified. This scoping review aimed to synthesize the available scientific evidence on the association of individual, family, and social factors with inappropriate gestational weight gain in pregnant adolescents. To carry out this review, the MEDLINE, Scopus, Web of Science, and Google Scholar databases were searched for articles from recent years. The evidence was organized according to individual, family, and social factors. The analyzed studies included 1571 adolescents from six retrospective cohorts, 568 from three prospective cohorts, 165 from a case–control study, 395 from a cross-sectional study, and 78,001 from two national representative samples in the USA. At the individual level, in approximately half of the studies, the pre-pregnancy body mass index (pBMI) was positively associated with the GWG recommended by the Institute of Medicine of the USA (IOM). The evidence was insufficient for the other factors (maternal age, number of deliveries, and family support) to determine an association. According to the review, we concluded that pBMI was positively associated with the GWG. More quality studies are needed to assess the association between GWG and individual, family, and social factors.

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Association of prepregnancy body mass index and gestational weight gain trajectory with adverse pregnancy outcomes—a prospective cohort study in Shanghai

Ma,

Chu,

Zhang

et al. 2024

BMJ Open

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ObjectivesThe objective was to investigate the associations of maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) trajectories with adverse pregnancy outcomes (APOs).DesignThis was a prospective cohort study.SettingThis study was conducted in Shanghai Pudong New Area Health Care Hospital for Women and Children, Shanghai, China.Primary and secondary outcome measuresA cohort study involving a total of 2174 pregnant women was conducted. Each participant was followed to record weekly weight gain and pregnancy outcomes. The Institute of Medicine classification was used to categorise prepregnancy BMI, and four GWG trajectories were identified using a latent class growth model.ResultsThe adjusted ORs for the risks of large for gestational age (LGA), macrosomia, gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDP) were significantly greater for women with prepregnancy overweight/obesity (OR=1.77, 2.13, 1.95 and 4.24; 95% CI 1.3 to 2.42, 1.32 to 3.46, 1.43 to 2.66 and 2.01 to 8.93, respectively) and lower for those who were underweight than for those with normal weight (excluding HDP) (OR=0.35, 0.27 and 0.59; 95% CI 0.22 to 0.53, 0.11 to 0.66 and 0.36 to 0.89, respectively). The risk of small for gestational age (SGA) and low birth weight (LBW) was significantly increased in the underweight group (OR=3.11, 2.20; 95% CI 1.63 to 5.92, 1.10 to 4.41; respectively) compared with the normal-weight group; however, the risk did not decrease in the overweight/obese group (p=0.942, 0.697, respectively). GWG was divided into four trajectories, accounting for 16.6%, 41.4%, 31.7% and 10.3% of the participants, respectively. After adjustment for confounding factors, the risk of LGA was 1.54 times greater for women in the slow GWG trajectory group than for those in the extremely slow GWG trajectory group (95% CI 1.07 to 2.21); the risk of SGA and LBW was 0.37 times and 0.46 times lower for women in the moderate GWG trajectory group and 0.14 times and 0.15 times lower for women in the rapid GWG trajectory group, respectively; the risk of macrosomia and LGA was 2.65 times and 2.70 times greater for women in the moderate GWG trajectory group and 3.53 times and 4.36 times greater for women in the rapid GWG trajectory group, respectively; and the women in the other three trajectory groups had a lower risk of GDM than did those in the extremely slow GWG trajectory group, but there was not much variation in the ORs. Notably, different GWG trajectories did not affect the risk of HDP.ConclusionsAs independent risk factors, excessively high and low prepregnancy BMI and GWG can increase the risk of APOs.

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Gestational weight gain among minority adolescents predicts term birth weight

Cited by 3 publications

References 20 publications

Disordered Eating Behaviors Are Associated with Gestational Weight Gain in Adolescents

Disordered Eating Behaviors Are Associated with Gestational Weight Gain in Adolescents

Individual, Family, and Social Factors Associated with Gestational Weight Gain in Adolescents: A Scoping Review

Association of prepregnancy body mass index and gestational weight gain trajectory with adverse pregnancy outcomes—a prospective cohort study in Shanghai

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