Impact of Updated Institute of Medicine Guidelines on Prepregnancy Body Mass Index Categorization, Gestational Weight Gain Recommendations, and Needed Counseling

Simas, Tiffany A. Moore; Liao, Xun; Garrison, Anne; Sullivan, Gina; Howard, Allison E.; Hardy, Janet

doi:10.1089/jwh.2010.2429

Cited by 58 publications

(51 citation statements)

References 46 publications

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“…Our population-based frequencies were similar to those from hospital-based data from Central Massachusetts [5] that shows 16.7%, 30.8%, and 52.6% were under-gainers, appropriate gainers, and over-gainers, respectively. The overall proportion of appropriate gainers in our population is in accordance with that reported by the IOM in the US population [6] although the frequency of obese in the American population of pregnant mothers is twice that of Slovenian women.…”

Section: Discussionsupporting

confidence: 78%

A population-based comparison between actual maternal weight gain and the Institute of Medicine weight gain recommendations in singleton pregnancies

Tul

Bregar

Steblovnik

et al. 2016

Journal of Perinatal Medicine

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Section: Discussionsupporting

confidence: 78%

A population-based comparison between actual maternal weight gain and the Institute of Medicine weight gain recommendations in singleton pregnancies

Tul

Bregar

Steblovnik

et al. 2016

Journal of Perinatal Medicine

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“…33 Simas and colleagues reported that 44% of normal weight women, 69% of overweight women, and 60% of obese women in their sample gained in excess of the guidelines. Discrepancies in the rates observed in that study and in the current report may be explained by differences in the samples examined; specifically, Simas and colleagues had over double the number of women self-identifying as Hispanic, and our results suggest that fewer gestational weight gain excursions may be seen within this group.…”

Section: Discussionmentioning

confidence: 98%

Exploring Potential Health Disparities in Excessive Gestational Weight Gain

Krukowski

Bursac

McGehee

et al. 2013

Journal of Women's Health

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Introduction: Although previous public health efforts have focused on redressing health disparities associated with insufficient gestational weight gain, examination of the impact of excessive gestational weight gain is warranted currently given the 2009 revision of the Institute of Medicine (IOM) gestational weight gain guidelines for obese women coupled with rising rates of obesity, particularly among African American women. Materials and Methods: In the years [2004][2005][2006][2007][2008] 4619 African American and Caucasian women gave birth to a single, live, and full-term infant, completed Arkansas Pregnancy Risk Assessment Monitoring System questions about gestational weight gain and prepregnancy weight status, and gained within or in excess of the guidelines. Logistic regression was used to identify sociodemographic and health variables associated with the odds of exceeding the 2009 IOM guidelines overall and by race. Results: Regardless of race, overweight (odds ratio [OR] = 3.21; 95% confidence interval [CI]: 2.64-3.91) and obese (OR = 4.37; 95% CI: 3.50-5.46) women had significantly higher odds of gaining excessively, as compared with normal weight women. In the multivariate model, women who were overweight or obese prepregnancy and who were married had higher odds of exceeding the IOM guidelines, while lower odds of exceeding the guidelines were seen among African American women, those who had Medicaid at any point in their pregnancy, who were multiparous, and those of Hispanic ethnicity. Discussion: These findings can inform efforts to promote appropriate gestational weight gain among those at highest risk (i.e., overweight/obese women) and facilitate targeting to produce greatest improvement in the health of mothers and children.

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“…16 Obstetrical practice is changing to address these guidelines, and data suggest that meeting IOM guidelines does improve pregnancy outcomes. [16][17][18][19] Changes in obstetrical practice may also influence offspring growth patterns. However the influence of obstetrical changes on pediatric outcomes remains largely unexamined.…”

Section: Introductionmentioning

confidence: 99%

Infant Growth following Maternal Participation in a Gestational Weight Management Intervention

et al. 2016

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Background: Obesity is widespread and treatment strategies have demonstrated limited success. Changes to obstetrical practice in response to obesity may support obesity prevention by influencing offspring growth trajectories.Methods: This retrospective cohort study examined growth among infants born to obese mothers who participated in Nutrition in Pregnancy (NIP), a prenatal nutrition intervention at one urban hospital. NIP participants had Medicaid insurance and BMIs of 30 kg/m

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Impact of Updated Institute of Medicine Guidelines on Prepregnancy Body Mass Index Categorization, Gestational Weight Gain Recommendations, and Needed Counseling

Cited by 58 publications

References 46 publications

A population-based comparison between actual maternal weight gain and the Institute of Medicine weight gain recommendations in singleton pregnancies

A population-based comparison between actual maternal weight gain and the Institute of Medicine weight gain recommendations in singleton pregnancies

Exploring Potential Health Disparities in Excessive Gestational Weight Gain

Infant Growth following Maternal Participation in a Gestational Weight Management Intervention

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