Comparison of Chinese vs US Gestational Weight Gain Guidelines for Chinese Women

Teede, Helena; Goldstein, Rebecca F.; Harrison, Cheryce L.

doi:10.1001/jamanetworkopen.2022.33256

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…We determined an optimal range of GWG for women with type 2 diabetes in our study, however, whether this optimal range is suitable for Chinese women with type 2 diabetes still needs to be further confirmed by higher-quality, large-sample, and multi-center research. Determining the optimal GWG for women with type 2 diabetes is essential for avoiding adverse pregnancy outcomes ( 34 ).…”

Section: Discussionmentioning

confidence: 99%

Gestational weight gain and pregnancy outcomes in Chinese women with type 2 diabetes mellitus: evidence from a tertiary hospital in Beijing

Yan,

Jia,

Zheng

et al. 2024

Front. Endocrinol.

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ObjectiveTo examine the effects of gestational weight gain on pregnancy outcomes and determine the optimal range of weight gain during pregnancy for Chinese women with type 2 diabetes mellitus.MethodsThis retrospective cohort study included 691 Chinese women with type 2 diabetes mellitus from 2012 to 2020. The study utilized a statistical-based approach to determine the optimal range of gestational weight gain. Additionally, multivariate logistic regression analysis was conducted to assess the impact of gestational weight gain on pregnancy outcomes.Results(1) In the obese subgroup, gestational weight gain below the recommendations was associated with decreased risks of large for gestational age (adjusted odds ratio [aOR] 0.19; 95% confidence interval [CI] 0.06-0.60) and macrosomia (aOR 0.18; 95% CI 0.05-0.69). In the normal weight subgroup, gestational weight gain below the recommendations of the Institute of Medicine was associated with decreased risks of preeclampsia (aOR 0.18; 95% CI 0.04-0.82) and neonatal hypoglycemia (aOR 0.38; 95% CI 0.15-0.97). (2) In the normal weight subgroup, gestational weight gain above the recommendations of the Institute of Medicine was associated with an increased risk of large for gestational age (aOR 4.56; 95% CI 1.54-13.46). In the obese subgroup, gestational weight gain above the recommendations was associated with an increased risk of preeclampsia (aOR 2.74; 95% CI 1.02, 7.38). (3) The optimal ranges of gestational weight gain, based on our study, were 9-16 kg for underweight women, 9.5-14 kg for normal weight women, 6.5-12 kg for overweight women, and 3-10 kg for obese women. (4) Using the optimal range of gestational weight gain identified in our study seemed to provide better prediction of adverse pregnancy outcomes.ConclusionFor Chinese women with type 2 diabetes, inappropriate gestational weight gain is associated with adverse pregnancy outcomes, and the optimal range of gestational weight gain may differ from the Institute of Medicine recommendations.

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Section: Discussionmentioning

confidence: 99%