Determining optimal gestational weight gain in a multiethnic <scp>A</scp>sian population

Ee, Tat Xin; Allen, John C.; Malhotra, Rahul; Koh, Huishan; Østbye, Truls; Tan, Thiam Chye

doi:10.1111/jog.12307

Cited by 42 publications

(46 citation statements)

References 26 publications

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“…The management of GWG using official guidelines has been implemented globally [1,2,13,[20][21][22][23]. According to a prospective cohort study in the USA, GWG within the levels recommended by the Institute of Medicine (IOM) guidelines was associated with a decreased risk of delivering LBW babies [1].…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Low Birth Weight Infants in Japanese Pregnancies: A One-year Study of 2551 Cases in Tokyo

Arima¹,

Kasai²,

Sugimoto³

et al. 2017

Int J Pediatr Neonat Care

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Background: The rate of low-birth weight infants in Japan has been increasing. Being underweight and increasing maternal age are risk factors for delivering low birthweight infants. Currently, pregnant Japanese women exhibit these risk factors for delivering low birthweight infants; however, little research has been conducted. This study aimed to investigate the associations between pregnancy characteristics in Japanese women and low birth weight infants. Methods: We enrolled 2551 pregnant women at >36 weeks of gestation and who delivered in metropolitan Tokyo. Pre-pregnancy body mass index was categorized using the World Health Organization classification. Gestational weight gain and birth weight were categorized based on the guidelines of the Ministry of Health, Labour and Welfare, Japan. The differences in pregnancy characteristics among three birth-weight categories,i.e., low birth weight, normal, and macrosomia, were assessed using the chisquare test. The risk ratios of low birth weight were estimated using logistic regression analysis. Results: In Japanese pregnancies, birth weight was associated with gestational week at delivery, gestational weight gain, pre-pregnancy body mass index, sex, parity, and maternal age (P<0.05). In particular, the risk of low birth weight increased with advanced maternal age (odds ratio=1.97), insufficient gestational week at delivery (odds ratio=9.00), low gestational weight gain (odds ratio=2.76), and female infant (odds ratio=2.06). Further, it decreased in multiparous women compared with that in primiparous women (odds ratio=0.57). Conclusions: These findings suggest that pregnant Japanese women who are ≥40 years old with a gestational weight gain of <7.0 kg, <37 gestational weeks at delivery, female baby, and primiparous should be checked carefully during the gestational period. In order to decrease the risk of low birth weight babies, women should be educated early about childbearing and pregnancy.

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Section: Discussionmentioning

confidence: 99%

“…Pregnant women must continuously monitor their body weight during pregnancy using their country's official criteria. The differences in the recommended GWG values between Japan and other countries could be due to differences in body composition between races [2,11,19,23,25].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Low Birth Weight Infants in Japanese Pregnancies: A One-year Study of 2551 Cases in Tokyo

Arima¹,

Kasai²,

Sugimoto³

et al. 2017

Int J Pediatr Neonat Care

View full text Add to dashboard Cite

show abstract

“…Antenatal weight gain is much more with high BMI. Like in the study by Ee et al (7) in 2014 showed antenatal weight gain among Asian women who are obese, should be lower. However, the optimal weight gain for underweight and obese women was outside the IOM recommended range.…”

Section: Discussionmentioning

confidence: 99%

Association of Pregestational BMI and Antenatal Weight Gain With Pregnancy Outcome: A Prospective Observational Cohort Study

Pal¹,

Maiti²,

Roychoudhury³

et al. 2017

IJWHR

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“…It is unknown at this time whether more stringent criteria for overweight and obesity among Asian populations to prevent chronic disease (WHO Expert Consultation, 2004) might also be appropriate for GWG, or what the impact of using these might be on birth weight and perinatal outcomes. Exploring this issue in existing large datasets, as in the study by Ee et al (2014), would contribute to better understanding of weight-related issues for Asian women throughout their lifespans.…”

Section: Implications For Policy And/or Practicementioning

confidence: 97%

Gestational Weight Gain and Perinatal Outcomes of Subgroups of Asian-American Women, Texas, 2009

Cheng

Walker

Brown

et al. 2015

Women's Health Issues

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Determining optimal gestational weight gain in a multiethnic Asian population

Cited by 42 publications

References 26 publications

Risk Factors for Low Birth Weight Infants in Japanese Pregnancies: A One-year Study of 2551 Cases in Tokyo

Risk Factors for Low Birth Weight Infants in Japanese Pregnancies: A One-year Study of 2551 Cases in Tokyo

Association of Pregestational BMI and Antenatal Weight Gain With Pregnancy Outcome: A Prospective Observational Cohort Study

Gestational Weight Gain and Perinatal Outcomes of Subgroups of Asian-American Women, Texas, 2009

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