Gestational Weight Gain and Pregnancy Outcomes among Nulliparous Women

Dude, Annie; Grobman, William A.; Haas, David M.; Mercer, Brian M.; Parry, Samuel; Silver, Robert M.; Wapner, Ronald J.; Saade, George R.; Reddy, Uma M.; Iams, Jay D.; Kominiarek, Michelle A.

doi:10.1055/s-0039-1696640

Cited by 26 publications

(32 citation statements)

References 38 publications

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“…In a recent study among nulliparous American women with singleton pregnancies, Dude et al showed that GWG rates in the second and third trimester below and above IOM recommendations were associated with higher odds of SGA (AOR = 1.37, 95% CI: 1.08, 1.73) and LGA infants at birth (AOR = 1.34, 95% CI: 1.01, 1.79), respectively. Although the study did not find any link between low weight gain and LGA, unlike us, they found that excessive rate of weight gain significantly reduced the risk of SGA babies [ 40 ]. A retrospective chart analysis of data from 29,861 women in 25 U.S. hospitals found higher odds of macrosomia among women with rates of GWG above IOM recommendations (AOR = 2.66, 95% CI: 2.03, 3.48) but did not find any association with weight gain below the recommendations [ 5 ].…”

Section: Discussionmentioning

confidence: 72%

Institute of Medicine Recommendations on the Rate of Gestational Weight Gain and Perinatal Outcomes in Rural Bangladesh

Hasan

Khan

Ahmed

2021

IJERPH

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Although validated in other parts of the world, the suitability of the U.S. Institute of Medicine (IOM) 2009 recommendations on gestational weight gain (GWG) for Bangladeshi women remains to be examined. We evaluated the association between the weekly rate of weight gain during the second and third trimester of pregnancy, categorized according to IOM recommendations, and adverse perinatal outcomes among 1569 pregnant women with singleton live births in rural Matlab, Bangladesh. Gaining weight at rates below the IOM recommendations was associated with higher odds of preterm birth (adjusted odds ratio (AOR) = 2.0, 95% CI: 1.1–3.6), low birth weight (AOR = 1.4, 95% CI: 1.03–2.0), small-for-gestational-age newborns (AOR = 1.3, 95% CI: 1.04–1.7), and poor neonatal outcome (severe neonatal morbidity or death, AOR = 2.4, 95% CI: 1.03–5.6). A GWG rate above the recommendations was associated with higher odds of cesarean delivery (AOR = 1.7, 95% CI: 1.1–2.6), preterm birth (AOR = 2.2, 95% CI: 1.1–4.4), large-for-gestational-age newborns (AOR = 5.9, 95% CI: 1.5–23.1), and poor neonatal outcome (AOR = 2.7, 95% CI: 1.04–7.0). Our results suggest that the IOM 2009 recommendations on GWG rate during the second and third trimester may be suitable for guiding rural Bangladeshi women in the prenatal period, although the women should aim for rates near the lower bound of the range.

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Section: Discussionmentioning

confidence: 72%

Institute of Medicine Recommendations on the Rate of Gestational Weight Gain and Perinatal Outcomes in Rural Bangladesh

Hasan

Khan

Ahmed

2021

IJERPH

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“…Excessive weight gain in this period is common (about 50% of pregnant women) [ 9 ] and is consistently associated with adverse fetal and child’s metabolic and neurocognitive outcomes [ 11 , 12 ]. Moreover, a higher risk for macrosomia, newborns large for gestational age, cesarean delivery, and maternal hypertension alterations have been reported [ 13 , 14 ]. Obesity is common during pregnancy, affecting both the mother and her offspring [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Reduced n-3 and n-6 PUFA (DHA and AA) Concentrations in Breast Milk and Erythrocytes Phospholipids during Pregnancy and Lactation in Women with Obesity

Chamorro

Bascuñán

Barrera

et al. 2022

IJERPH

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Obesity during pregnancy is a worrying public health problem worldwide. Maternal diet is critical for fatty acid (FA) placental transport and FA content in breast milk (BM). We evaluated FA composition in erythrocytes phospholipids (EP) and BM in pregnant women with (OBE, n = 30) and without (non-OBE, n = 31) obesity. Sixty-one healthy women were evaluated at their 20–24th gestational week and followed until 6th month of lactation. Diet was evaluated through a food frequency questionnaire. FA composition of EP and BM was assessed by gas-liquid chromatography. The OBE group showed lower diet quality, but total n-6 and n-3 polyunsaturated FA (PUFA), ALA, EPA, and DHA dietary intake was similar between groups. N-3 PUFA, ALA, DHA, and the n-6/n-3 PUFA ratio in EP were lower at the 6th lactation month in the OBE group. In BM, the arachidonic acid (AA) concentration was lower at the end of the lactation, and DHA content showed an earlier and constant decline in the OBE group compared to the non-OBE group. In conclusion, n-3 PUFA and AA and DHA levels were reduced in EP and BM in pregnant women with obesity. Strategies to increase n-3 PUFA are urgently needed during pregnancy and lactation, particularly in women with obesity.

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“…Sartorelli et al [ 23 ] also showed that women classified into the highest tertile of UPFs intake had a three times higher chance of obesity when compared to women with the lowest intake of these foods. Thus, monitoring this trend in pregnant women should be an important healthcare concern objective since excessive GWG is associated with greater chances of hypertensive disorders, cesarean delivery, and LGA newborns [ 105 , 106 , 107 ], and a strong predictor of postpartum weight retention, contributing to obesity in later life [ 108 , 109 ].…”

Section: Discussionmentioning

confidence: 99%

Maternal Consumption of Ultra-Processed Foods-Rich Diet and Perinatal Outcomes: A Systematic Review and Meta-Analysis

et al. 2022

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The consumption of ultra-processed food (UPF)-rich diets represents a potential threat to human health. Considering maternal diet adequacy during pregnancy is a major determinant for perinatal health outcomes, this study aimed to systematically review and meta-analyze studies investigating the association between maternal consumption of a UPF-rich diet and perinatal outcomes. Conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, five electronic databases and gray literature using Google Scholar and ProQuest Dissertations and Theses Global were searched up to 31 May 2022. No restrictions were applied on language and publication date. Two reviewers independently conducted the study selection and data extraction process. Meta-analysis was conducted according to the random-effects model. In total, 61 studies were included in the systematic review and the overall population comprised 698,803 women from all gestational trimesters. Meta-analysis of cohort studies showed that maternal consumption of UPF-rich diets was associated with an increased risk of gestational diabetes mellitus (odds ratio (OR): 1.48; 95% confidence interval (CI): 1.17, 1.87) and preeclampsia (OR: 1.28; 95% CI: 1.15, 1.42). Neonatal outcomes showed no association. The overall GRADE quality of the evidence for the associations was very low. The findings highlight the need to monitor and reduce UPF consumption, specifically during the gestational period, as a strategy to prevent adverse perinatal outcomes.

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Gestational Weight Gain and Pregnancy Outcomes among Nulliparous Women

Cited by 26 publications

References 38 publications

Institute of Medicine Recommendations on the Rate of Gestational Weight Gain and Perinatal Outcomes in Rural Bangladesh

Institute of Medicine Recommendations on the Rate of Gestational Weight Gain and Perinatal Outcomes in Rural Bangladesh

Reduced n-3 and n-6 PUFA (DHA and AA) Concentrations in Breast Milk and Erythrocytes Phospholipids during Pregnancy and Lactation in Women with Obesity

Maternal Consumption of Ultra-Processed Foods-Rich Diet and Perinatal Outcomes: A Systematic Review and Meta-Analysis

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