Gestational weight gain influences neonatal outcomes in women with obesity and gestational diabetes

Ramos-Leví, Ana M.; Fernández-Pombo, Antía; García-Fontao, Cristina; Gómez-Vázquez, Eva; Cantón-Blanco, Ana; Olmos, Miguel; Andújar-Plata, Paula; Mariño, Pilar Bolaño; Rodríguez-Carnero, Gemma; Villar-Taibo, Rocío

doi:10.1016/j.endinu.2022.01.005

Cited by 2 publications

(4 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, however, the risk of giving birth to a macrosomic child was only significantly increased in underweight, normal-weight, and overweight women who gained more weight than recommended. These findings follow those of various other studies that show a significant positive association between excessive weight gain and large-for-gestational-age or macrosomic newborns [24,25,28]. Obese and morbidly obese mothers, however, did not show a significantly increased risk of macrosomia; the risk was slightly higher but not significantly.…”

Section: Discussionsupporting

confidence: 90%

“…Class II obese women (35-39.9) are recommended to lose 4 kg, and pregnant women in obesity class III (BMI ≥ 40) are recommended to lose 5 kg. Consequently, there is still no consensus regarding the recommendations for optimal weight gain during pregnancy in overweight or obese pregnant women, although the higher risk of adverse pregnancy outcomes among obese women experiencing excessive gestational weight gain was confirmed in several recent studies [25,28,29]. The IOM guidelines are also used in Austria, a country with particularly sophisticated care for pregnant women.…”

Section: Prepregnancy Bmi (In Km/m²)mentioning

confidence: 99%

“…These recommendations for optimal GWG were originally intended for women living in the USA only and were therefore considered not applicable worldwide. For this reason, the IOM guidelines were primarily used in high-income Western countries [26]; however, the IOM guidelines are also used in middleand low-income countries [25,28,29].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Impact of Higher Than Recommended Gestational Weight Gain on Fetal Growth and Perinatal Risk Factors—The IOM Criteria Reconsidered

Kirchengast,

Fellner,

Haury

et al. 2024

IJERPH

View full text Add to dashboard Cite

A too-high gestational weight gain, in combination with steadily increasing obesity rates among women of reproductive age, represents an enormous obstetrical problem, as obesity and high gestational weight gain are associated with enhanced fetal growth, low vital parameters, and increased cesarean section rates. This medical record-based study investigates the association patterns between too-low as well as too-high gestational weight gain, according to the 2009 Institute of Medicine (IOM) guidelines, and fetal growth, as well as birth mode and pregnancy outcome. The data of 11,755 singleton births that had taken place between 2010 and 2020 at the Public Clinic Donaustadt in Vienna, Austria, were analyzed. Birth weight, birth length, head circumference, APGAR scores, and pH values of the arterial umbilical cord blood described fetal growth as well as the vital parameters after birth. Gestational weight gain was classified as too low, recommended, or too high according to the different weight status categories of the IOM guidelines. Birth weight, birth length, and head circumference of the newborn were significantly increased (p < 0.001) among underweight, normal-weight, and overweight women who gained more weight than recommended. Among obese women, only birthweight was significantly (p < 0.001) higher among women who gained more weight than recommended. Furthermore, a too-high gestational weight gain was significantly associated with an increased risk of macrosomia and emergency cesarean sections among underweight, normal-weight, and overweight women, but not among obese ones. Obese and morbidly obese women experiencing excessive gestational weight gain showed no significantly increased risk of macrosomia or emergency cesarean section. However, among obese mothers, a too-low gestational weight gain reduced the risk of emergency cesarean sections significantly (p = 0.010). Consequently, the IOM recommendations for gestational weight gain fit only partly for pregnant women in Austria. In the case of obese and morbidly obese women, new guidelines for optimal pregnancy weight gain should be considered.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Prepregnancy Bmi (In Km/m²)mentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Higher Than Recommended Gestational Weight Gain on Fetal Growth and Perinatal Risk Factors—The IOM Criteria Reconsidered

Kirchengast,

Fellner,

Haury

et al. 2024

IJERPH

View full text Add to dashboard Cite

show abstract

“…One study conducted in Portugal shoed that Portuguese pregnant women did not have sports habits throughout pregnancy, and that PA decreases with progress of pregnancy [13]. Other studies have revealed that high pre-gestational BMI and maternal weight gain influence neonatal outcomes [14], and are associated with an increased risk of overweight/obesity in childhood with noticeable effects at later ages [15]. Given the exponential worldwide increase in maternal obesity [4,16,17], and since pregnant women with obesity spend more time in light-intensity activities, but see it as being moderate or vigorous [18], it is important to subjectively and objectively evaluate and characterize the PA levels of this specific group in order to plan interventions tailored to their needs.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Portuguese Version of the Pregnancy Physical Activity Questionnaire (PPAQ) with Accelerometry for Classifying Physical Activity among Pregnant Women with Obesity

Bernardo

Carvalho²,

Leirós‐Rodríguez³

et al. 2023

IJERPH

View full text Add to dashboard Cite

In recent years, the number of pregnant women with obesity has increased exponentially; thus, it is important to evaluate and characterize the physical activity levels of this specific group. The aim of this study is to evaluate the reliability and validity of the Portuguese version of the Physical Activity and Pregnancy Questionnaire and Pregnancy Questionnaire in pregnant women with obesity and to classify physical activity using the Physical Activity and Pregnancy Questionnaire and accelerometry. An analytical observational study was carried out between May and August of 2019 at the University Hospital Center of São João, with a sample of 31 pregnant women with obesity (30.9 ± 4.6 years 36.5 ± 4.6 kg/m2 of BMI and 21.5 ± 9 gestational weeks). The physical activity of participants was evaluated using an accelerometer and Physical Activity and Pregnancy Questionnaire at two time points (the first visit at the moment of consultation and the second seven days after, with accelerometer retest), the interclass correlation coefficient was used to test reliability between the Physical Activity and Pregnancy Questionnaire filled out at visit1 and the Physical Activity and Pregnancy Questionnaire filled out at visit2, and Pearson’s correlation was used to determine validity between the Physical Activity and Pregnancy Questionnaire and accelerometry. The interclass correlation coefficient values for total activity were 0.95, 0.97 for moderate and 0.58 for vigorous intensities. It ranged from 0.74 for sports/exercise to 0.96 for domestic activities. The Pearson’s correlations showed that the Physical Activity and Pregnancy Questionnaire is moderately valid for moderate intensity (r = 0.435). A total of 67.7% of the pregnant women complied with international physical activity recommendations.

show abstract

Gestational weight gain influences neonatal outcomes in women with obesity and gestational diabetes

Cited by 2 publications

References 30 publications

The Impact of Higher Than Recommended Gestational Weight Gain on Fetal Growth and Perinatal Risk Factors—The IOM Criteria Reconsidered

The Impact of Higher Than Recommended Gestational Weight Gain on Fetal Growth and Perinatal Risk Factors—The IOM Criteria Reconsidered

Comparison of the Portuguese Version of the Pregnancy Physical Activity Questionnaire (PPAQ) with Accelerometry for Classifying Physical Activity among Pregnant Women with Obesity

Contact Info

Product

Resources

About