Prenatal Weight Gain Patterns and Birth Weight Among Nonobese Black and White Women

Hickey, Carol A.; Cliver, Suzanne P.; McNeal, Sandre F.; Hoffman, Howard J.; Goldenberg, Robert L.

doi:10.1016/0029-7844(96)00262-1

Cited by 75 publications

(59 citation statements)

References 12 publications

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“…A majority of the mothers who delivered IUGR babies in our study had low weight gain per week in the second trimester, but gained adequate weight per week in the third trimester. Other studies have also indicated that weight gain, particularly in the second trimester, is important for fetal growth (Abrams and Selvin, 1995;Hickey et al, 1996). Abrams and Selvin (1995) demonstrated that low maternal weight gain in the second trimester (o5.7 kg) was associated with decreased birth weights ranging from 48 to 248 g, depending on the pattern of weight gain in the other trimesters.…”

Section: Maternal Vitamin B 12 Status and Iugr S Muthayya Et Almentioning

confidence: 98%

Low maternal vitamin B12 status is associated with intrauterine growth retardation in urban South Indians

et al. 2006

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Objective: To assess the maternal sociodemographic, anthropometric, dietary and micronutrient status in apparently healthy pregnant women in order to determine their associations with intrauterine growth retardation (IUGR). Design: Prospective observational study. Setting: Bangalore City, India. Subjects: A total of 478 women were recruited at 12.973.3 weeks of gestation and followed up at the first, second and third trimesters of pregnancy and at delivery. The dropout rate was 8.5%. Interventions: None. Main outcome measures: Birth weight was measured at hospital delivery. Results: The mean birth weight was 2.8570.45 kg. In all, 28.6% of newborns were IUGR. There was a strong inverse relationship between maternal educational level and risk of IUGR. A low body weight at baseline was also associated with a high risk of IUGR. Compared with women in the highest quartile for second trimester weight gain, those in the lowest quartile had a significantly higher adjusted odds ratio (AOR: 3.98; 95% CI: 1.83, 8.65) for IUGR. Women in the lowest tertile for serum vitamin B 12 concentration during each of the three trimesters of pregnancy had significantly higher risk of IUGR (AOR: 5.98, 9.28 and 2.81 for trimesters 1-3, respectively). Conclusions: The present study demonstrates associations between educational status, maternal weight and gestational weight gain with IUGR. Importantly, in a subsample, there were strong associations of vitamin B 12 status with IUGR, suggesting that better socioeconomic conditions, improved nutritional status and early detection of vitamin B 12 deficiency in pregnancy combined with appropriate interventions are likely to play an important role in reducing IUGR.

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Section: Maternal Vitamin B 12 Status and Iugr S Muthayya Et Almentioning

confidence: 98%

Low maternal vitamin B12 status is associated with intrauterine growth retardation in urban South Indians

et al. 2006

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“…Andersen et al addi onally found that this associa on to be maintained for the second trimester as well 23 . These fi ndings of early pregnancy being most correlated with later in life adiposity are complimented by results from Dutch Famine Studies and biologic evidence of the most rapid growth-thus, the most sensi ve period-occurring in the fi rst and second trimesters of pregnancy 15,18 . Limita ons of the studies included in this review need to be considered when interpre ng results.…”

Section: Discussionmentioning

confidence: 67%

“…Only a few studies are beginning to draw a en on to the possible role that "adequate" GWG per trimester, as proposed by the IOM, may have on later-life adiposity [17][18][19][20][21][22] . Diffi cul es in establishing recommenda ons arise from the importance to strike a balance between a weight gain that is not so reduced as to cause low birth weight, restricted intrauterine growth and prematurity, yet which is not so high as to increase the chances of macrosomia, preeclampsia, caesarean sec on and gesta onal diabetes.…”

Section: Trimester Of Gestational Weight Gainmentioning

confidence: 99%

“…Furthermore, numerous epidemiologic studies have found GWG in the second trimester to be more strongly associated with lower birth weight than the GWG in the fi rst or third trimester [16][17][18][19][20] . Among these, Hickey et al found that low gain corresponding to IOM recommenda ons in the fi rst and second, or in the second and third trimesters, were associated with signifi cant decreases in mean birth weight, ranging from 206 to 265g 18 . However, low gain in fi rst or third trimester alone was not associated with a signifi cant decrease in mean in birth weight.…”

Section: Trimester Of Gestational Weight Gainmentioning

confidence: 99%

“…As excessive gesta onal weight gain (GWG) has been correlated with childhood and later in life overweight and obesity, the importance of appropriate GWG has gained increasing a en on in recent mes [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] . Mo vated by recent research on the changing characteris cs of the child-bearing popula on, the Ins tute of Medicine (IOM) revised GWG guidelines in 2009 to include a specifi c recommenda on for obese women, This work is licensed under a Creative Commons Attribution 3.0 License.…”

Section: Introductionmentioning

confidence: 99%

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Review of Trimester-Specific Gestational Weight Gain and Childhood Adiposity

Thapa

2014

J. Nepal Paedtr. Soc.

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Childhood obesity is a global epidemic and a major public health challenge. There has been increasing evidence that intrauterine exposures, such as alcohol, smoking, and maternal nutritional status, may affect both the long and short term health consequences of the mother and offspring. Childhood adiposity may be affected by the mother's pre-pregnancy weight and her weight gain during pregnancy. Consequently, interventions may need to start before conception of the child to prevent childhood obesity. In 2009, the Institute of Medicine updated its gestational weight gain recommendations by incorporating rates of gestational weight gain in the second and third trimesters based on the mother's pre-pregnancy Body Mass Index. There is extensive research on the association between total gestational weight gain and short-term offspring adiposity. However, this review focuses on the association between trimester-specific gestational weight gain and childhood adiposity for singleton pregnancies with respect to the Institute of Medicine's newly defined weight gain recommendations as very few studies have examined the association between the gestational weight gain during each trimester and childhood adiposity. Identifying the trimester that is most associated with childhood adiposity may help in the development of targeted interventions, guide physician's nutritional and weight-gain recommendations for child-bearing mothers, and direct future research.

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Association of Timing of Weight Gain in Pregnancy With Infant Birth Weight

et al. 2018

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IMPORTANCE Gestational weight gain is a determinant of infant birth weight, but it is unclear whether its timing in pregnancy may hold implications in this regard. Previous studies have yielded conflicting findings on the association of maternal weight gain in early pregnancy with birth weight. However, as these studies have typically recruited women during the first trimester, they are inherently limited by a reliance on self-reported pregravid weight. OBJECTIVE To evaluate the associations of directly measured maternal pregravid weight and the timing of subsequent weight gain across pregnancy with infant birth weight. DESIGN, SETTING, AND PARTICIPANTS In this prospective, preconception, observational cohort study, 1164 newly married women in Liuyang, China, underwent pregravid evaluation at a median of 19.9 weeks before a singleton pregnancy during which they underwent serial weight measurements.

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Prenatal Weight Gain Patterns and Birth Weight Among Nonobese Black and White Women

Abstract: These observations suggest that inadequate patterns of prenatal weight gain, defined by IOM guidelines, are associated with decreased birth weight, particularly when the patterns involve low second-trimester gain.

Cited by 75 publications

References 12 publications

Low maternal vitamin B12 status is associated with intrauterine growth retardation in urban South Indians

Low maternal vitamin B12 status is associated with intrauterine growth retardation in urban South Indians

Review of Trimester-Specific Gestational Weight Gain and Childhood Adiposity

Association of Timing of Weight Gain in Pregnancy With Infant Birth Weight

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