Relation between gestational weight gain and pregnancy outcomes

Sunsaneevithayakul, Prasert; Titapant, Vitaya; Ruangvutilert, Pornpimol; Sutantawibul, Anuwat; Phatihattakorn, Chayawat; Wataganara, Tuangsit; Talungchit, Pattarawalai

doi:10.1111/jog.12293

Cited by 32 publications

(42 citation statements)

References 32 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%

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%

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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“…The five (24,28,35,39,52) remaining studies obtained weight and height measures from medical records. In order to categorize pre-pregnancy BMI into weight classes, 19 (15,22,23,25,27,30,33,34,38,(40)(41)(42)46,(48)(49)(50)52,54,56) studies used the World Health Organization's BMI cut-offs, and another 16 (2,7,8,18,21,26,28,29,32,35,36,43,45,47,51,53) studies used guidelines consistent with these. A further six (24,31,37,39,44,55) studies used the 1990 Institute of Medicine (IOM) (57) BMI cut-offs to determine prepregnancy BMI classifications.…”

Section: Measurement Of Pre-pregnancy Body Mass Index and Gestationalmentioning

confidence: 99%

“…In contrast, 10 studies found that multiparous women had a greater risk of excessive (18,21,35,53) and absolute (28,31,44,47,48) GWG. An additional nine studies (8,27,30,36,37,(42)(43)(44)54,56) did not report/find a significant association between parity and GWG, and a further two (15,25) studies employed an entirely nulliparous sample.…”

Section: Associations Between Gestational Weight Gain and Paritymentioning

confidence: 99%

Is parity a risk factor for excessive weight gain during pregnancy and postpartum weight retention? A systematic review and meta‐analysis

et al. 2017

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The aim of this study was to systematically review and meta-analyse the associations between parity, pre-pregnancy body mass index (BMI), gestational weight gain (GWG) and, when included, postpartum weight retention (PPWR). Papers reporting associations between parity and BMI and/or GWG in adult women were eligible: 2,195 papers were identified, and 41 longitudinal studies were included in the narrative synthesis; 17 studies were included in a meta-analysis. Findings indicated that parity was associated positively with pre-pregnancy BMI. In contrast, the role of parity in GWG was less clear; both positive and negative relationships were reported across studies. Parity was not associated directly with PPWR. This pattern of results was supported by our meta-analysis with the only significant association between parity and pre-pregnancy BMI. Overall, parity was associated with higher pre-pregnancy BMI; however, the role of parity in GWG and PPWR remains unclear, and it is likely that its influence is indirect and complex. Further research to better understand the contribution of parity to maternal obesity is warranted.

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“…Also, most previous studies have focused on GWG among overweight or obese women, whereas less attention has been given to women of normal weight or underweight women who gained excessive weight during pregnancy . Thus, the impact of pre‐pregnancy BMI and GWG has not been well studied, especially in developing countries . Moreover, few studies have investigated the association between paternal body weight and height at conception and risk of fetal macrosomia, both in developing and developed countries …”

mentioning

confidence: 99%

Parental Body Mass Index, Gestational Weight Gain, and Risk of Macrosomia: a Population‐Based Case–Control Study in China

Yang

Zhou

Xiong

et al. 2015

Paediatric Perinatal Epid

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Relation between gestational weight gain and pregnancy outcomes

Abstract: To achieve a high proportion of appropriate-for-gestational-age infants, Thai pregnant women could follow our gestational weight gain recommendation.

Cited by 32 publications

References 32 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

Is parity a risk factor for excessive weight gain during pregnancy and postpartum weight retention? A systematic review and meta‐analysis

Parental Body Mass Index, Gestational Weight Gain, and Risk of Macrosomia: a Population‐Based Case–Control Study in China

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