The effects of culture on guideline discordant gestational weight gain: a systematic review protocol

Manyanga, Taru; Silva, Danilo F. da; Ferraro, Zachary M.; Harvey, Alysha; Wilson, Shanna; Ockenden, Holly; Adamo, Kristi B.

doi:10.1186/s13643-015-0132-1

Cited by 3 publications

(4 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cultural differences are likely to play an important role in weight gain [27] and could explain the differences that we found related to ethnicity. Prepregnancy BMI, with an increased risk for overweight and obese women, has already been described as a significant predictor of total gestational weight gain [28].…”

Section: Discussionmentioning

confidence: 99%

Weight Gain during Pregnancy in Women with HIV Receiving Different Antiretroviral Regimens

et al. 2019

View full text Add to dashboard Cite

Background No published studies have evaluated in pregnant women with HIV weight gain with different antiretroviral drug classes. Methods Data from a national cohort study were used. We compared absolute weight gain and occurrence of excessive weight gain in women with HIV who received during pregnancy integrase inhibitors (INSTI), protease inhibitors (PI), or non-nucleoside reverse transcriptase inhibitors (NNRTI). Excessive weight gain was defined according to the Institute of Medicine recommendations. Possible predictors of weight gain were assessed using univariate and multivariate analyses. Results Among 273 cases (PI: 191, NNRTI: 43, INSTI: 39), the mean weight increase was 11.3 kg, and 25.4% of the mothers had an excessive weight increase. No significant differences were found among the three treatment groups for absolute weight increase, occurrence of excessive weight gain, infant birthweight, and other pregnancy and laboratory outcomes. The comparisons of individual drugs, although based on a limited number of cases, suggested no major differences. A significant positive correlation was found between weight gain and CD4+ T-cell increase during pregnancy. In multivariate analyses, drug class and nucleoside backbone were not associated with absolute or excessive weight increase. Excessive weight increase was significantly associated with week of delivery (adjusted odds ratio: 1.74, 95% CI 1.15, 2.63), obesity (5.21, 95% CI 1.85, 14.64), overweight (7.95, 95% CI 3.26, 19.39), recent substance use (5.96, 95% CI 1.13, 31.40) and fasting 2nd trimester hyperglycaemia (3.94, 95% CI 1.14, 13.65). Conclusions No significant differences in absolute weight change or occurrence of excessive weight gain were found among women with HIV who received during pregnancy different classes of antiretroviral drugs.

show abstract

Section: Discussionmentioning

confidence: 99%

Weight Gain during Pregnancy in Women with HIV Receiving Different Antiretroviral Regimens

et al. 2019

View full text Add to dashboard Cite

show abstract

“…This systematic review was prospectively registered in the PROSPERO database (#CRD42015023399) and the protocol published elsewhere (Manyanga et al., 2015). This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines (Moher et al., 2010).…”

Section: Methodsmentioning

confidence: 99%

Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational weight gain: a systematic review and meta-analysis

Denize

Acharya

Prince

et al. 2018

PeerJ

Self Cite

View full text Add to dashboard Cite

ObjectiveTo systematically review the literature and describe the discrepancies in achieving the 2009 Institute of Medicine (IOM) gestational weight gain (GWG) guidelines across cultures.MethodsTen databases were searched from inception to April 2018. Observational cohort studies were included that examined adult women; reported on a measure of culture; compared cultural groups, and reported on GWG. Articles were broken down into papers that used the current 2009 IOM GWG guidelines and those that used others. A meta-analysis was conducted for studies using the 2009 guidelines examining the prevalence of discordant GWG across cultural groups.ResultsThe review included 86 studies. Overall, 69% of women experienced discordant GWG irrespective of culture. White women experienced excessive GWG most often, and significantly more than Asian and Hispanic women; Black women had a higher prevalence of excessive GWG than Hispanic and Asian women; however, this difference was not significant.ConclusionsThe majority of women experience excessive GWG, with White women experiencing this most often. Culturally diverse GWG guidelines are needed to individualize antenatal care and promote optimal maternal-fetal health outcomes across cultural groups.

show abstract

“…Although it is the standard and recommended by the Ministry of Health in Brazil, Atalah’s curve has limitations, such as a lack of upper limits for pregnant women classified as obese and lower limits for pregnant women classified as underweight 9 , 12 . Atalah’s curve was developed in the 1990s; since then, there have been changes in behavior and gestational weight recommendations, as well as cultural and racial influences that might impact the results in different countries 16 , 23 .…”

Section: Discussionmentioning

confidence: 99%

“…These new curves seem to be useful and provide another tool for health professionals to monitor maternal health. In addition, depending on the provider’s decision, they can follow only women who are in the upper or lower limits for WG 11 , 23 , 30 .…”

Section: Discussionmentioning

confidence: 99%

A novel body mass index reference range - an observational study

Morais¹,

Ide²,

Morgan³

et al. 2017

Clinics

View full text Add to dashboard Cite

OBJECTIVE:To generate a new body mass index curve of reference values and ranges for body mass index and weight gain during pregnancy and to compare the new curve and weight gain ranges with the currently used references.METHODS:A prospective observational study was conducted with a total of 5,656 weight and body mass index measurements in 641 women with single pregnancy who attended their first prenatal visit before 12 weeks. All the women were over 18 years old and had no medical conditions that would influence body mass index. Data were collected using prenatal charts and medical records during hospitalization for childbirth. A linear regression method was used for standard curve smoothing in the general population and for specific curves according to the baseline body mass index classification. Curves were obtained for the 5th, 10th, 50th, 85th, 90th and 95th percentiles. Concordance between the classification of women using the newly generated and currently used curves was evaluated by percentages and kappa coefficients. The weight gain was compared with the reference values of the Institute of Medicine using Student’s T test. The data were analyzed using SAS software version 9.2, and the significance level was set at 5%.RESULTS:A general reference curve of percentiles of body mass index by gestational age was established. Additionally, four specific curves were generated according to the four baseline body mass index categories. The new general curve offered percentile limits for women according to their initial body mass index and according to the Centers for Disease Control and Prevention limits, showing poor agreement with the currently used curve (48.3%). Women who were overweight or obese when starting prenatal care had higher weight gain than the Institute of Medicine recommendation.CONCLUSIONS:The new proposed curve for body mass index during pregnancy showed weak agreement with the currently used curve. The new curve provided more information regarding body mass index increase using percentiles for general and specific groups of body mass index. Overweight pregnant women showed an upward body mass index trend throughout pregnancy that increased more dramatically than those of other groups of pregnant women, and they also presented a major mean difference between weight gain and the Institute of Medicine recommendation.

show abstract

The effects of culture on guideline discordant gestational weight gain: a systematic review protocol

Cited by 3 publications

References 30 publications

Weight Gain during Pregnancy in Women with HIV Receiving Different Antiretroviral Regimens

Weight Gain during Pregnancy in Women with HIV Receiving Different Antiretroviral Regimens

Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational weight gain: a systematic review and meta-analysis

A novel body mass index reference range - an observational study

Contact Info

Product

Resources

About