OBJECTIVE: Gestational weight gain consistent with the Institute of Medicine's recommendations is associated with better maternal and infant outcomes. The objective was to quantify the effect of pre-pregnancy factors, pregnancy-related health conditions, and modifiable pregnancy factors on the risks of inadequate and excessive gestational weight gain. METHOD: A longitudinal cohort of pregnant women (N=1100) who completed questions about diet and weight gain during pregnancy and delivered a singleton, full-term infant. RESULTS: Gestational weight gain was inadequate for 14% and excessive for 53%. Pre-pregnancy factors contributed 74% to excessive gain, substantially more than pregnancy-related health conditions (15%) and modifiable pregnancy factors (11%). Pre-pregnancy factors, pregnancy-related health conditions, and modifiable pregnancy factors contributed fairly equally to the risk of inadequate gain. CONCLUSION: Interventions to prevent excessive gestational gain may need to start before pregnancy. Women at risk for inadequate gain would also benefit from interventions directed toward modifiable factors during pregnancy.
OBJECTIVE: Gestational weight gain consistent with the Institute of Medicine's recommendations is associated with better maternal and infant outcomes. The objective was to quantify the effect of pre-pregnancy factors, pregnancy-related health conditions, and modifiable pregnancy factors on the risks of inadequate and excessive gestational weight gain. METHOD: A longitudinal cohort of pregnant women (N=1100) who completed questions about diet and weight gain during pregnancy and delivered a singleton, full-term infant. RESULTS: Gestational weight gain was inadequate for 14% and excessive for 53%. Pre-pregnancy factors contributed 74% to excessive gain, substantially more than pregnancy-related health conditions (15%) and modifiable pregnancy factors (11%). Pre-pregnancy factors, pregnancy-related health conditions, and modifiable pregnancy factors contributed fairly equally to the risk of inadequate gain. CONCLUSION: Interventions to prevent excessive gestational gain may need to start before pregnancy. Women at risk for inadequate gain would also benefit from interventions directed toward modifiable factors during pregnancy.
Authors: Panayotis K Thanos; Jianmin Zhuo; Lisa Robison; Ronald Kim; Mala Ananth; Ilon Choai; Adam Grunseich; Nicola M Grissom; Robert George; Foteini Delis; Teresa M Reyes Journal: Int J Dev Neurosci Date: 2016-09-22 Impact factor: 2.457
Authors: Shilpi S Mehta-Lee; Jennifer L Lischewski Goel; Linzhi Xu; Mindy R Brittner; Peter S Bernstein; Karen A Bonuck Journal: Matern Child Health J Date: 2013-12
Authors: Michelle A Kominiarek; Elizabeth Lucio Gray; Heidi Vyhmeister; William Grobman; Melissa Simon Journal: J Midwifery Womens Health Date: 2018-05-14 Impact factor: 2.388
Authors: Michelle F Mottola; Isabelle Giroux; Robert Gratton; Jo-Anne Hammond; Anthony Hanley; Stewart Harris; Ruth McManus; Margie H Davenport; Maggie M Sopper Journal: Med Sci Sports Exerc Date: 2010-02 Impact factor: 5.411