Susan W Groth1, Margaret L Holland2, Joyce A Smith3, Ying Meng3, Harriet Kitzman3. 1. School of Nursing, University of Rochester, Rochester, New York. Electronic address: Susan_Groth@urmc.rochester.edu. 2. School of Nursing, Yale University, West Haven, Connecticut. 3. School of Nursing, University of Rochester, Rochester, New York.
Abstract
PURPOSE: The purpose of the study was to examine the association of the gestational weight gain and prepregnancy body mass index (BMI) of low-income adolescent mothers with the risk of their children being overweight and/or obese in late adolescence. METHODS: Study subjects were low-income, primiparous adolescents (n = 360) who self-identified as black and participated in the New Mothers Study in Memphis, Tennessee, and their children. Gestational weight gain was examined as a continuous variable and also categorized into overgain, recommended gain, and undergain following the 2009 Institute of Medicine guidelines. The effects of maternal prepregnancy BMI percentiles and calculated BMI were also considered. Multivariable logistic and linear regression models were used. The main outcome measures were offspring overweight, obesity, and BMI. RESULTS: Thirty-nine percent of offspring were overweight or obese. Higher maternal gestational weight gain increased the risk for offspring overweight and obesity. There was an interaction between gestational weight gain and prepregnancy BMI: offspring of mothers with a BMI percentile ≤76 were at greater risk of obesity with higher maternal weight gain. If mothers with a BMI percentile between the 29th and 83rd percentiles overgained, offspring were at greater risk for overweight. Using calculated BMIs, if a mother's BMI was ≤26 kg/m2, offspring risk for obesity was greater with higher gestational weight gain. CONCLUSIONS: High gestational weight gain had a larger effect on offspring overweight and obesity if maternal prepregnancy BMI percentile was ≤76. The gestational weight gain of primiparous adolescents who self-identified as black had an effect on offspring weight.
PURPOSE: The purpose of the study was to examine the association of the gestational weight gain and prepregnancy body mass index (BMI) of low-income adolescent mothers with the risk of their children being overweight and/or obese in late adolescence. METHODS: Study subjects were low-income, primiparous adolescents (n = 360) who self-identified as black and participated in the New Mothers Study in Memphis, Tennessee, and their children. Gestational weight gain was examined as a continuous variable and also categorized into overgain, recommended gain, and undergain following the 2009 Institute of Medicine guidelines. The effects of maternal prepregnancy BMI percentiles and calculated BMI were also considered. Multivariable logistic and linear regression models were used. The main outcome measures were offspring overweight, obesity, and BMI. RESULTS: Thirty-nine percent of offspring were overweight or obese. Higher maternal gestational weight gain increased the risk for offspring overweight and obesity. There was an interaction between gestational weight gain and prepregnancy BMI: offspring of mothers with a BMI percentile ≤76 were at greater risk of obesity with higher maternal weight gain. If mothers with a BMI percentile between the 29th and 83rd percentiles overgained, offspring were at greater risk for overweight. Using calculated BMIs, if a mother's BMI was ≤26 kg/m2, offspring risk for obesity was greater with higher gestational weight gain. CONCLUSIONS: High gestational weight gain had a larger effect on offspring overweight and obesity if maternal prepregnancy BMI percentile was ≤76. The gestational weight gain of primiparous adolescents who self-identified as black had an effect on offspring weight.
Authors: R L Jones; H M S Cederberg; S J Wheeler; L Poston; C J Hutchinson; P T Seed; R L Oliver; P N Baker Journal: BJOG Date: 2010-01 Impact factor: 6.531
Authors: Anne P Starling; John T Brinton; Deborah H Glueck; Allison L Shapiro; Curtis S Harrod; Anne M Lynch; Anna Maria Siega-Riz; Dana Dabelea Journal: Am J Clin Nutr Date: 2014-12-03 Impact factor: 7.045
Authors: Reyna Sámano; Gabriela Chico-Barba; María Eugenia Flores-Quijano; Estela Godínez-Martínez; Hugo Martínez-Rojano; Luis Ortiz-Hernandez; Oralia Nájera-Medina; María Hernández-Trejo; Cristopher Hurtado-Solache Journal: Int J Environ Res Public Health Date: 2021-12-28 Impact factor: 3.390
Authors: Cristiana Berti; Shirin Elahi; Patrick Catalano; Zulfiqar A Bhutta; Michael B Krawinkel; Francesca Parisi; Carlo Agostoni; Irene Cetin; Mark Hanson Journal: Nutrients Date: 2022-08-28 Impact factor: 6.706