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Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature
BACKGROUND: Excessive gestational weight gain (EGWG) places women at increased risk for complications during pregnancy and also increases the likelihood that they will remain overweight after pregnancy. The Institute of Medicine (IOM) has recommended weight gain guidelines based on pre-pregnancy bod...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Global Advances in Health and Medicine
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756783/ https://www.ncbi.nlm.nih.gov/pubmed/26937318 http://dx.doi.org/10.7453/gahmj.2015.094 |
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author | Samura, Tirah Steer, Jonathan Michelis, L. Daniela Carroll, Lisa Holland, Erica Perkins, Rebecca |
author_facet | Samura, Tirah Steer, Jonathan Michelis, L. Daniela Carroll, Lisa Holland, Erica Perkins, Rebecca |
author_sort | Samura, Tirah |
collection | PubMed |
description | BACKGROUND: Excessive gestational weight gain (EGWG) places women at increased risk for complications during pregnancy and also increases the likelihood that they will remain overweight after pregnancy. The Institute of Medicine (IOM) has recommended weight gain guidelines based on pre-pregnancy body mass index (BMI), but evidence-based strategies to achieve these goals are limited. OBJECTIVE: This review discusses factors associated with EGWG with the goal of identifying targets for future intervention. METHODS: A search was performed using the PubMed database to identify all English-language papers published between 1995 and 2014 related to excessive weight gain in pregnancy. Papers were grouped by theme: preconception BMI, sociodemographics, diet and exercise, psychosocial characteristics, and type of prenatal care. RESULTS: Studies found that women who were overweight or obese at the time of conception were at higher risk of EGWG and that increased physical activity protected against EGWG. Studies on diet and sociodemographic characteristics were inconclusive. Psychological factors, specifically accurate perceptions of BMI, also appear to play a role in EGWG. Limited studies on methods of prenatal care delivery did not show improvement of weight parameters with group compared to one-on-one visits. CONCLUSION: Pre-pregnancy BMI is most strongly associated with EGWG, indicating that healthy weight habits throughout adult life may be especially important in periods of expected weight change, such as pregnancy. To decrease EGWG, providers should focus on improving pre-conception BMI through appropriate counseling on healthy eating and increased physical activity as well as encouraging pregnant women to continue moderate exercise during pregnancy when appropriate. |
format | Online Article Text |
id | pubmed-4756783 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Global Advances in Health and Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-47567832016-05-12 Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature Samura, Tirah Steer, Jonathan Michelis, L. Daniela Carroll, Lisa Holland, Erica Perkins, Rebecca Glob Adv Health Med Systematic Review BACKGROUND: Excessive gestational weight gain (EGWG) places women at increased risk for complications during pregnancy and also increases the likelihood that they will remain overweight after pregnancy. The Institute of Medicine (IOM) has recommended weight gain guidelines based on pre-pregnancy body mass index (BMI), but evidence-based strategies to achieve these goals are limited. OBJECTIVE: This review discusses factors associated with EGWG with the goal of identifying targets for future intervention. METHODS: A search was performed using the PubMed database to identify all English-language papers published between 1995 and 2014 related to excessive weight gain in pregnancy. Papers were grouped by theme: preconception BMI, sociodemographics, diet and exercise, psychosocial characteristics, and type of prenatal care. RESULTS: Studies found that women who were overweight or obese at the time of conception were at higher risk of EGWG and that increased physical activity protected against EGWG. Studies on diet and sociodemographic characteristics were inconclusive. Psychological factors, specifically accurate perceptions of BMI, also appear to play a role in EGWG. Limited studies on methods of prenatal care delivery did not show improvement of weight parameters with group compared to one-on-one visits. CONCLUSION: Pre-pregnancy BMI is most strongly associated with EGWG, indicating that healthy weight habits throughout adult life may be especially important in periods of expected weight change, such as pregnancy. To decrease EGWG, providers should focus on improving pre-conception BMI through appropriate counseling on healthy eating and increased physical activity as well as encouraging pregnant women to continue moderate exercise during pregnancy when appropriate. Global Advances in Health and Medicine 2016-01 2016-01-01 /pmc/articles/PMC4756783/ /pubmed/26937318 http://dx.doi.org/10.7453/gahmj.2015.094 Text en © 2016 GAHM LLC. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial- No Derivative 3.0 License, which permits rights to copy, distribute and transmit the work for noncommercial purposes only, provided the original work is properly cited. |
spellingShingle | Systematic Review Samura, Tirah Steer, Jonathan Michelis, L. Daniela Carroll, Lisa Holland, Erica Perkins, Rebecca Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature |
title | Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature |
title_full | Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature |
title_fullStr | Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature |
title_full_unstemmed | Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature |
title_short | Factors Associated With Excessive Gestational Weight Gain: Review of Current Literature |
title_sort | factors associated with excessive gestational weight gain: review of current literature |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756783/ https://www.ncbi.nlm.nih.gov/pubmed/26937318 http://dx.doi.org/10.7453/gahmj.2015.094 |
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