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Characteristics of women age 15-24 at risk for excess weight gain during pregnancy
PURPOSE: Excess weight gain during pregnancy is a serious health concern among young pregnant women in the US. This study aimed to characterize young women at highest risk for gaining over the recommended amount of weight during pregnancy. METHODS: Using a database that is representative of births i...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349657/ https://www.ncbi.nlm.nih.gov/pubmed/28291802 http://dx.doi.org/10.1371/journal.pone.0173790 |
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author | Chang, Tammy Moniz, Michelle H. Plegue, Melissa A. Sen, Ananda Davis, Matthew M. Villamor, Eduardo Richardson, Caroline R. |
author_facet | Chang, Tammy Moniz, Michelle H. Plegue, Melissa A. Sen, Ananda Davis, Matthew M. Villamor, Eduardo Richardson, Caroline R. |
author_sort | Chang, Tammy |
collection | PubMed |
description | PURPOSE: Excess weight gain during pregnancy is a serious health concern among young pregnant women in the US. This study aimed to characterize young women at highest risk for gaining over the recommended amount of weight during pregnancy. METHODS: Using a database that is representative of births in large U.S. cities, The Fragile Families and Child Wellbeing Study, we identified mothers of singleton term-infants age 15–24 years at the time of delivery. Institute of Medicine guidelines were used to categorize each mother’s weight gain as less than, within, or more than recommended during pregnancy. Multinomial logistic regression models for weight gain category were performed, controlling for age, race/ethnicity, federal poverty level (FPL), health status, and prepregnancy BMI. RESULTS: Among the weighted sample (n = 1,034, N = 181,375), the mean (SD) age was 21 (3) years, 32% were black, 39% were Hispanic, 44% reported income under the Federal Poverty Level, 45% were overweight or obese before pregnancy, and 55% gained more weight than recommended during pregnancy. Women who were overweight or obese before pregnancy were at increased risk for gaining more pregnancy weight than recommended, compared to normal-weight women (adjusted Relative Risk Ratio (RRR) = 3.82, p = 0.01; RRR = 3.27, p = 0.03, respectively). Hispanics were less likely than non-Hispanics to gain more weight than recommended (RRR = 0.39, p = 0.03). CONCLUSIONS: The majority of mothers ages 15–24 gained excess weight during pregnancy, a strong risk factor for later obesity. Prepregnancy overweight or obesity and non-Hispanic ethnicity predicted excess pregnancy weight gain. Interventions and policies should target these high-risk young women to prevent excess weight gain. |
format | Online Article Text |
id | pubmed-5349657 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-53496572017-04-06 Characteristics of women age 15-24 at risk for excess weight gain during pregnancy Chang, Tammy Moniz, Michelle H. Plegue, Melissa A. Sen, Ananda Davis, Matthew M. Villamor, Eduardo Richardson, Caroline R. PLoS One Research Article PURPOSE: Excess weight gain during pregnancy is a serious health concern among young pregnant women in the US. This study aimed to characterize young women at highest risk for gaining over the recommended amount of weight during pregnancy. METHODS: Using a database that is representative of births in large U.S. cities, The Fragile Families and Child Wellbeing Study, we identified mothers of singleton term-infants age 15–24 years at the time of delivery. Institute of Medicine guidelines were used to categorize each mother’s weight gain as less than, within, or more than recommended during pregnancy. Multinomial logistic regression models for weight gain category were performed, controlling for age, race/ethnicity, federal poverty level (FPL), health status, and prepregnancy BMI. RESULTS: Among the weighted sample (n = 1,034, N = 181,375), the mean (SD) age was 21 (3) years, 32% were black, 39% were Hispanic, 44% reported income under the Federal Poverty Level, 45% were overweight or obese before pregnancy, and 55% gained more weight than recommended during pregnancy. Women who were overweight or obese before pregnancy were at increased risk for gaining more pregnancy weight than recommended, compared to normal-weight women (adjusted Relative Risk Ratio (RRR) = 3.82, p = 0.01; RRR = 3.27, p = 0.03, respectively). Hispanics were less likely than non-Hispanics to gain more weight than recommended (RRR = 0.39, p = 0.03). CONCLUSIONS: The majority of mothers ages 15–24 gained excess weight during pregnancy, a strong risk factor for later obesity. Prepregnancy overweight or obesity and non-Hispanic ethnicity predicted excess pregnancy weight gain. Interventions and policies should target these high-risk young women to prevent excess weight gain. Public Library of Science 2017-03-14 /pmc/articles/PMC5349657/ /pubmed/28291802 http://dx.doi.org/10.1371/journal.pone.0173790 Text en © 2017 Chang et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Chang, Tammy Moniz, Michelle H. Plegue, Melissa A. Sen, Ananda Davis, Matthew M. Villamor, Eduardo Richardson, Caroline R. Characteristics of women age 15-24 at risk for excess weight gain during pregnancy |
title | Characteristics of women age 15-24 at risk for excess weight gain during pregnancy |
title_full | Characteristics of women age 15-24 at risk for excess weight gain during pregnancy |
title_fullStr | Characteristics of women age 15-24 at risk for excess weight gain during pregnancy |
title_full_unstemmed | Characteristics of women age 15-24 at risk for excess weight gain during pregnancy |
title_short | Characteristics of women age 15-24 at risk for excess weight gain during pregnancy |
title_sort | characteristics of women age 15-24 at risk for excess weight gain during pregnancy |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349657/ https://www.ncbi.nlm.nih.gov/pubmed/28291802 http://dx.doi.org/10.1371/journal.pone.0173790 |
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