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Determinants of excessive gestational weight gain: a systematic review and meta-analysis

BACKGROUND: The prevalence of excessive gestational weight gain (EGWG) during pregnancy is increasing, and it is extremely harmful to pregnant women and newborns. Previous studies have suggested that EGWG is associated with various factors. We conducted a systematic review and meta-analysis to ident...

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Autores principales: Zhou, Meng, Peng, Xueqing, Yi, Honggang, Tang, Shaowen, You, Hua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066815/
https://www.ncbi.nlm.nih.gov/pubmed/35505415
http://dx.doi.org/10.1186/s13690-022-00864-9
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author Zhou, Meng
Peng, Xueqing
Yi, Honggang
Tang, Shaowen
You, Hua
author_facet Zhou, Meng
Peng, Xueqing
Yi, Honggang
Tang, Shaowen
You, Hua
author_sort Zhou, Meng
collection PubMed
description BACKGROUND: The prevalence of excessive gestational weight gain (EGWG) during pregnancy is increasing, and it is extremely harmful to pregnant women and newborns. Previous studies have suggested that EGWG is associated with various factors. We conducted a systematic review and meta-analysis to identify, quantify and analyze determinants of EGWG and evaluate the effect of these determinants on EGWG. METHODS: We searched for articles, from January 2009 to November 2020, related to the determinants of EGWG during pregnancy using four Chinese and four English databases. The Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement was utilized to guide the systematic review and meta-analysis process. RESULTS: Seventy studies, which identified EGWG factors in pregnant women (58 factors, 3 themes: individual [7 aspects, 37 factors]; family [4 aspects, 8 factors]; and social [4 aspects, 13 factors]), were included and analyzed in the systematic review. A meta-analysis was conducted for 13 factors (including 10 individual factors, 2 family factors, and 1 social factor) and revealed that pre-pregnancy overweight (including obesity), younger age (≤ 30 years old), unemployed, primiparity, smoking, and being unmarried (including divorced) were risk factors for EGWG, while prepregnancy underweight and inadequate antenatal care were protective factors for EGWG. There was no significant correlation between EGWG and education level, alcohol consumption, planning pregnancy, food security, and whether access to nutrition guidance during pregnancy. CONCLUSIONS: EGWG was prevalent in pregnant women, and its prevalence seemed to be high and similar in many countries. Based on observational studies with medium-level and high-level evidence, some individual, family, and social factors were found to be associated with EGWG using qualitative and quantitative methods. In the future, exposure of pregnant women to risk factors for EGWG should be avoided, and interventions should be developed around the identified factors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13690-022-00864-9.
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spelling pubmed-90668152022-05-04 Determinants of excessive gestational weight gain: a systematic review and meta-analysis Zhou, Meng Peng, Xueqing Yi, Honggang Tang, Shaowen You, Hua Arch Public Health Research BACKGROUND: The prevalence of excessive gestational weight gain (EGWG) during pregnancy is increasing, and it is extremely harmful to pregnant women and newborns. Previous studies have suggested that EGWG is associated with various factors. We conducted a systematic review and meta-analysis to identify, quantify and analyze determinants of EGWG and evaluate the effect of these determinants on EGWG. METHODS: We searched for articles, from January 2009 to November 2020, related to the determinants of EGWG during pregnancy using four Chinese and four English databases. The Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement was utilized to guide the systematic review and meta-analysis process. RESULTS: Seventy studies, which identified EGWG factors in pregnant women (58 factors, 3 themes: individual [7 aspects, 37 factors]; family [4 aspects, 8 factors]; and social [4 aspects, 13 factors]), were included and analyzed in the systematic review. A meta-analysis was conducted for 13 factors (including 10 individual factors, 2 family factors, and 1 social factor) and revealed that pre-pregnancy overweight (including obesity), younger age (≤ 30 years old), unemployed, primiparity, smoking, and being unmarried (including divorced) were risk factors for EGWG, while prepregnancy underweight and inadequate antenatal care were protective factors for EGWG. There was no significant correlation between EGWG and education level, alcohol consumption, planning pregnancy, food security, and whether access to nutrition guidance during pregnancy. CONCLUSIONS: EGWG was prevalent in pregnant women, and its prevalence seemed to be high and similar in many countries. Based on observational studies with medium-level and high-level evidence, some individual, family, and social factors were found to be associated with EGWG using qualitative and quantitative methods. In the future, exposure of pregnant women to risk factors for EGWG should be avoided, and interventions should be developed around the identified factors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13690-022-00864-9. BioMed Central 2022-05-03 /pmc/articles/PMC9066815/ /pubmed/35505415 http://dx.doi.org/10.1186/s13690-022-00864-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zhou, Meng
Peng, Xueqing
Yi, Honggang
Tang, Shaowen
You, Hua
Determinants of excessive gestational weight gain: a systematic review and meta-analysis
title Determinants of excessive gestational weight gain: a systematic review and meta-analysis
title_full Determinants of excessive gestational weight gain: a systematic review and meta-analysis
title_fullStr Determinants of excessive gestational weight gain: a systematic review and meta-analysis
title_full_unstemmed Determinants of excessive gestational weight gain: a systematic review and meta-analysis
title_short Determinants of excessive gestational weight gain: a systematic review and meta-analysis
title_sort determinants of excessive gestational weight gain: a systematic review and meta-analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066815/
https://www.ncbi.nlm.nih.gov/pubmed/35505415
http://dx.doi.org/10.1186/s13690-022-00864-9
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