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A prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for Chinese pregnant women

BACKGROUND: Gestational weight gain (GWG) criteria recommended by the Institute of Medicine may not be appropriate for Asians. Our aims are to investigate the association between GWG and adverse pregnancy outcomes, and to propose optimal total GWG and rates of GWG for Chinese women. METHODS: Prospec...

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Autores principales: Gong, Yunhui, Xu, Yujie, Wan, Ke, Wang, Yidi, Zeng, Linan, Zou, Kun, Chen, Yue, Yang, Dagang, Xiong, Jingyuan, Zhao, Li, Zhang, Lingli, Shimokawa, Toshio, Cheng, Guo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9872325/
https://www.ncbi.nlm.nih.gov/pubmed/36694176
http://dx.doi.org/10.1186/s12884-023-05398-8
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author Gong, Yunhui
Xu, Yujie
Wan, Ke
Wang, Yidi
Zeng, Linan
Zou, Kun
Chen, Yue
Yang, Dagang
Xiong, Jingyuan
Zhao, Li
Zhang, Lingli
Shimokawa, Toshio
Cheng, Guo
author_facet Gong, Yunhui
Xu, Yujie
Wan, Ke
Wang, Yidi
Zeng, Linan
Zou, Kun
Chen, Yue
Yang, Dagang
Xiong, Jingyuan
Zhao, Li
Zhang, Lingli
Shimokawa, Toshio
Cheng, Guo
author_sort Gong, Yunhui
collection PubMed
description BACKGROUND: Gestational weight gain (GWG) criteria recommended by the Institute of Medicine may not be appropriate for Asians. Our aims are to investigate the association between GWG and adverse pregnancy outcomes, and to propose optimal total GWG and rates of GWG for Chinese women. METHODS: Prospective data of 51,125 mother-child pairs from 27 hospitals and community health care centers from Guizhou, Yunnan and Sichuan provinces in China between 2014 and 2018 were analyzed. Generalized Additive Models were performed to determine the associations of GWG with the risk of aggregated adverse outcomes (gestational diabetes mellitus, preeclampsia, cesarean delivery, stillbirth, preterm birth, macrosomia, large for gestational age, and small for gestational age). The range that did not exceed a 2.5% increase from the lowest risk of aggregated adverse outcomes was defined as the optimal GWG range. RESULTS: Among all participants, U-shaped prospective association was found between GWG and the risk of aggregated adverse pregnancy outcomes. The optimal GWG range of 8.2–13.0 kg was proposed for underweight, 7.3–12.5 kg for normal weight, and 2.0–9.4 kg for overweight/obese women. Meanwhile, a higher GWG rate in the first two trimesters than that in the last trimester was suggested, except for overweight/obese women. After stratified by maternal age, mothers ≥35 years were suggested to gain less weight compared to younger mothers. CONCLUSIONS: To keep a balance between maternal health and neonatal growth, optimal GWG ranges based on Asia-specific BMI categories was suggested for Chinese women with different pre-gravid BMIs and maternal ages. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05398-8.
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spelling pubmed-98723252023-01-25 A prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for Chinese pregnant women Gong, Yunhui Xu, Yujie Wan, Ke Wang, Yidi Zeng, Linan Zou, Kun Chen, Yue Yang, Dagang Xiong, Jingyuan Zhao, Li Zhang, Lingli Shimokawa, Toshio Cheng, Guo BMC Pregnancy Childbirth Research BACKGROUND: Gestational weight gain (GWG) criteria recommended by the Institute of Medicine may not be appropriate for Asians. Our aims are to investigate the association between GWG and adverse pregnancy outcomes, and to propose optimal total GWG and rates of GWG for Chinese women. METHODS: Prospective data of 51,125 mother-child pairs from 27 hospitals and community health care centers from Guizhou, Yunnan and Sichuan provinces in China between 2014 and 2018 were analyzed. Generalized Additive Models were performed to determine the associations of GWG with the risk of aggregated adverse outcomes (gestational diabetes mellitus, preeclampsia, cesarean delivery, stillbirth, preterm birth, macrosomia, large for gestational age, and small for gestational age). The range that did not exceed a 2.5% increase from the lowest risk of aggregated adverse outcomes was defined as the optimal GWG range. RESULTS: Among all participants, U-shaped prospective association was found between GWG and the risk of aggregated adverse pregnancy outcomes. The optimal GWG range of 8.2–13.0 kg was proposed for underweight, 7.3–12.5 kg for normal weight, and 2.0–9.4 kg for overweight/obese women. Meanwhile, a higher GWG rate in the first two trimesters than that in the last trimester was suggested, except for overweight/obese women. After stratified by maternal age, mothers ≥35 years were suggested to gain less weight compared to younger mothers. CONCLUSIONS: To keep a balance between maternal health and neonatal growth, optimal GWG ranges based on Asia-specific BMI categories was suggested for Chinese women with different pre-gravid BMIs and maternal ages. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05398-8. BioMed Central 2023-01-24 /pmc/articles/PMC9872325/ /pubmed/36694176 http://dx.doi.org/10.1186/s12884-023-05398-8 Text en © The Author(s) 2023 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
Gong, Yunhui
Xu, Yujie
Wan, Ke
Wang, Yidi
Zeng, Linan
Zou, Kun
Chen, Yue
Yang, Dagang
Xiong, Jingyuan
Zhao, Li
Zhang, Lingli
Shimokawa, Toshio
Cheng, Guo
A prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for Chinese pregnant women
title A prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for Chinese pregnant women
title_full A prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for Chinese pregnant women
title_fullStr A prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for Chinese pregnant women
title_full_unstemmed A prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for Chinese pregnant women
title_short A prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for Chinese pregnant women
title_sort prospective analysis of optimal total weight gain ranges and trimester-specific weight gain rates for chinese pregnant women
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9872325/
https://www.ncbi.nlm.nih.gov/pubmed/36694176
http://dx.doi.org/10.1186/s12884-023-05398-8
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