Optimal gestational weight gain in Chinese pregnant women by Chinese-specific BMI categories: a multicentre prospective cohort study
| Autor: | Nan Dai, Wei Xia, Nianhong Yang, Zeng-Ning Li, Guo Zeng, Yue Teng, Kai-Yan Liu, Cai-Xia Zhang, Zhixu Wang, Jianqiang Lai, Yi-xiang Su, Limei Mao |
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| Rok vydání: | 2021 |
| Předmět: |
China
medicine.medical_specialty medicine.medical_treatment Medicine (miscellaneous) Overweight Body Mass Index 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Caesarean section Prospective Studies 030212 general & internal medicine Prospective cohort study 030219 obstetrics & reproductive medicine Nutrition and Dietetics Cesarean Section Obstetrics business.industry Infant Newborn Pregnancy Outcome Public Health Environmental and Occupational Health Gestational age medicine.disease Gestational Weight Gain Pregnancy Complications Low birth weight Small for gestational age Female Pregnant Women Underweight medicine.symptom business Body mass index Research Paper |
| Zdroj: | Public Health Nutr |
| ISSN: | 1475-2727 1368-9800 |
| DOI: | 10.1017/s1368980021001622 |
| Popis: | Objective:To establish optimal gestational weight gain (GWG) in Chinese pregnant women by Chinese-specific BMI categories and compare the new recommendations with the Institute of Medicine (IOM) 2009 guidelines.Design:Multicentre, prospective cohort study. Unconditional logistic regression analysis was used to evaluate the OR, 95 % CI and the predicted probabilities of adverse pregnancy outcomes. The optimal GWG range was defined as the range that did not exceed a 1 % increase from the lowest predicted probability in each pre-pregnancy BMI group.Setting:From nine cities in mainland China.Participants:A total of 3731 women with singleton pregnancy were recruited from April 2013 to December 2014.Results:The optimal GWG (ranges) by Chinese-specific BMI was 15·0 (12·8–17·1), 14·2 (12·1–16·4) and 12·6 (10·4–14·9) kg for underweight, normal weight and overweight pregnant women, respectively. Inappropriate GWG was associated with several adverse pregnancy outcomes. Compared with women gaining weight within our proposed recommendations, women with excessive GWG had higher risk for macrosomia, large for gestational age and caesarean section, whereas those with inadequate GWG had higher risk for low birth weight, small for gestational age and preterm delivery. The comparison between our proposed recommendations and IOM 2009 guidelines showed that our recommendations were comparable with the IOM 2009 guidelines and could well predict the risk of several adverse pregnancy outcomes.Conclusions:Inappropriate GWG was associated with higher risk of several adverse pregnancy outcomes. Optimal GWG recommendations proposed in the present study could be applied to Chinese pregnant women. |
| Databáze: | OpenAIRE |
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