Gestational weight gain in 4 low- and middle-income countries and associations with birth outcomes: a secondary analysis of the Women First Trial
| Autor: | Ana Garces, Vanessa Thorsten, Carl L. Bose, Robert L. Goldenberg, Elizabeth M. McClure, K. Michael Hambidge, Melissa Bauserman, Veena Herekar, Nancy F. Krebs, Lester Figueroa, Jackie Patterson, Sarah Saleem, Marion Koso-Thomas, Carla Bann, Antoinette Tshefu, Manjunath S Somannavar, Adrien Lokangaka, Jamie Westcott, Richard J. Derman, Sumera Ali Aziz |
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| Rok vydání: | 2021 |
| Předmět: |
Women's Nutrition
Adult medicine.medical_specialty infant nutrition disorders Birth weight fetal development Medicine (miscellaneous) malnutrition Global Health Infant nutrition disorder AcademicSubjects/MED00160 AcademicSubjects/MED00060 Young Adult Pregnancy Birth Weight Humans Medicine low birth weight Poverty Nutrition and Dietetics Prenatal nutrition business.industry Obstetrics Infant Newborn Pregnancy Outcome developing countries medicine.disease Gestational Weight Gain Original Research Communications Malnutrition Low birth weight nutrition during pregnancy Gestation Female medicine.symptom business Weight gain |
| Zdroj: | The American Journal of Clinical Nutrition |
| ISSN: | 0002-9165 |
| DOI: | 10.1093/ajcn/nqab086 |
| Popis: | Background Adequate gestational weight gain (GWG) is essential for healthy fetal growth. However, in low- and middle-income countries, where malnutrition is prevalent, little information is available about GWG and how it might be modified by nutritional status and interventions. Objective We describe GWG and its associations with fetal growth and birth outcomes. We also examined the extent to which prepregnancy BMI, and preconception and early weight gain modify GWG, and its effects on fetal growth. Methods This was a secondary analysis of the Women First Trial, including 2331 women within the Democratic Republic of Congo (DRC), Guatemala, India, and Pakistan, evaluating weight gain from enrollment to ∼12 weeks of gestation and GWG velocity (kg/wk) between ∼12 and 32 weeks of gestation. Adequacy of GWG velocity was compared with 2009 Institute of Medicine recommendations, according to maternal BMI. Early weight gain (EWG), GWG velocity, and adequacy of GWG were related to birth outcomes using linear and Poisson models. Results GWG velocity (mean ± SD) varied by site: 0.22 ± 0.15 kg/wk in DRC, 0.30 ± 0.23 in Pakistan, 0.31 ± 0.14 in Guatemala, and 0.39 ± 0.13 in India, (P |
| Databáze: | OpenAIRE |
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