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Gestational weight gain charts for different body mass index groups for women in Europe, North America, and Oceania

Santos S; Eekhout I; Voerman E; Gaillard R; Barros H; Charles MA; Chatzi L; Chevrier C; Chrousos GP; Corpeleijn E; Costet N; Crozier S; Doyon M; Eggesbo M; Fantini MP; Farchi S; Forastiere F; Gagliardi L; Georgiu V; Godfrey KM; Gori D; Grote V; Hanke W; Hertz-Picciotto I; Heude B; Hivert MF; Hryhorczuk D; Huang RC; Inskip H; Jusko TA; Karvonen AM; Koletzko B; Kupers LK; Lagstrom H; Lawlor DA; Lehmann I; Lopez-Espinosa MJ; Magnus P; Majewska R; Makela J; Manios Y; McDonald SW; Mommers M; Morgen CS; Moschonis G; Murinova L; Newnham J; Nohr EA; Andersen AMN; Oken E; Oostvogels AJJM; Pac A; Papadopoulou E; Pekkanen J; Pizzi C; Polanska K; Porta D; Richiardi L; Rifas-Shiman SL; Roeleveld N; Santa-Marina L; Santos AC; Smit HA; Sorensen TIA; Standl M; Stanislawski M; Stoltenberg C; Thiering E; Thijs C; Torrent M; Tough SC; Trnovec T; van Gelder MMHJ; van Rossem L; von Berg A; Vrijheid M; Vrijkotte TGM; Zvinchuk O; van Buuren S; Jaddoe VWV

Gestational weight gain charts for different body mass index groups for women in Europe, North America, and Oceania

Santos S
Eekhout I
Voerman E
Gaillard R
Barros H
Charles MA
Chatzi L
Chevrier C
Chrousos GP
Corpeleijn E
Costet N
Crozier S
Doyon M
Eggesbo M
Fantini MP
Farchi S
Forastiere F
Gagliardi L
Georgiu V
Godfrey KM
Gori D
Grote V
Hanke W
Hertz-Picciotto I
Heude B
Hivert MF
Hryhorczuk D
Huang RC
Inskip H
Jusko TA
Karvonen AM
Koletzko B
Kupers LK
Lagstrom H
Lawlor DA
Lehmann I
Lopez-Espinosa MJ
Magnus P
Majewska R
Makela J
Manios Y
McDonald SW
Mommers M
Morgen CS
Moschonis G
Murinova L
Newnham J
Nohr EA
Andersen AMN
Oken E
Oostvogels AJJM
Pac A
Papadopoulou E
Pekkanen J
Pizzi C
Polanska K
Porta D
Richiardi L
Rifas-Shiman SL
Roeleveld N
Santa-Marina L
Santos AC
Smit HA
Sorensen TIA
Standl M
Stanislawski M
Stoltenberg C
Thiering E
Thijs C
Torrent M
Tough SC
Trnovec T
van Gelder MMHJ
van Rossem L
von Berg A
Vrijheid M
Vrijkotte TGM
Zvinchuk O
van Buuren S
Jaddoe VWV
Katso/Avaa
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BMC
doi:10.1186/s12916-018-1189-1
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Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2021042720323
Tiivistelmä
BackgroundGestational weight gain differs according to pre-pregnancy body mass index and is related to the risks of adverse maternal and child health outcomes. Gestational weight gain charts for women in different pre-pregnancy body mass index groups enable identification of women and offspring at risk for adverse health outcomes. We aimed to construct gestational weight gain reference charts for underweight, normal weight, overweight, and grades 1, 2 and 3 obese women and to compare these charts with those obtained in women with uncomplicated term pregnancies.MethodsWe used individual participant data from 218,216 pregnant women participating in 33 cohorts from Europe, North America, and Oceania. Of these women, 9065 (4.2%), 148,697 (68.1%), 42,678 (19.6%), 13,084 (6.0%), 3597 (1.6%), and 1095 (0.5%) were underweight, normal weight, overweight, and grades 1, 2, and 3 obese women, respectively. A total of 138, 517 women from 26 cohorts had pregnancies with no hypertensive or diabetic disorders and with term deliveries of appropriate for gestational age at birth infants. Gestational weight gain charts for underweight, normal weight, overweight, and grade 1, 2, and 3 obese women were derived by the Box-Cox t method using the generalized additive model for location, scale, and shape.ResultsWe observed that gestational weight gain strongly differed per maternal pre-pregnancy body mass index group. The median (interquartile range) gestational weight gain at 40weeks was 14.2kg (11.4-17.4) for underweight women, 14.5kg (11.5-17.7) for normal weight women, 13.9kg (10.1-17.9) for overweight women, and 11.2kg (7.0-15.7), 8.7kg (4.3-13.4) and 6.3kg (1.9-11.1) for grades 1, 2, and 3 obese women, respectively. The rate of weight gain was lower in the first half than in the second half of pregnancy. No differences in the patterns of weight gain were observed between cohorts or countries. Similar weight gain patterns were observed in mothers without pregnancy complications.ConclusionsGestational weight gain patterns are strongly related to pre-pregnancy body mass index. The derived charts can be used to assess gestational weight gain in etiological research and as a monitoring tool for weight gain during pregnancy in clinical practice.
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