The Effect Of Race/Ethnicity On Gestational Weight Gain
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A Tailored Letter Based on Electronic Health Record Data
Mar 16, 2018 Evaluate whether a tailored letter improved gestational weight gain (GWG) and whether GWG mediated a multicomponent intervention s effect on postpartum weight retention among women with gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS A cluster-randomized controlled trial of 44 medical facilities (n = 2,014 women)
Maternal BMI, Gestational Diabetes, and Weight Gain in
Maternal obesity, excessive gestational weight gain (GWG), and gestational diabetes mellitus (GDM), with prevalence as high as 20%, 28%, and 5.8%, respectively, in the United States (3-5), are well-recognized prenatal determinants of childhood obesity (6-9). Children of mothers with these prenatal factors are more likely to have obesity (6,8,10).
Gestational Weight Gain: Evaluation of an OB/GYN Office-Based
Fan et. al. (2013-14). Gestational Weight Gain: Evaluation of an OB/GYN Office-Based Intervention MAHEC Online Journal of Research, Volume 1, Issue 2 Page 5 of 12 We used the four color-coded weight gain grids developed by the Utah Department of
Maternal Obesity, Gestational Weight Gain, and Offspring
investigate the modifying effect of GWG on the relationship between prepregnancy maternal BMI and childhood adiposity-related variables. All models were controlled for potential confounders, which included current offspring age, sex, race/ethnicity, Tanner stage, birth weight, and maternal GDM status. Results
Trends in gestational weight gain: the Pregnancy Risk
estational weight gain (GWG), deﬁned as maternal weight gain during pregnancy, may affect the health andwell-beingofinfantsandmothers.1,2 Women who gain below Institute of Medicine (IOM) recommendations are more likely to experience preterm birth3,4 and have infants with poor fetal growth and/or low birthweight.3,5 Women who gain above
The Effect of Prepregnancy Body Mass Index and Gestational
The Effect of Prepregnancy Body Mass Index and Gestational Weight Gain on Birth Weight Hiroko Watanabe Department of Clinical Nursing, Shiga University of Medical Scien ce Japan 1. Introduction Birth weight is an important predictor in infant mortality and morbidity, growth, development and wellbeing in adult life (Goldfrey & Barker, 2000).
Understanding the Relationship of Pregnancy Weight and Weight
gestational weight gain differs by race/ethnicity. Chapters 3 and 4 focus on maternal weight and child obesity. Prepregnancy BMI, gestational weight gain, and postpartum weight retention may have distinct effects on the development of child obesity, but their combined effect is not known. To fill this research gap, Chapter 3
GAIN AND LOW BIRTH WEIGHT AMONG FLORIDA S MEDICAID POPULATION
adjusted odds ratios for WIC participation and adequacy of weight gain. Adequacy of gestational weight gain was based on the 1990 IOM guidelines. Odds ratios were adjusted for race, ethnicity, age, education, marital status, prenatal care, smoking, plurality, and body mass index. RESULT: Fifty percent of surveyed women were on Medicaid at delivery.
The Effect of Gestational Weight Gain Across Reproductive
Background: Excessive weight gain during pregnancy is common and has been shown to be associated with increased long-term maternal weight. However, less is known on whether there is a cumulative effect of excessive gestational weight gain (GWG) over multiple pregnancies.
Inadequate gestational weight gain and malnutrition- related
Weight gain during pregnancy is a public health concern. Recent epidemiologic studies have provided strikingly consistent evidence linking gestational weight gain (GWG) with risk of infant mortality [1-4]. The initial study in this area of inquiry established an association between inadequate GWG and elevated risk of mortality among
NIH Public Access J Phys Act Health
deviation using birth weight standards from Kramer et al.23 Offspring were classified as SGA, appropriate-for-gestational-age (AGA), or LGA if their sex and gestational age-specific birth weight was ≤ 10th, between the 10th and 90th, or ≥ 90th percentile, respectively.24 Women were classified into gestational weight gain categories (less than,
Addressing cultural, racial and ethnic discrepancies in
Gestational weight gain (GWG) has repeatedly shown to be a robust predictor of adverse health outcomes; including the perpetuation of the intergenerational cycle of obesity How to cite this article Denize et al. (2018), Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational
Gestational Weight Gain, Pregnancy Outcomes, and Use of
understand 1) the role of gestational weight gain (GWG) during early pregnancy on subsequent blood pressure changes and the risk of pregnancy-induced hypertension (PIH), 2) the causal effect of GWG in both early and mid-late pregnancy on the subtypes of preterm births, and 3) the impact of personal capital on the use of perinatal health
Maternal obesity and gestational weight gain are risk factors
(6). Nevertheless, maternal weight gain is not often discussed during prenatal visits (7), and less than half of women in the U.S. gain within the recommended ranges (8). A large 1988 study found that low weight gain in all BMI groups and high gestational weight gain among women with obesity increased the risk of infant death (9).
Impact of Pre-Pregnancy Weight and Gestational Weight Gain on
Sep 29, 2017 birth outcomes and gestational weight gain and distinctions of nativity or the pregnant woman s birthplace. The term pregnancy was combined with weight gain (or gestational weight, or body mass index, or weight) and nativity (or foreign born, or nationality, or ethnicity) in all possible combinations.
Regulation of basal metabolic rate in uncomplicated pregnancy
Gestational diabetes mel-litus (GDM) is the most common metabolic disorder during pregnancy and it increases the risk for health complications, such as stillbirth, diabetes mellitus, and cardiovascular disease in later life. both bMr and GDM have been linked with gestational weight gain (GwG), a fact suggesting a possible association between them.
BIRTH SIZE, INFANT GROWTH, AND CHILD BMI AT AGE A
weight, and increased weight gain during infancy) have been studied. However, few studies have examined the effect of other measures of birth size (birth length, indices of weight/length, gestational age) and infant growth patterns on BMI at age five years in a multiethnic population.
PRENATAL PROVIDER COUNSELING AND EXCESSIVE GESTATIONAL WEIGHT
Gestational Weight Gain Fewer than 50 % of all women are gaining within the IOM recommendations. Incidence of Excessive Gain: About 40% of normal weight women Studies show increase overtime Consequences: Associated with poor pregnancy, birth, and long term maternal and child health outcomes including weight retention and obesity.
Association between Prepregnancy Body Mass Index and
gestational weight gain had infants that were 5% larger even after controlling for prepregnancy BMI and several other covariates. Conclusions: The ﬁndings contribute new data on the associations between gestational weight gain and aspects of early growth
Socioeconomic disadvantage in childhood as a predictor of
three race/ethnicity subgroups, and, therefore, were in-terested in 21 different A~Y associations. Additionally, we wished to estimate the effect of ever experiencing ex-cessive GWG on midlife obesity: E[Y z1/Y z0], in each race/ethnicity subgroup, as well as the effect of early-life socioeconomic disadvantage on ever experiencing exces-sive
Evidence Portfolio Pregnancy and Postpartum Work Group
Limited evidence suggests a dose-response relationship between physical activity and gestational weight gain. PAGAC Grade: Limited. Insufficient evidence is available to determine whether the relationship between physical activity and gestational weight gain varies by age, race/ethnicity, socioeconomic status, or weight status. PAGAC
Meeting 4 Pregnancy - Health
Gestational Weight Gain A total of 11 systematic reviews and meta- analyses have addressed the relationship between physical activity and gestational weight gain (GWG) and they provide strong evidence of a significant, but modest, inverse relationship between physical activity and gestational weight gain:
Benefits of Physical Activity during Pregnancy and Postpartum
dardized mean difference (SMD) in gestational weight gain was −1.11 kg (95% confidence interval [CI] = −1.59 to −0.69), with women in the exercise group gaining less weight than women receiving standard care. The other meta-analyses of RCT (21 28) reported similar SMD in gestational weight gain between exercising and control women
Association of Prenatal Physical Activity and Gestational
Background: In response to increasing rates of excessive gestational weight gain (GWG) and evidence of postpartum weight retention and long-term overweight and obesity, the Institute of Medicine (IOM) revised their guidelines for GWG in 2009. Prenatal physical activity is recommended, although its role in preventing excessive GWG is unclear. We
Weight gain in pregnancy and child weight status from birth
between weight gain and the outcomes: high birthweight (>4000g) and overweight/obesity at ages 2 5, 6 11 and 12 19years. Results: Excessive weight gain was positively associated, and inadequate weight gain was negatively associated with high birthweight after confounder adjustment (P<0.05).
Supplementary Online Content - JAMA Network
Gestational wks at GDM diagnosis >26 wks 199/18,822 0.85 (0.73, 1.00) 0.05 aFrom Cox regression models where family was specified as a random effect and birth year was included as a covariate. bPotential confounders included maternal age, parity, education, household income, race/ethnicity, history of comorbidity, andchild gender.
Gestational weight gain and group prenatal care: a systematic
excessive gestational weight gain by 20%, some critiques of these trials are that they failed to address the relation-ship between psychosocial factors (e.g., depression, body image, and social support) and gestational weight gain [7, 8]. Furthermore, the majority of the interventions were performed in individual sessions with 1:1 health-
Marquette University [email protected]
gestational weight gain as reported to PNSS or PedNSS. The data were coded into one of 3 categories for analyses because gestational weight gain is meaningful only when categorized as: 1) less than recommended, 2) appropriate, or 3) excessive based on the woman's pre-pregnancy BMI using the Institute of Medicine (IOM, 2009) guidelines. 3.3.
Pre-Pregnancy Weight and Gestational Weight Gain: Findings
† Note: weight gain not adjusted for gestational age. Thus, estimates of excessive weight gain are likely underestimated, since not all CA-PAMR women delivered at term. ** Institute of Medicine: Weight Gain During Pregnancy: Reexamining the Guidelines, 2009. Note: These guidelines were not in effect at the time of the maternal deaths.
Food Insecurity and Unhealthy Weight Gain in Pregnant Women
effect modification by age, sex, and race/ethnicity. Therefore more studies that consider differential influences of food insecurity on weight are needed before we can conclude food insecurity is not associated with obesity or excessive gestational weight gain in these vulnerable populations. 2
Low Birth Weight among children experiencing
overweight as 25.0 to 29.9 kg/m2 and obese as BMI>30 kg/m2), gestational weight gain (in pounds), mother s race (White, Black, Asian, American Indian, and Pacific Islander), mother s Hispanic origin,
The effects of culture on guideline discordant gestational
excessive gain, there is a subset of women who experi-ence inadequate gain or weight loss during pregnancy, both of which are associated with pre-maturity and/or SGA neonates [17, 19, 20]. Predictors of GWG include pre-pregnancy weight , race/ethnicity , socio-economic status (SES) and maternal health behaviour
Prepregnancy obesity is associated with cognitive outcomes in
Background: Maternal obesity and high gestational weight gain (GWG) disproportionally affect low-income populations and may be associated with child neurodevelopment in a sex-specific manner. We examined sex-specific associations between prepregnancy BMI, GWG, and child neurodevelopment at age 7.
Effect of interpregnancy weight change on perinatal outcomes
The effect magnitude (relative risk) of interpregnancy weight gain on pregnancy induced hypertension or delivering a large-for-gestational age neonate was greater among women with a normal BMI in the index pregnancy compared to women with a starting BMI ≥25kg/m 2
Gestational diabetes, pre-pregnancy obesity and pregnancy
posity, pregnancy weight gain and gestational diabetes (GDM) in relation to excess fetal growth and to identify susceptible races or ethnic populations. Methods The risk for delivery of a large-for-gestational-age (LGA) infant, specific to race and fetal sex, was evaluated in 105,985 pregnancies in the Consortium on Safe Labor from 2002 2008.
Northern Manhattan HHS Public Access Elizabeth M. Widen
Gestational weight gain (GWG), in particular, is a measurable and potentially modifiable marker of nutritional availability to the growing fetus (Kuzawa and Adair, 2004, Dello Russo et al., 2013) and is associated with both short and potentially longer-term health of mother
OBSTETRICS Gestational weight gain and child adiposity at age
tions of total gestational weight gain and weight gain according to 1990 Institute of Medicine guidelines with child outcomes among 1044 mother-child pairs in Project Viva. RESULTS: Greater weight gain was associated with higher child body mass index z-score (0.13 units per 5 kg [95% CI, 0.08, 0.19]), sum of
TheRelativeContributionof Prepregnancy Overweight and Obesity
gestational weight gain for prepregnancy BMI (normal, 35 pounds; overweight,.25 pounds; obese, 20 pounds) (22). Obstetrical and neonatal outcomes LGA infants were deﬁned as sex-, race/ ethnicity-, and gestational age speciﬁc birth weight 90th percentile. Consis-tent with the statistical methods used by the Hyperglycemia and Adverse Preg-
Epidemiology of Gestational Weight Gain and Body Weight
Body Weight Changes After Pregnancy 263 Nutrition recommended a higher gestational weight gain (10.9 kg) based on the evidence that maternal weight restriction had a deleterious effect on infant
2020 DGAC Pregnancy and Lactation Subcommittee
Gestational diabetes: Gestational age at birth. Birth weight. Meeting 4 (Jan 2020) conclusions from P/B24 existingreviews Gestational weight gain. Postpartum weight loss: Neurocognitive development. Meeting 5 (March 2020) evidence & draft conclusions: Maternal Diet. Outcomes