Nutrition
Volume 26, Issue 6 , Pages 617-623 , June 2010

Determinant factors of insufficient and excessive gestational weight gain and maternal–child adverse outcomes

  • Patricia Lima Rodrigues, M.Sc.

      Affiliations

    • Graduate Program in Nutrition, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
    • ,
  • Lívia Costa de Oliveira, M.Sc.

      Affiliations

    • Graduate Program in Nutrition, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
    • ,
  • Alexandre dos Santos Brito, Ph.D.

      Affiliations

    • Graduate Program in Nutrition, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
    • Department of Social and Applied Nutrition, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
    • ,
  • Gilberto Kac, Ph.D.

      Affiliations

    • Graduate Program in Nutrition, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
    • Department of Social and Applied Nutrition, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
    • Corresponding Author InformationCorresponding author. Tel.: +55-21-2562-6595; fax: +55-21-2280-8343.

Received 4 August 2008 ,Accepted 25 June 2009.

References 

  1. Institute of Medicine (IOM) . Nutrition during pregnancy: part I: weight gain, part II: nutrient supplements. Subcommittee on nutritional status and weight gain during pregnancy. Washington, DC: National Academy Press; 1990;
  2. Abrams B, Altman SL, Pickett KE. Pregnancy weight gain: still controversial. Am J Clin Nutr. 2000;71(suppl):1233S–12341
  3. World Health Organization (WHO) . Physical status: the use and interpretation of anthropometry. WHO technical report series 854. Geneva: World Health Organization; 1995;p. 37–120
  4. Institute of Medicine (IOM) . subcommittee for clinical applications guide. Nutrition during pregnancy and lactation. Washington, DC: National Academy Press; 1992;
  5. Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Área técnica de saúde da mulher. Pré-natal e puerpério: atenção qualificada e humanizada. Série A. Normas e manuais técnicos [Prenatal and postpartum: qualified and humanized care. Series A. Standards and technical manuals]. 3 ed. Brasília: Ministério da Saúde; 2006.
  6. National Research Council and Institute of Medicine . Influence of pregnancy weight on maternal and child health: workshop report. Committee on the impact of pregnancy weight on maternal and child health. Washington, DC: National Academy Press; 2007;
  7. Langford A, Joshu C, Chang JJ, Myles T, Leet T. Does gestational weight gain affect the risk of adverse maternal and infant outcomes in overweight women?. Matern Child Health J. 2008;Published ahead of print; doi: 10.1007/S10995-008-0318-4
  8. DeVader S, Neeley HL, Myles TD, Leet TL. Evaluation of gestational weight gain guidelines for women with normal prepregnancy body mass index. Obstet Gynecol. 2007;110:745–751
  9. Frederick IO, Williams MA, Sales AE, Martin DP, Killien M. Pre-pregnancy body mass index, gestational weight gain, and other maternal characteristics in relation to infant birth weight. Matern Child Health J. 2007;12:557–567
  10. Dietz PM, Callaghan WM, Cogswell ME, Morrow B, Ferre C, Schieve LA. Combined effects of prepregnancy body mass index and weight gain during pregnancy on the risk of preterm delivery. Epidemiology. 2006;17:170–177
  11. Yekta Z, Ayatollahi H, Porali R, Farzin A. The effect of pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes in urban care settings. BMC Pregnancy Child. 2006;6:15
  12. Strauss RS, Dietz WH. Low maternal weight in the second or third trimester increases the risk for intrauterine retardation. J Nutr. 1999;129:988–993
  13. Amorim AR, Rössner R, Neovius M, Lourenço PM, Linné Y. Does excess pregnancy weight gain constitute a major risk for increasing long-term BMI?. Obesity. 2007;15:1278–1286
  14. Kiel DW, Dodson EA, Artal R, Boehmer TK, Leet TL. Gestational weight gain and pregnancy outcomes in obese women. Obstet Gynecol. 2007;110:752–758
  15. Seligman LC, Ducan BB, Branchtein L, Gaio DSM, Mengue SS, Schmidt MI. Obesity and gestational weight gain: cesarean delivery and labor complications. Rev Saude Publica. 2006;40:457–465
  16. Kac G, Velásquez-Melández G. Ganho de peso gestacional e macrossomia em uma coorte de mães e filhos [Gestational weight gain and macrosomia in a cohort of mothers and their children]. J Pediatr. 2005;81:47–53
  17. Kac G, Benício MHDA, Velásquez-Meléndez G, Valente JG, Struchiner CJ. Gestational weight gain and prepregnancy weight influence postpartum weight retention in a cohort of Brazilian women. J Nutr. 2004;134:661–666
  18. Stulbath TE, Benício MHDA, Andrezza R, Kono S. Determinantes do ganho ponderal excessivo durante a gestação [Determinants of excessive weight gain during pregnancy]. Rev Bras Epidemiol. 2007;10:99–108
  19. Wells CS, Schwalberg R, Noonan G, Gabor V. Factors influencing inadequate and excessive weight gain in pregnancy: Colorado, 2000–2002. Matern Child Health J. 2006;10:55–62
  20. Andreto LM, Figueroa JN, Cabral-Filho JE. Fatores associados ao ganho ponderal excessivo em gestantes atendidas em um serviço público de pré-natal na cidade de Recife, Pernambuco, Brasil [Factors associated with excessive gestational weight gain among patients in prenatal care at a public hospital in Recife, Pernambuco, Brazil]. Cad Saude Publica. 2006;22:2401–2409
  21. Brawarsky P, Stotland NE, Jackson RA, Fientes-Afflick E, Escobar GJ, Rubashkin N, et al. Pre-pregnancy and pregnancy-related factors and risk of excessive or inadequate gestational weight gain. Int J Gynecol Obstet. 2005;91:125–131
  22. Olson CM, Strawderman MS. Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. J Am Diet Assoc. 2003;103:48–54
  23. Gunderson EP, Abrams B. Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiol Rev. 2000;22:261–274
  24. Hickey CA, Kreauter M, Bronstein J, Johnson V, Mcneal SF, Harshbarger DS, et al. Low prenatal weight gain among adult WIC participants delivering term singleton infants: variation by maternal and program participation characteristics. Matern Child Health J. 1999;3:129–140
  25. Rodrigues PL, Lacerda EMA, Schlüssel MM, Spyrides MH, Kac G. Determinants of weight gain in pregnant women attending a public prenatal care facility in Rio de Janeiro, Brazil: a prospective study, 2005–2007. Cad Saude Publica. 2008;24(suppl 4):S272–S284
  26. Gordon CC, Chumlea WC, Roche AF. Stature, recumbent length, and weight. In:  Lohman TG,  Roche AF,  Martorell R editor. Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books; 1988;p. 3–8
  27. Chang YH. Biostatistics 305. Multinomial logistic regression. Singapore Med J. 2005;46:259–268
  28. Siega-Riz AM, Hobel CJ. Predictors of poor maternal weight gain from baseline anthropometric, psychosocial, and demographic information in a Hispanic population. J Am Diet Assoc. 1997;97:1264–1268
  29. Gunderson EP, Abrams B, Selvin S. The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy. Int J Obes Relat Metab Disord. 2000;24:1660–1668
  30. Kac G, Velásquez-Meléndez G, Valente JG. Menarca, gravidez precoce e obesidade em mulheres brasileiras selecionadas em um Centro de Saúde de Belo Horizonte, Minas Gerais, Brasil [Menarche, early pregnancy, and obesity in selected Brazilian women from a health care center in Belo Horizonte, Minas Gerais, Brazil]. Cad Saude Publica. 2003;19(suppl 1):S111–S118
  31. Must A, Naumova EN, Phillips SM, Blum M, Dawson-Hughes B, Rand WM. Childhood overweight and maturational timing in the development of adult overweight and fatness: the Newton Girls Study and its follow-up. Pediatrics. 2005;116:620–627
  32. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berensn GS. The relation of menarche age to obesity in childhood and adulthood: the Bogalusa heart study. BMC Pediatrics 2003. Available at. http://www.biomedcentral.com/1471-2431/3/3Accessed September 1, 2008
  33. Furuno JP, Gallicchio L, Sexton M. Cigarette Smoking and low maternal weight gain in Medicaid-eligible pregnant women. J Womens Health. 2004;13:770–777
  34. Mongoven M, Dolan-Mullen P, Groff JY, Nicol L, Burau K. Weight gain associated with prenatal smoking cessation in white, non-Hispanic women. Am J Obstet Gynecol. 1996;174:72–77
  35. Favaretto AL, Duncan BB, Mengue SS, Nucci LB, Barros EF, Kroeff LR, et al. Prenatal weight gain following smoking cessation. Eur J Obstet Gynecol Reprod Biol. 2007;135:149–153
  36. Chasan-Taber L, Schmidt MD, Pekow P, Sternfeld B, Solomon CG, Markenson G. Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity. 2008;16:1657–1666
  37. Nucci LB, Duncan BB, Mengue SS, Branchtein L, Schmidt MI, Fleck ET. Assessment of weight gain during pregnancy in general prenatal care services in Brazil. Cad Saude Publica. 2001;17:1367–1374
  38. Assunção PL, Melo ASO, Gondim SSR, Benício MHDA, Amorim MMR, Cardoso MAA. Ganho ponderal e desfechos gestacionais em mulheres atendidas pelo Programa de Saúde da família em Campina Grande, PB (Brasil) [Weight gain and gestational outcomes in women attending the Family Health Program in Campina Grande, PB (Brazil)]. Rev Bras Epidemiol. 2007;10:352–360
  39. Carmichael S, Abrams B, Selvin S. The pattern of maternal gain in women with good pregnancy outcomes. Am J Public Health. 1997;87:1984–1988
  40. Caulfield LE, Witter FR, Stoltafus RJ. Determinants of gestational weight gain outside the recommended ranges among black and white women. Obstet Gynecol. 1996;87:760–766
  41. Kac G, Silveira EA, Oliveira LC, Araújo DMR. Sousa EB de. Fatores associados à ocorrência de cesárea e aborto em mulheres selecionadas em um centro de saúde no município do Rio de Janeiro, Brasil [Factors associated to cesarean sections and abortions in women selected from a health clinic in the city of Rio de Janeiro, Brazil]. Rev Bras Saude Matern Infant. 2007;7:271–280
  42. Hosseini M, Nastaran J. Relationship between pregnancy outcome and maternal BMI and weight gain. Int Congr Ser. 2004;1271:380–383
  43. Polley BA, Wing RR, Sims CJ. Randomized controlled trial to prevent excessive weight gain in pregnant women. Int J Obes Relat Metab Disord. 2002;26:1494–1502
  44. Olson CM, Strawderman MS, Reed RG. Efficacy of an intervention to prevent excessive gestational weight gain. Am J Obstet Gynecol. 2004;191:530–536

 This original research project was financed by the National Counsel of Technological and Scientific Development (CNPq), according to a call for projects CT SAÚDE/MCT/MS/CNPq no. 030/2004. Gilberto Kac is a research fellow from CNPq.

PII: S0899-9007(09)00300-1

doi: 10.1016/j.nut.2009.06.025

Nutrition
Volume 26, Issue 6 , Pages 617-623 , June 2010

Article Tools