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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

Gestational weight gain in Chinese women -- results from a retrospective cohort in Changsha, China

Authors: Xin Huang, Hongzhuan Tan, Ming Cai, Ting Shi, Chunmei Mi, Jun Lei

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

The generalizability of the gestational weight gain (GWG) ranges recommended by the Institute of Medicine (IOM) to Chinese women is disputed.

Methods

In 2016, 16,780 pregnant women who gave birth to live singletons in Changsha, China, were enrolled. First, subjects with optimal pregnancy outcomes were identified for the GWG percentile distribution description and for comparison to the IOM recommendations. Second, all subjects with optimal GWG according to the IOM body mass index (BMI) cutoffs and those with optimal GWG according to the Asian BMI cutoffs were selected. Pregnancy outcomes were compared between those two groups.

Results

A total of 13,717 births with optimal pregnancy outcomes were selected to describe the GWG distribution. The height and central position of the GWG distributions determined by the Asian BMI cutoffs differed from those determined by the IOM BMI cutoffs among the overweight and obese groups. The recommended IOM GWG ranges were narrower than and shifted to the left of the observed distributions. In both BMI classification schemes, however, the IOM-recommended ranges were within the middle 70% (Pc 15th–85th) and 50% (Pc 25th–75th) of the observed distribution. A total of 6438 (38.37%) and 6110 (36.41%) women gained optimal GWG, according to the IOM and Asian BMI classifications, respectively. Compared with those with optimal GWG according to IOM BMI cutoffs, women with optimal GWG according to the Asian BMI cutoffs had lower risks of both macrosomia (adjusted OR = 0.79, 95%CI: 0.67–0.94) and large-for-gestational age (adjusted OR = 0.86, 95%CI: 0.76, 0.98). However, no significantly different risks of preterm, low birthweight, small-for-gestational age, pregnancy-induced hypertension, or gestational diabetes were found between them.

Conclusions

The IOM-recommended GWG ranges are within the middle 70% of the distributions in Chinese women, and pre-pregnancy weight status should be determined by the Asian BMI cut-off points for monitoring and making GWG recommendations to Chinese women.
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Literature
1.
Adair LS. Long-term consequences of nutrition and growth in early childhood and possible preventive interventions. Nestlé Nutr Inst Workshop Ser. 2014;78:111–20.CrossRefPubMed
2.
Shao Y, Qiu J, Huang H, Mao B, Dai W, He X, et al. Pre-pregnancy BMI, gestational weight gain and risk of preeclampsia: a birth cohort study in Lanzhou, China. BMC Pregnancy Childbirth. 2017;17(1):400.CrossRefPubMedPubMedCentral
3.
Baugh N, Harris DE, Aboueissa AM, Sarton C, Lichter E. The impact of maternal obesity and excessive gestational weight gain on maternal and infant outcomes in Maine: analysis of pregnancy risk assessment monitoring system results from 2000 to 2010. J Pregnancy. 2016;2016:5871313.CrossRefPubMedPubMedCentral
4.
Davis RR, Hofferth SL. The association between inadequate gestational weight gain and infant mortality among U.S. infants born in 2002. Matern Child Health J. 2012;16(1):119–24.CrossRefPubMedPubMedCentral
5.
Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines, Rasmussen KM, Yaktine AL. Weight gain during pregnancy: reexamining the Guidelines. Washington, DC: National Academies Press (US); 2009.
6.
Parker JD, Abrams B. Prenatal weight gain advice: an examination of the recent prenatal weight gain recommendations of the Institute of Medicine. Obstet Gynecol. 1992;79:664e669.
7.
Edwards LE, Hellerstedt WL, Alton IR, Story M, Himes JH. Pregnancy complications and birth outcomes in obese and normal-weight women: effects of gestational weight change. Obstet Gynecol. 1996;87:389e394.
8.
Obstetrics Subgroup, Chinese Society of Obstetrics and Gynecology, Chinese Medical Association. Guideline of preconception and prenatal care (2018) (Article in Chinese). Zhonghua Fu Chan Ke Za Zhi. 2018;53(1):7–13.
9.
Yang YD, Yang HX. Investigation into the clinical suitability of Institute of Medicine 2009 guidelines regarding weight gain during pregnancy for women with full term singleton fetus in China. Zhonghua Fu Chan Ke Za Zhi. 2012;47(9):646–50.PubMed
10.
Zhou YB, Li HT, Ye RW, Li ZW, Zhang YL, Zhang L, et al. Gestational weight gain, cesarean delivery, and cesarean delivery on maternal request: a cohort analysis of Chinese nulliparous women. Ann Epidemiol. 2017;27(2):96–102.e3.CrossRefPubMed
11.
Wong W, Tang NL, Lau TK, Wong TW. A new recommendation for maternal weight gain in Chinese women. J Am Diet Assoc. 2000;100(7):791–6.CrossRefPubMed
12.
Jiang X, Liu M, Song Y, Mao J, Zhou M, Ma Z, et al. The Institute of Medicine recommendation for gestational weight gain is probably not optimal among non-American pregnant women: a retrospective study from China. J Matern Fetal Neonatal Med. 2017;27:1–6.CrossRef
13.
Yang S, Peng A, Wei S, Wu J, Zhao J, Zhang Y, et al. Pre-pregnancy body mass index, gestational weight gain, and birth weight: a cohort study in China. PLoS One. 2015;10(6):e0130101.CrossRefPubMedPubMedCentral
14.
Ko GTC, Chan JC, Cockram CS, Woo J. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. Int J Obes. 1999;23:1136–42.CrossRef
15.
Deurenberg-Yap M, Chew SK, Lin FP, van Staveren WA, Deurenberg P. Relationships between indices of obesity and its comorbidities among Chinese, Malays and Indians in Singapore. Int J Obes. 2001;25:1554–62.CrossRef
16.
17.
Duryea EL, Hawkins JS, McIntire DD, Casey BM, Leveno KJ. A revised birth weight reference for the United States. Obstet Gynecol. 2014;124(1):16–22.CrossRefPubMed
18.
Khanolkar AR, Hanley GE, Koupil I, Janssen PA. 2009 IOM guidelines for gestational weight gain: how well do they predict outcomes across ethnic groups? Ethn Health. 2017;13:1–16.CrossRef
19.
Choi SK, Lee G, Kim YH, Park IY, Ko HS, Shin JC. Determining optimal gestational weight gain in the Korean population: a retrospective cohort study. Reprod Biol Endocrinol. 2017;15(1):67.CrossRefPubMedPubMedCentral
20.
Nomura K, Kido M, Tanabe A, Nagashima K, Takenoshita S, Ando K. Investigation of optimal weight gain during pregnancy for Japanese women. Sci Rep. 2017;7(1):2569.CrossRefPubMedPubMedCentral
21.
Olson CM, Strawderman MS, Hinton PS, Pearson TA. Gestational weight gain and postpartum behaviors associated with weight change from early pregnancy to 1 y postpartum. Int J Obes Relat Metab Disord. 2003;27:117e127.CrossRef
22.
Fernandez ID, Hoffmire CA, Olson CM. Gestational weight gain in adolescents: a comparison to the new Institute of Medicine recommendations. J Pediatr Adolesc Gynecol. 2011;24(6):368–75.CrossRefPubMedPubMedCentral
23.
WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157–63.CrossRef
24.
Headen I, Cohen AK, Mujahid M, Abrams B. The accuracy of self-reported pregnancy-related weight: a systematic review. Obes Rev. 2017;18(3):350–69.CrossRefPubMed
Metadata
Title
Gestational weight gain in Chinese women -- results from a retrospective cohort in Changsha, China
Authors
Xin Huang
Hongzhuan Tan
Ming Cai
Ting Shi
Chunmei Mi
Jun Lei
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1833-y

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