Risk Factors for Excessive Gestational Weight Gain in a Healthy, Nulliparous Cohort
Objective. Excessive gestational weight gain (GWG) is associated with adverse maternal and child outcomes and contributes to obesity in women. Our aim was to identify early pregnancy factors associated with excessive GWG, in a contemporary nulliparous cohort. Methods. Participants in the SCOPE study...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2014/148391 |
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| author | Antonia Restall Rennae S. Taylor John M. D. Thompson Deralie Flower Gustaaf A. Dekker Louise C. Kenny Lucilla Poston Lesley M. E. McCowan |
| author_facet | Antonia Restall Rennae S. Taylor John M. D. Thompson Deralie Flower Gustaaf A. Dekker Louise C. Kenny Lucilla Poston Lesley M. E. McCowan |
| author_sort | Antonia Restall |
| collection | DOAJ |
| description | Objective. Excessive gestational weight gain (GWG) is associated with adverse maternal and child outcomes and contributes to obesity in women. Our aim was to identify early pregnancy factors associated with excessive GWG, in a contemporary nulliparous cohort. Methods. Participants in the SCOPE study were classified into GWG categories (“not excessive” versus “excessive”) based on pregravid body mass index (BMI) using 2009 Institute of Medicine (IOM) guidelines. Maternal characteristics and pregnancy risk factors at 14–16 weeks were compared between categories and multivariable analysis controlled for confounding factors. Results. Of 1950 women, 17% gained weight within the recommended range, 74% had excessive and 9% inadequate GWG. Women with excessive GWG were more likely to be overweight (adjOR 2.9 (95% CI 2.2–3.8)) or obese (adjOR 2.5 (95% CI 1.8–3.5)) before pregnancy compared to women with a normal BMI. Other factors independently associated with excessive GWG included recruitment in Ireland, younger maternal age, increasing maternal birthweight, cessation of smoking by 14–16 weeks, increased nightly sleep duration, high seafood diet, recent immigrant, limiting behaviour, and decreasing exercise by 14–16 weeks. Fertility treatment was protective. Conclusions. Identification of potentially modifiable risk factors for excessive GWG provides opportunities for intervention studies to improve pregnancy outcome and prevent maternal obesity. |
| format | Article |
| id | doaj-art-20b129b23d8e483e986b5a9bdf917924 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-20b129b23d8e483e986b5a9bdf9179242025-02-03T05:48:16ZengWileyJournal of Obesity2090-07082090-07162014-01-01201410.1155/2014/148391148391Risk Factors for Excessive Gestational Weight Gain in a Healthy, Nulliparous CohortAntonia Restall0Rennae S. Taylor1John M. D. Thompson2Deralie Flower3Gustaaf A. Dekker4Louise C. Kenny5Lucilla Poston6Lesley M. E. McCowan7Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Paediatrics, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandWomen and Children’s Division, Lyell McEwin Hospital, University of Adelaide, Adelaide, SA 5112, AustraliaThe Irish Centre for Fetal and Neonatal Translational Research (INFANT), Department of Obstetrics and Gynaecology, University College Cork, IrelandDepartment of Maternal and Fetal Medicine and the Division of Women’s Health, Women’s Health Academic Centre, King’s College London and King’s Health Partners, London SE1 7EH, UKDepartment of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandObjective. Excessive gestational weight gain (GWG) is associated with adverse maternal and child outcomes and contributes to obesity in women. Our aim was to identify early pregnancy factors associated with excessive GWG, in a contemporary nulliparous cohort. Methods. Participants in the SCOPE study were classified into GWG categories (“not excessive” versus “excessive”) based on pregravid body mass index (BMI) using 2009 Institute of Medicine (IOM) guidelines. Maternal characteristics and pregnancy risk factors at 14–16 weeks were compared between categories and multivariable analysis controlled for confounding factors. Results. Of 1950 women, 17% gained weight within the recommended range, 74% had excessive and 9% inadequate GWG. Women with excessive GWG were more likely to be overweight (adjOR 2.9 (95% CI 2.2–3.8)) or obese (adjOR 2.5 (95% CI 1.8–3.5)) before pregnancy compared to women with a normal BMI. Other factors independently associated with excessive GWG included recruitment in Ireland, younger maternal age, increasing maternal birthweight, cessation of smoking by 14–16 weeks, increased nightly sleep duration, high seafood diet, recent immigrant, limiting behaviour, and decreasing exercise by 14–16 weeks. Fertility treatment was protective. Conclusions. Identification of potentially modifiable risk factors for excessive GWG provides opportunities for intervention studies to improve pregnancy outcome and prevent maternal obesity.http://dx.doi.org/10.1155/2014/148391 |
| spellingShingle | Antonia Restall Rennae S. Taylor John M. D. Thompson Deralie Flower Gustaaf A. Dekker Louise C. Kenny Lucilla Poston Lesley M. E. McCowan Risk Factors for Excessive Gestational Weight Gain in a Healthy, Nulliparous Cohort Journal of Obesity |
| title | Risk Factors for Excessive Gestational Weight Gain in a Healthy, Nulliparous Cohort |
| title_full | Risk Factors for Excessive Gestational Weight Gain in a Healthy, Nulliparous Cohort |
| title_fullStr | Risk Factors for Excessive Gestational Weight Gain in a Healthy, Nulliparous Cohort |
| title_full_unstemmed | Risk Factors for Excessive Gestational Weight Gain in a Healthy, Nulliparous Cohort |
| title_short | Risk Factors for Excessive Gestational Weight Gain in a Healthy, Nulliparous Cohort |
| title_sort | risk factors for excessive gestational weight gain in a healthy nulliparous cohort |
| url | http://dx.doi.org/10.1155/2014/148391 |
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