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

BMC Pregnancy and Childbirth
Xin HuangJun Lei

Abstract

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

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Citations

Mar 25, 2019·Maternal & Child Nutrition·Gilberto KacKathryn G Dewey
Apr 23, 2020·Journal of Developmental Origins of Health and Disease·Mari S ObaHiroto Metoki
Dec 4, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Zhao-Xu TianYi-Qun Hu
Jun 11, 2021·The Journal of Obstetrics and Gynaecology Research·Louise HarveyEline M van der Beek

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