Gestational weight gain and child adiposity at age 3 years.

TítuloGestational weight gain and child adiposity at age 3 years.
Publication TypeJournal Article
Year of Publication2007
AuthorsOken E, Taveras EM, Kleinman KP, Rich-Edwards JW, Gillman MW
JournalAm J Obstet Gynecol
Volume196
Issue4
Pagination322.e1-8
Date Published2007 Apr
ISSN1097-6868
Palavras-chaveAdiposity, Anthropometry, Body Mass Index, Body Weight, Child, Preschool, Cohort Studies, Female, Follow-Up Studies, Gestational Age, Humans, Incidence, Logistic Models, Male, Maternal Welfare, Multivariate Analysis, Obesity, Pregnancy, Pregnancy Outcome, Prospective Studies, Risk Assessment, Weight Gain
Abstract

OBJECTIVE: The purpose of this study was to examine the associations of gestational weight gain with child adiposity.STUDY DESIGN: Using multivariable regression, we studied associations 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 subscapular and triceps skinfold thicknesses (0.26 mm [95% CI, 0.02, 0.51]), and systolic blood pressure (0.60 mm Hg [95% CI, 0.06, 1.13]). Compared with inadequate weight gain (0.17 units [95% CI, 0.01, 0.33]), women with adequate or excessive weight gain had children with higher body mass index z-scores (0.47 [95% CI, 0.37, 0.57] and 0.52 [95% CI, 0.44, 0.61], respectively) and risk of overweight (odds ratios, 3.77 [95% CI: 1.38, 10.27] and 4.35 [95% CI: 1.69, 11.24]).CONCLUSION: New recommendations for gestational weight gain may be required in this era of epidemic obesity.

DOI10.1016/j.ajog.2006.11.027
Alternate JournalAm. J. Obstet. Gynecol.
Citation Key324
PubMed ID17403405
PubMed Central IDPMC1899090
Grant ListHD 34568 / HD / NICHD NIH HHS / United States
HD 44807 / HD / NICHD NIH HHS / United States
HL 64925 / HL / NHLBI NIH HHS / United States
HL 68041 / HL / NHLBI NIH HHS / United States
K23 HD044807 / HD / NICHD NIH HHS / United States
K24 HL068041 / HL / NHLBI NIH HHS / United States
K24 HL068041-06 / HL / NHLBI NIH HHS / United States
P30 DK040561 / DK / NIDDK NIH HHS / United States
P30 DK040561-12 / DK / NIDDK NIH HHS / United States
R01 HD034568 / HD / NICHD NIH HHS / United States
R01 HD034568-05 / HD / NICHD NIH HHS / United States
R01 HL064925 / HL / NHLBI NIH HHS / United States
R01 HL064925-05 / HL / NHLBI NIH HHS / United States