Factors associated with gestational weight gain in women with morbid obesity
AbstractBackground Women with obesity are at increased risk of excessive gestational weight gain. Women with a body mass index (BMI) of 40 kg/m2 or more are known to have different patterns of weight gain than women with lower levels of obesity. This study therefore aimed to determine the characteri...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Journal of Obstetrics and Gynaecology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/01443615.2023.2288228 |
| _version_ | 1797449055288164352 |
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| author | Frankie J. Fair Hora Soltani |
| author_facet | Frankie J. Fair Hora Soltani |
| author_sort | Frankie J. Fair |
| collection | DOAJ |
| description | AbstractBackground Women with obesity are at increased risk of excessive gestational weight gain. Women with a body mass index (BMI) of 40 kg/m2 or more are known to have different patterns of weight gain than women with lower levels of obesity. This study therefore aimed to determine the characteristics associated with gestational weight gain (GWG) among women with a BMI of 40 kg/m2 or more.Methods Secondary analysis was undertaken on a retrospective cohort of women with a BMI of 40 kg/m2 or more, with a singleton pregnancy referred to an antenatal healthy lifestyle service between 2009 and 2015 (n = 735). GWG was calculated by subtracting weight at the first antenatal appointment from final recorded weight in pregnancy provided the final weight was recorded from at least 34 + 0 weeks gestation. Univariable and multiple linear regression analyses were employed to determine the association between GWG and different maternal and infant characteristics.Results Average GWG among women with a BMI of 40 kg/m2 or more was 6.0 (±7.1)kg. Multiple regression showed GWG decreased with increasing BMI and increasing parity. Other socio-demographic factors were also significantly associated with GWG, with higher GWG seen among those with high levels of deprivation, where the highest household occupation was of a manual nature, in older women and women of non-White British ethnicity.Conclusion GWG in this cohort of women with a BMI of 40 kg/m2 or more was within Institute of Medicine recommendations. Using a systems approach to GWG management that incorporates biological, psychological and socio-ecological factors is important. |
| first_indexed | 2024-03-09T14:19:17Z |
| format | Article |
| id | doaj.art-11734fa8aecc4c829e6d2d7014ea1dea |
| institution | Directory Open Access Journal |
| issn | 0144-3615 1364-6893 |
| language | English |
| last_indexed | 2024-03-09T14:19:17Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Obstetrics and Gynaecology |
| spelling | doaj.art-11734fa8aecc4c829e6d2d7014ea1dea2023-11-28T16:38:03ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932023-12-0143210.1080/01443615.2023.2288228Factors associated with gestational weight gain in women with morbid obesityFrankie J. Fair0Hora Soltani1College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UKCollege of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UKAbstractBackground Women with obesity are at increased risk of excessive gestational weight gain. Women with a body mass index (BMI) of 40 kg/m2 or more are known to have different patterns of weight gain than women with lower levels of obesity. This study therefore aimed to determine the characteristics associated with gestational weight gain (GWG) among women with a BMI of 40 kg/m2 or more.Methods Secondary analysis was undertaken on a retrospective cohort of women with a BMI of 40 kg/m2 or more, with a singleton pregnancy referred to an antenatal healthy lifestyle service between 2009 and 2015 (n = 735). GWG was calculated by subtracting weight at the first antenatal appointment from final recorded weight in pregnancy provided the final weight was recorded from at least 34 + 0 weeks gestation. Univariable and multiple linear regression analyses were employed to determine the association between GWG and different maternal and infant characteristics.Results Average GWG among women with a BMI of 40 kg/m2 or more was 6.0 (±7.1)kg. Multiple regression showed GWG decreased with increasing BMI and increasing parity. Other socio-demographic factors were also significantly associated with GWG, with higher GWG seen among those with high levels of deprivation, where the highest household occupation was of a manual nature, in older women and women of non-White British ethnicity.Conclusion GWG in this cohort of women with a BMI of 40 kg/m2 or more was within Institute of Medicine recommendations. Using a systems approach to GWG management that incorporates biological, psychological and socio-ecological factors is important.https://www.tandfonline.com/doi/10.1080/01443615.2023.2288228Maternal obesityraised BMIgestational weight gainprenatal care |
| spellingShingle | Frankie J. Fair Hora Soltani Factors associated with gestational weight gain in women with morbid obesity Journal of Obstetrics and Gynaecology Maternal obesity raised BMI gestational weight gain prenatal care |
| title | Factors associated with gestational weight gain in women with morbid obesity |
| title_full | Factors associated with gestational weight gain in women with morbid obesity |
| title_fullStr | Factors associated with gestational weight gain in women with morbid obesity |
| title_full_unstemmed | Factors associated with gestational weight gain in women with morbid obesity |
| title_short | Factors associated with gestational weight gain in women with morbid obesity |
| title_sort | factors associated with gestational weight gain in women with morbid obesity |
| topic | Maternal obesity raised BMI gestational weight gain prenatal care |
| url | https://www.tandfonline.com/doi/10.1080/01443615.2023.2288228 |
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