Evaluating the application of the 2009 Institute of Medicine gestational weight gain guidelines on pregnant Chinese women
Background The 2009 Institute of Medicine (IOM) gestational weight gain (GWG) guidelines were initially developed for pregnant women in the United States. Objective This study aimed to investigate whether the IOM guidelines were suitable for pregnant Chinese women. Methods A retrospective cohort stu...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-12-01
|
| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2023.2213494 |
| _version_ | 1797351878832422912 |
|---|---|
| author | Haili Jiang Yin Jia Xueying Wang Chengyan Zhang Yue Li Huili Wang |
| author_facet | Haili Jiang Yin Jia Xueying Wang Chengyan Zhang Yue Li Huili Wang |
| author_sort | Haili Jiang |
| collection | DOAJ |
| description | Background The 2009 Institute of Medicine (IOM) gestational weight gain (GWG) guidelines were initially developed for pregnant women in the United States. Objective This study aimed to investigate whether the IOM guidelines were suitable for pregnant Chinese women. Methods A retrospective cohort study comprising 20,593 singleton pregnant women was conducted at the Beijing Obstetrics and Gynaecology Hospital (1 January 2018 to 31 December 2019). Applicability was evaluated by comparing the GWG corresponding to the lowest point of the predicted composite risk curve with the 2009 IOM GWG Guidelines. The IOM Guidelines serve as the standard for the GWG categories and the pre-pregnancy body mass index. An exponential function model was used to fit the weight gain during pregnancy and the probability of caesarean section, preterm birth, small for gestational age, and large for gestational age. A quadratic function model was used to fit the combined probability of the above-mentioned adverse pregnancy outcomes. The applicability of the IOM guidelines was evaluated by comparing the weights corresponding to the lowest predicted probability with the GWG range recommended by the IOM guidelines. Results According to the 2009 IOM GWG Guidelines, 43% of the women achieved adequate weight, almost 32% gained excessive weight, and 25% gained inadequate weight. The GWG range proposed by the IOM included the lowest predicted probability value for underweight women and exceeded the lowest predicted probability for normal weight, overweight, and obese women. Conclusions The 2009 IOM guidelines were suitable for Chinese women whose pre-pregnancy body mass index was classified as underweight. The guidelines were not suitable for normal, overweight, or obese pre-pregnancy body mass index classifications. Therefore, based on the above evidence, the 2009 IOM guidelines are not suitable for all Chinese women. |
| first_indexed | 2024-03-08T13:07:02Z |
| format | Article |
| id | doaj.art-3305173caaf848cfa48b41290e5df533 |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-03-08T13:07:02Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-3305173caaf848cfa48b41290e5df5332024-01-18T15:58:24ZengTaylor & Francis GroupGlobal Health Action1654-98802023-12-0116110.1080/16549716.2023.22134942213494Evaluating the application of the 2009 Institute of Medicine gestational weight gain guidelines on pregnant Chinese womenHaili Jiang0Yin Jia1Xueying Wang2Chengyan Zhang3Yue Li4Huili Wang5Capital Medical UniversityCapital Medical UniversityCapital Medical UniversityCapital Medical UniversityCapital Medical UniversityCapital Medical UniversityBackground The 2009 Institute of Medicine (IOM) gestational weight gain (GWG) guidelines were initially developed for pregnant women in the United States. Objective This study aimed to investigate whether the IOM guidelines were suitable for pregnant Chinese women. Methods A retrospective cohort study comprising 20,593 singleton pregnant women was conducted at the Beijing Obstetrics and Gynaecology Hospital (1 January 2018 to 31 December 2019). Applicability was evaluated by comparing the GWG corresponding to the lowest point of the predicted composite risk curve with the 2009 IOM GWG Guidelines. The IOM Guidelines serve as the standard for the GWG categories and the pre-pregnancy body mass index. An exponential function model was used to fit the weight gain during pregnancy and the probability of caesarean section, preterm birth, small for gestational age, and large for gestational age. A quadratic function model was used to fit the combined probability of the above-mentioned adverse pregnancy outcomes. The applicability of the IOM guidelines was evaluated by comparing the weights corresponding to the lowest predicted probability with the GWG range recommended by the IOM guidelines. Results According to the 2009 IOM GWG Guidelines, 43% of the women achieved adequate weight, almost 32% gained excessive weight, and 25% gained inadequate weight. The GWG range proposed by the IOM included the lowest predicted probability value for underweight women and exceeded the lowest predicted probability for normal weight, overweight, and obese women. Conclusions The 2009 IOM guidelines were suitable for Chinese women whose pre-pregnancy body mass index was classified as underweight. The guidelines were not suitable for normal, overweight, or obese pre-pregnancy body mass index classifications. Therefore, based on the above evidence, the 2009 IOM guidelines are not suitable for all Chinese women.http://dx.doi.org/10.1080/16549716.2023.2213494gestational weight gainbody mass indexretrospective cohort studychinese womenperinatal outcomes |
| spellingShingle | Haili Jiang Yin Jia Xueying Wang Chengyan Zhang Yue Li Huili Wang Evaluating the application of the 2009 Institute of Medicine gestational weight gain guidelines on pregnant Chinese women Global Health Action gestational weight gain body mass index retrospective cohort study chinese women perinatal outcomes |
| title | Evaluating the application of the 2009 Institute of Medicine gestational weight gain guidelines on pregnant Chinese women |
| title_full | Evaluating the application of the 2009 Institute of Medicine gestational weight gain guidelines on pregnant Chinese women |
| title_fullStr | Evaluating the application of the 2009 Institute of Medicine gestational weight gain guidelines on pregnant Chinese women |
| title_full_unstemmed | Evaluating the application of the 2009 Institute of Medicine gestational weight gain guidelines on pregnant Chinese women |
| title_short | Evaluating the application of the 2009 Institute of Medicine gestational weight gain guidelines on pregnant Chinese women |
| title_sort | evaluating the application of the 2009 institute of medicine gestational weight gain guidelines on pregnant chinese women |
| topic | gestational weight gain body mass index retrospective cohort study chinese women perinatal outcomes |
| url | http://dx.doi.org/10.1080/16549716.2023.2213494 |
| work_keys_str_mv | AT hailijiang evaluatingtheapplicationofthe2009instituteofmedicinegestationalweightgainguidelinesonpregnantchinesewomen AT yinjia evaluatingtheapplicationofthe2009instituteofmedicinegestationalweightgainguidelinesonpregnantchinesewomen AT xueyingwang evaluatingtheapplicationofthe2009instituteofmedicinegestationalweightgainguidelinesonpregnantchinesewomen AT chengyanzhang evaluatingtheapplicationofthe2009instituteofmedicinegestationalweightgainguidelinesonpregnantchinesewomen AT yueli evaluatingtheapplicationofthe2009instituteofmedicinegestationalweightgainguidelinesonpregnantchinesewomen AT huiliwang evaluatingtheapplicationofthe2009instituteofmedicinegestationalweightgainguidelinesonpregnantchinesewomen |