High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, India

Background and objective: With increase in prevalence of obesity and an increasing trend in the birth of macrosomic infants, Institute of Medicine (IOM) guidelines pertaining to optimal gestational weight gain (GWG) required for positive pregnancy outcome were revised in 1990 and 2009. Since, in the...

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Main Authors: Priyanka Arora, Bani Tamber Aeri
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:European Journal of Obstetrics & Gynecology and Reproductive Biology: X
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590161323000832
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author Priyanka Arora
Bani Tamber Aeri
author_facet Priyanka Arora
Bani Tamber Aeri
author_sort Priyanka Arora
collection DOAJ
description Background and objective: With increase in prevalence of obesity and an increasing trend in the birth of macrosomic infants, Institute of Medicine (IOM) guidelines pertaining to optimal gestational weight gain (GWG) required for positive pregnancy outcome were revised in 1990 and 2009. Since, in the Indian scenario, no recommendations exist for optimum GWG for obese (OB) and overweight (OW) women, we assessed the pattern of GWG w.r.t Institute of Medicine (IOM), 2009 among the subjects with different body mass index (BMI). Study design: Present data were a part of a longitudinal observational study wherein, 312 pregnant women (≤12th week of gestation) attending private antenatal clinics were followed till term and their weight was monitored regularly at pre-determined intervals i.e., 12th–14th, 18th–20th, 24th–26th, 30th–32nd, 36th + week of gestation and compared w.r.t IOM guidelines 2009. Results: 66.37 %, 57.89 % and 11.69 % of OB, OW and normal weight (NW) subjects respectively had weight gain exceeding their GWG limits. About 5 %,10.53 %, 33.77 % of OB, OW and NW subjects respectively had gained weight less than GWG limits (p = 0.000***). Conclusion: An increase in GWG inadequacy with increase in BMI and pronounced variations in GWG among OB and OW subjects underscore the necessity to monitor GWG especially among the subjects with high BMI.
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spelling doaj.art-e0997b10b2fb4666b6e801d6d8d4ec6a2023-12-12T04:35:45ZengElsevierEuropean Journal of Obstetrics & Gynecology and Reproductive Biology: X2590-16132023-12-0120100258High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, IndiaPriyanka Arora0Bani Tamber Aeri1Department of Food and Nutrition, Institute of Home Economics, University of Delhi, F-4, Hauz Khas Enclave, DelhiDepartment of Food and Nutrition, Institute of Home Economics, Delhi University, F-4, Hauz Khas Enclave, New Delhi, India; Corresponding author.Background and objective: With increase in prevalence of obesity and an increasing trend in the birth of macrosomic infants, Institute of Medicine (IOM) guidelines pertaining to optimal gestational weight gain (GWG) required for positive pregnancy outcome were revised in 1990 and 2009. Since, in the Indian scenario, no recommendations exist for optimum GWG for obese (OB) and overweight (OW) women, we assessed the pattern of GWG w.r.t Institute of Medicine (IOM), 2009 among the subjects with different body mass index (BMI). Study design: Present data were a part of a longitudinal observational study wherein, 312 pregnant women (≤12th week of gestation) attending private antenatal clinics were followed till term and their weight was monitored regularly at pre-determined intervals i.e., 12th–14th, 18th–20th, 24th–26th, 30th–32nd, 36th + week of gestation and compared w.r.t IOM guidelines 2009. Results: 66.37 %, 57.89 % and 11.69 % of OB, OW and normal weight (NW) subjects respectively had weight gain exceeding their GWG limits. About 5 %,10.53 %, 33.77 % of OB, OW and NW subjects respectively had gained weight less than GWG limits (p = 0.000***). Conclusion: An increase in GWG inadequacy with increase in BMI and pronounced variations in GWG among OB and OW subjects underscore the necessity to monitor GWG especially among the subjects with high BMI.http://www.sciencedirect.com/science/article/pii/S2590161323000832IndiaObesityPregnancyGestational weight gainHigh pre-pregnancy BMI
spellingShingle Priyanka Arora
Bani Tamber Aeri
High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, India
European Journal of Obstetrics & Gynecology and Reproductive Biology: X
India
Obesity
Pregnancy
Gestational weight gain
High pre-pregnancy BMI
title High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, India
title_full High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, India
title_fullStr High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, India
title_full_unstemmed High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, India
title_short High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, India
title_sort high pre pregnancy body mass index and gestational weight gain among women belonging to upper ses from delhi india
topic India
Obesity
Pregnancy
Gestational weight gain
High pre-pregnancy BMI
url http://www.sciencedirect.com/science/article/pii/S2590161323000832
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