Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers

Aim: Both inadequate and excessive weight gain during pregnancy can have immediate and long-term health risks for women and infants. This study investigated rate of gestational weight gain (GWG) and its associated factors in Malaysian pregnant women. Methods: This cross-sectional study was conducted...

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Main Authors: Yong, Heng Yaw, Mohd Shariff, Zalilah, Koo, Shi Jia, Sa ’ ari, Norul Syurafak
Format: Article
Language:English
Published: Wiley-Blackwell Publishing Asia 2016
Online Access:http://psasir.upm.edu.my/id/eprint/53657/1/Pre-pregnancy%20body%20mass%20index.pdf
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author Yong, Heng Yaw
Mohd Shariff, Zalilah
Koo, Shi Jia
Sa ’ ari, Norul Syurafak
author_facet Yong, Heng Yaw
Mohd Shariff, Zalilah
Koo, Shi Jia
Sa ’ ari, Norul Syurafak
author_sort Yong, Heng Yaw
collection UPM
description Aim: Both inadequate and excessive weight gain during pregnancy can have immediate and long-term health risks for women and infants. This study investigated rate of gestational weight gain (GWG) and its associated factors in Malaysian pregnant women. Methods: This cross-sectional study was conducted at maternal and child health clinics in Selangor and Negeri Sembilan between November 2010 and April 2012. A pre-tested questionnaire was used to obtain sociodemographic, obstetric, dietary intake and physical activity information. Current weight and height were measured using standard procedures. GWG rate was calculated as the average weekly weight gain in that particular trimester of pregnancy and further categorized according to the Institute of Medicine (IOM) recommendations. Results: Mean GWG rate for all pre-pregnancy BMI categories in the second and third trimesters was higher than the IOM recommendations. Overweight women (adjusted OR, 4.26; 95%CI: 1.92–9.44) and women <153 cm tall (adjusted OR, 1.96; 95%CI: 1.21–3.18) tend to have inadequate GWG rate. Women with high pre-pregnancy body mass index (BMI; ≥25.0 kg/m2; overweight: adjusted OR, 3.88; 95%CI: 2.12–7.09; obese: adjusted OR, 2.34; 95%CI: 1.28–4.29) and low physical activity (adjusted OR, 1.74; 95%CI: 0.77–3.97) were two–threefold more likely to have excessive GWG. Conclusion: Both inadequate and excessive GWG can have detrimental effects on the health of mothers and infants. Pre-pregnancy BMI, height and physical activity should be emphasized in prenatal care to ensure that women have adequate GWG rate.
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spelling upm.eprints-536572017-11-24T03:49:35Z http://psasir.upm.edu.my/id/eprint/53657/ Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers Yong, Heng Yaw Mohd Shariff, Zalilah Koo, Shi Jia Sa ’ ari, Norul Syurafak Aim: Both inadequate and excessive weight gain during pregnancy can have immediate and long-term health risks for women and infants. This study investigated rate of gestational weight gain (GWG) and its associated factors in Malaysian pregnant women. Methods: This cross-sectional study was conducted at maternal and child health clinics in Selangor and Negeri Sembilan between November 2010 and April 2012. A pre-tested questionnaire was used to obtain sociodemographic, obstetric, dietary intake and physical activity information. Current weight and height were measured using standard procedures. GWG rate was calculated as the average weekly weight gain in that particular trimester of pregnancy and further categorized according to the Institute of Medicine (IOM) recommendations. Results: Mean GWG rate for all pre-pregnancy BMI categories in the second and third trimesters was higher than the IOM recommendations. Overweight women (adjusted OR, 4.26; 95%CI: 1.92–9.44) and women <153 cm tall (adjusted OR, 1.96; 95%CI: 1.21–3.18) tend to have inadequate GWG rate. Women with high pre-pregnancy body mass index (BMI; ≥25.0 kg/m2; overweight: adjusted OR, 3.88; 95%CI: 2.12–7.09; obese: adjusted OR, 2.34; 95%CI: 1.28–4.29) and low physical activity (adjusted OR, 1.74; 95%CI: 0.77–3.97) were two–threefold more likely to have excessive GWG. Conclusion: Both inadequate and excessive GWG can have detrimental effects on the health of mothers and infants. Pre-pregnancy BMI, height and physical activity should be emphasized in prenatal care to ensure that women have adequate GWG rate. Wiley-Blackwell Publishing Asia 2016-09 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/53657/1/Pre-pregnancy%20body%20mass%20index.pdf Yong, Heng Yaw and Mohd Shariff, Zalilah and Koo, Shi Jia and Sa ’ ari, Norul Syurafak (2016) Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers. Journal of Obstetrics and Gynaecology Research, 42 (9). pp. 1094-1101. ISSN 1341-8076; ESSN: 1447-0756 http://onlinelibrary.wiley.com/doi/10.1111/jog.13039/abstract 10.1111/jog.13039
spellingShingle Yong, Heng Yaw
Mohd Shariff, Zalilah
Koo, Shi Jia
Sa ’ ari, Norul Syurafak
Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers
title Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers
title_full Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers
title_fullStr Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers
title_full_unstemmed Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers
title_short Pre-pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers
title_sort pre pregnancy body mass index height and physical activity are associated with rate of gestational weight gain among malaysian mothers
url http://psasir.upm.edu.my/id/eprint/53657/1/Pre-pregnancy%20body%20mass%20index.pdf
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AT kooshijia prepregnancybodymassindexheightandphysicalactivityareassociatedwithrateofgestationalweightgainamongmalaysianmothers
AT saarinorulsyurafak prepregnancybodymassindexheightandphysicalactivityareassociatedwithrateofgestationalweightgainamongmalaysianmothers