Implications of the Institute of Medicine weight gain recommendations for preventing adverse pregnancy outcomes in black and white women

Bibliographic Data

ID11025366
AuthorsLaura E Caulfield (0000-0001-7152-1004, Johns Hopkins University), Rebecca J Stoltzfus (0000-0002-3191-5372, Johns Hopkins University), Frank R Witter (Johns Hopkins University)
Year1998
Volume88
Issue8
Pages1168-1174
Publication date1998-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.88.8.1168
PMID9702142
OpenAlexW1974021185
LanguageEN
Citations received7
References cited16

OBJECTIVES: This study examined the relation between gestational weight gain and risk of delivering a small-for-gestational-age or large-for-gestational-age infant by race, along with the implications of gaining weight according to the Institute of Medicine guidelines. METHODS: Logistic regression methods were used to identify risk factors for small- and large-for-gestational-age births among 2617 Black and 1253 White women delivering at the Johns Hopkins Hospital between 1987 and 1989. RESULTS: Rate of total weight gain was related to risk of small- and large-for-gestational-age births; the relationship differed according to maternal body mass index but not race. No differences in outcome by race were evident for women with low body mass indexes; among those with average or high indexes, however, Black women were at higher risk of small-for-gestational-age births and at lower risk of large-for-gestational-age births. CONCLUSIONS: Having Black women gain at the upper end of the recommended range is unlikely to produce measurable reductions in small-for-gestational-age births. Some beneficial reductions in the risk of large-for-gestational-age births may occur if weight gain recommendations are lowered for average-weight and overweight White women

Birth weight · Body mass index · Body weight · Gestation · Gestational age · Logistic regression · Obesity · Obstetrics · Overweight · Pregnancy · Small for gestational age · Weight gain · Birth, Development, and Health · Demography · Gestational Diabetes Research and Management · Internal Medicine · Maternal Mental Health During Pregnancy and Postpartum · Medicine