Calculation of optimal gestation weight gain in pre-pregnancy underweight women due to body mass index change in relation to mother’s height
Background Optimal gestational weight gain has not yet been clearly defined and remains one of the most controversial issues in modern perinatology. The role of optimal weight gain during pregnancy is critical, as it has a strong effect on perinatal outcomes. Purpose In this study, gestational body...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2017, Vol.295 (1), p.81-86 |
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| creator | Meštrović, Zoran Roje, Damir Vulić, Marko Zec, Mirela |
| description | Background
Optimal gestational weight gain has not yet been clearly defined and remains one of the most controversial issues in modern perinatology. The role of optimal weight gain during pregnancy is critical, as it has a strong effect on perinatal outcomes.
Purpose
In this study, gestational body mass index (BMI) change, accounting for maternal height, was investigated as a new criterion for gestational weight gain determination, in the context of fetal growth assessment. We had focused on underweight women only, and aimed to assess whether the Institute of Medicine (IOM) guidelines could be considered acceptable or additional corrections are required in this subgroup of women.
Methods
The study included 1205 pre-pregnancy underweight mothers and their neonates. Only mothers with singleton term pregnancies (37th–42nd week of gestation) with pre-gestational BMI |
| doi_str_mv | 10.1007/s00404-016-4218-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835413983</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261523937</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a49864eff1be6e315d615d1146c292a2844bbdb7729f4eed79fe468fe680cf193</originalsourceid><addsrcrecordid>eNp1kc1u1DAQxy0EokvhAbggS1x6SfFX_XGsVi0gVeICZ8tJxtlUib3YicreeALufb0-CQ7ZUgkJySOP7N_8x54_Qm8pOaeEqA-ZEEFERaisBKO64s_QhgrOKqIofY42xCw5keoEvcr5lhDKtJYv0QlTSnDCzAb92rqhmQc39THg6HHcT_3oBtxBntbDO-i73YQ71wdc1j5BVaILLjQHPIcW0pG4iyME3M6Ap4jr2B7w6HIuNS38wM3OhQ4WgQTHboUa47SD9PDzPuPdH5HX6IV3Q4Y3x_0Ufbu--rr9VN18-fh5e3lTNVyxqXLCaCnAe1qDBE4vWlmCUiEbZphjWoi6bmulmPECoFXGg5Dag9Sk8dTwU3S26u5T_D6Xv9qxzw0MgwsQ52yp5heCcqN5Qd__g97GOYXyOstYacu44apQdKWaFHNO4O0-lUGmg6XELmbZ1SxbzLKLWXZRfndUnusR2r8Vj-4UgK1ALldlfOmp9f9VfwMdL6IX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261523937</pqid></control><display><type>article</type><title>Calculation of optimal gestation weight gain in pre-pregnancy underweight women due to body mass index change in relation to mother’s height</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Meštrović, Zoran ; Roje, Damir ; Vulić, Marko ; Zec, Mirela</creator><creatorcontrib>Meštrović, Zoran ; Roje, Damir ; Vulić, Marko ; Zec, Mirela</creatorcontrib><description>Background
Optimal gestational weight gain has not yet been clearly defined and remains one of the most controversial issues in modern perinatology. The role of optimal weight gain during pregnancy is critical, as it has a strong effect on perinatal outcomes.
Purpose
In this study, gestational body mass index (BMI) change, accounting for maternal height, was investigated as a new criterion for gestational weight gain determination, in the context of fetal growth assessment. We had focused on underweight women only, and aimed to assess whether the Institute of Medicine (IOM) guidelines could be considered acceptable or additional corrections are required in this subgroup of women.
Methods
The study included 1205 pre-pregnancy underweight mothers and their neonates. Only mothers with singleton term pregnancies (37th–42nd week of gestation) with pre-gestational BMI < 18.5 kg/m
2
were enrolled.
Results
The share of small for gestational age (SGA) infants in the study population was 16.2 %. Our results showed the minimal recommended gestational weight gain of 12–14 kg and BMI change of 4–5 kg/m
2
to be associated with a lower prevalence of SGA newborns. Based on our results, the recommended upper limit of gestational mass change could definitely be substantially higher.
Conclusion
Optimal weight gain in underweight women could be estimated in the very beginning of pregnancy as recommended BMI change, but recalculated in kilograms according to body height, which modulates the numerical calculation of BMI. Our proposal presents a further step forward towards individualized approach for each pregnant woman.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-016-4218-3</identifier><identifier>PMID: 27743029</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Body Mass Index ; Endocrinology ; Female ; Gynecology ; Human Genetics ; Humans ; Infant, Newborn ; Maternal-Fetal Medicine ; Medicine ; Medicine & Public Health ; Obstetrics/Perinatology/Midwifery ; Physical growth ; Pregnancy ; Pregnancy Complications - epidemiology ; Surrogate Mothers ; Thinness - complications ; United States ; Waist-Height Ratio ; Weight Gain ; Young Adult</subject><ispartof>Archives of gynecology and obstetrics, 2017, Vol.295 (1), p.81-86</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2016). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a49864eff1be6e315d615d1146c292a2844bbdb7729f4eed79fe468fe680cf193</citedby><cites>FETCH-LOGICAL-c372t-a49864eff1be6e315d615d1146c292a2844bbdb7729f4eed79fe468fe680cf193</cites><orcidid>0000-0002-6121-5721</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-016-4218-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-016-4218-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27743029$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meštrović, Zoran</creatorcontrib><creatorcontrib>Roje, Damir</creatorcontrib><creatorcontrib>Vulić, Marko</creatorcontrib><creatorcontrib>Zec, Mirela</creatorcontrib><title>Calculation of optimal gestation weight gain in pre-pregnancy underweight women due to body mass index change in relation to mother’s height</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Background
Optimal gestational weight gain has not yet been clearly defined and remains one of the most controversial issues in modern perinatology. The role of optimal weight gain during pregnancy is critical, as it has a strong effect on perinatal outcomes.
Purpose
In this study, gestational body mass index (BMI) change, accounting for maternal height, was investigated as a new criterion for gestational weight gain determination, in the context of fetal growth assessment. We had focused on underweight women only, and aimed to assess whether the Institute of Medicine (IOM) guidelines could be considered acceptable or additional corrections are required in this subgroup of women.
Methods
The study included 1205 pre-pregnancy underweight mothers and their neonates. Only mothers with singleton term pregnancies (37th–42nd week of gestation) with pre-gestational BMI < 18.5 kg/m
2
were enrolled.
Results
The share of small for gestational age (SGA) infants in the study population was 16.2 %. Our results showed the minimal recommended gestational weight gain of 12–14 kg and BMI change of 4–5 kg/m
2
to be associated with a lower prevalence of SGA newborns. Based on our results, the recommended upper limit of gestational mass change could definitely be substantially higher.
Conclusion
Optimal weight gain in underweight women could be estimated in the very beginning of pregnancy as recommended BMI change, but recalculated in kilograms according to body height, which modulates the numerical calculation of BMI. Our proposal presents a further step forward towards individualized approach for each pregnant woman.</description><subject>Body Mass Index</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Maternal-Fetal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Physical growth</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Surrogate Mothers</subject><subject>Thinness - complications</subject><subject>United States</subject><subject>Waist-Height Ratio</subject><subject>Weight Gain</subject><subject>Young Adult</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc1u1DAQxy0EokvhAbggS1x6SfFX_XGsVi0gVeICZ8tJxtlUib3YicreeALufb0-CQ7ZUgkJySOP7N_8x54_Qm8pOaeEqA-ZEEFERaisBKO64s_QhgrOKqIofY42xCw5keoEvcr5lhDKtJYv0QlTSnDCzAb92rqhmQc39THg6HHcT_3oBtxBntbDO-i73YQ71wdc1j5BVaILLjQHPIcW0pG4iyME3M6Ap4jr2B7w6HIuNS38wM3OhQ4WgQTHboUa47SD9PDzPuPdH5HX6IV3Q4Y3x_0Ufbu--rr9VN18-fh5e3lTNVyxqXLCaCnAe1qDBE4vWlmCUiEbZphjWoi6bmulmPECoFXGg5Dag9Sk8dTwU3S26u5T_D6Xv9qxzw0MgwsQ52yp5heCcqN5Qd__g97GOYXyOstYacu44apQdKWaFHNO4O0-lUGmg6XELmbZ1SxbzLKLWXZRfndUnusR2r8Vj-4UgK1ALldlfOmp9f9VfwMdL6IX</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Meštrović, Zoran</creator><creator>Roje, Damir</creator><creator>Vulić, Marko</creator><creator>Zec, Mirela</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6121-5721</orcidid></search><sort><creationdate>2017</creationdate><title>Calculation of optimal gestation weight gain in pre-pregnancy underweight women due to body mass index change in relation to mother’s height</title><author>Meštrović, Zoran ; Roje, Damir ; Vulić, Marko ; Zec, Mirela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a49864eff1be6e315d615d1146c292a2844bbdb7729f4eed79fe468fe680cf193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Body Mass Index</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Maternal-Fetal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Physical growth</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Surrogate Mothers</topic><topic>Thinness - complications</topic><topic>United States</topic><topic>Waist-Height Ratio</topic><topic>Weight Gain</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meštrović, Zoran</creatorcontrib><creatorcontrib>Roje, Damir</creatorcontrib><creatorcontrib>Vulić, Marko</creatorcontrib><creatorcontrib>Zec, Mirela</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meštrović, Zoran</au><au>Roje, Damir</au><au>Vulić, Marko</au><au>Zec, Mirela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Calculation of optimal gestation weight gain in pre-pregnancy underweight women due to body mass index change in relation to mother’s height</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2017</date><risdate>2017</risdate><volume>295</volume><issue>1</issue><spage>81</spage><epage>86</epage><pages>81-86</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Background
Optimal gestational weight gain has not yet been clearly defined and remains one of the most controversial issues in modern perinatology. The role of optimal weight gain during pregnancy is critical, as it has a strong effect on perinatal outcomes.
Purpose
In this study, gestational body mass index (BMI) change, accounting for maternal height, was investigated as a new criterion for gestational weight gain determination, in the context of fetal growth assessment. We had focused on underweight women only, and aimed to assess whether the Institute of Medicine (IOM) guidelines could be considered acceptable or additional corrections are required in this subgroup of women.
Methods
The study included 1205 pre-pregnancy underweight mothers and their neonates. Only mothers with singleton term pregnancies (37th–42nd week of gestation) with pre-gestational BMI < 18.5 kg/m
2
were enrolled.
Results
The share of small for gestational age (SGA) infants in the study population was 16.2 %. Our results showed the minimal recommended gestational weight gain of 12–14 kg and BMI change of 4–5 kg/m
2
to be associated with a lower prevalence of SGA newborns. Based on our results, the recommended upper limit of gestational mass change could definitely be substantially higher.
Conclusion
Optimal weight gain in underweight women could be estimated in the very beginning of pregnancy as recommended BMI change, but recalculated in kilograms according to body height, which modulates the numerical calculation of BMI. Our proposal presents a further step forward towards individualized approach for each pregnant woman.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27743029</pmid><doi>10.1007/s00404-016-4218-3</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6121-5721</orcidid></addata></record> |
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| ispartof | Archives of gynecology and obstetrics, 2017, Vol.295 (1), p.81-86 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Body Mass Index Endocrinology Female Gynecology Human Genetics Humans Infant, Newborn Maternal-Fetal Medicine Medicine Medicine & Public Health Obstetrics/Perinatology/Midwifery Physical growth Pregnancy Pregnancy Complications - epidemiology Surrogate Mothers Thinness - complications United States Waist-Height Ratio Weight Gain Young Adult |
| title | Calculation of optimal gestation weight gain in pre-pregnancy underweight women due to body mass index change in relation to mother’s height |
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