Excessive gestational weight gain in the first trimester is associated with risk of gestational diabetes mellitus: a prospective study from Southwest China
To evaluate the effects of gestational weight gain (GWG) in the first trimester (GWG-F) and the rate of gestational weight gain in the second trimester (RGWG-S) on gestational diabetes mellitus (GDM), exploring the optimal GWG ranges for the avoidance of GDM in Chinese women. A population-based pros...
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| Veröffentlicht in: | Public health nutrition 2020-02, Vol.23 (3), p.394-401 |
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| creator | Lan, Xi Zhang, Yi-Qi Dong, Hong-Li Zhang, Ju Zhou, Feng-Ming Bao, Yan-Hong Zhao, Rong-Ping Cai, Cong-Jie Bai, Dan Pang, Xin-Xin Zeng, Guo |
| description | To evaluate the effects of gestational weight gain (GWG) in the first trimester (GWG-F) and the rate of gestational weight gain in the second trimester (RGWG-S) on gestational diabetes mellitus (GDM), exploring the optimal GWG ranges for the avoidance of GDM in Chinese women.
A population-based prospective study was conducted. Gestational weight was measured regularly in every antenatal visit and assessed by the Institute of Medicine (IOM) criteria (2009). GDM was assessed with the 75-g, 2-h oral glucose tolerance test at 24-28 weeks of gestation. Multivariable logistic regression was performed to assess the effects of GWG-F and RGWG-S on GDM, stratified by pre-pregnancy BMI. In each BMI category, the GWG values corresponding to the lowest prevalence of GDM were defined as the optimal GWG range.
Southwest China.
Pregnant women (n 1910) in 2017.
After adjusting for confounders, GWG-F above IOM recommendations increased the risk of GDM (OR; 95 % CI) among underweight (2·500; 1·106, 5·655), normal-weight (1·396; 1·023, 1·906) and overweight/obese women (3·017; 1·118, 8·138) compared with women within IOM recommendations. No significant difference was observed between RGWG-S and GDM (P > 0·05) after adjusting for GWG-F based on the previous model. The optimal GWG-F ranges for the avoidance of GDM were 0·8-1·2, 0·8-1·2 and 0·35-0·70 kg for underweight, normal-weight and overweight/obese women, respectively.
Excessive GWG in the first trimester, rather than the second trimester, is associated with increased risk of GDM regardless of pre-pregnancy BMI. Obstetricians should provide more pre-emptive guidance in achieving adequate GWG-F. |
| doi_str_mv | 10.1017/S1368980019003513 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10200587</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2354615218</sourcerecordid><originalsourceid>FETCH-LOGICAL-c476t-6a617cf41689685f79abf56fa262dc7cb40e8db9d2c56035b7d7a6ad560031e23</originalsourceid><addsrcrecordid>eNplUV1rFDEUDaLYWv0BvkjA59EkM0lmfBFZ6gcUfKg-h0xys5M6O1lzM137W_yzZmktFiGQXO495-acQ8hLzt5wxvXbS96qfugZ4wNjreTtI3LKOy0boYV-XN-13Rz7J-QZ4hVjTGqtn5KTlveyHyQ_Jb_PfzlAjNdAt4DFlpgWO9MDxO1U6NbGhdZTJqAhZiy05Lirc5BpRGoRk4u2gKeHWCaaI_6gKTxg8tGOUADpDuY5lhXfUUv3OeEeXDmuxbL6Gxpy2tHLtJbpUMF0M8XFPidPgp0RXtzdZ-T7x_Nvm8_NxddPXzYfLhrXaVUaZRXXLnS8eqF6GfRgxyBVsEIJ77QbOwa9HwcvnFTVplF7bZX1tWAtB9Gekfe3vPt13IF3sJRsZ7OvUm2-MclG87CzxMls07XhTFRLe10ZXt8x5PRzrQLMVVpzlY9GtLJTXAre1yl-O-WqfMwQ7ldwZo6Bmv8CrZhX__7tHvE3wfYPMpqgIQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2354615218</pqid></control><display><type>article</type><title>Excessive gestational weight gain in the first trimester is associated with risk of gestational diabetes mellitus: a prospective study from Southwest China</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Lan, Xi ; Zhang, Yi-Qi ; Dong, Hong-Li ; Zhang, Ju ; Zhou, Feng-Ming ; Bao, Yan-Hong ; Zhao, Rong-Ping ; Cai, Cong-Jie ; Bai, Dan ; Pang, Xin-Xin ; Zeng, Guo</creator><creatorcontrib>Lan, Xi ; Zhang, Yi-Qi ; Dong, Hong-Li ; Zhang, Ju ; Zhou, Feng-Ming ; Bao, Yan-Hong ; Zhao, Rong-Ping ; Cai, Cong-Jie ; Bai, Dan ; Pang, Xin-Xin ; Zeng, Guo</creatorcontrib><description>To evaluate the effects of gestational weight gain (GWG) in the first trimester (GWG-F) and the rate of gestational weight gain in the second trimester (RGWG-S) on gestational diabetes mellitus (GDM), exploring the optimal GWG ranges for the avoidance of GDM in Chinese women.
A population-based prospective study was conducted. Gestational weight was measured regularly in every antenatal visit and assessed by the Institute of Medicine (IOM) criteria (2009). GDM was assessed with the 75-g, 2-h oral glucose tolerance test at 24-28 weeks of gestation. Multivariable logistic regression was performed to assess the effects of GWG-F and RGWG-S on GDM, stratified by pre-pregnancy BMI. In each BMI category, the GWG values corresponding to the lowest prevalence of GDM were defined as the optimal GWG range.
Southwest China.
Pregnant women (n 1910) in 2017.
After adjusting for confounders, GWG-F above IOM recommendations increased the risk of GDM (OR; 95 % CI) among underweight (2·500; 1·106, 5·655), normal-weight (1·396; 1·023, 1·906) and overweight/obese women (3·017; 1·118, 8·138) compared with women within IOM recommendations. No significant difference was observed between RGWG-S and GDM (P > 0·05) after adjusting for GWG-F based on the previous model. The optimal GWG-F ranges for the avoidance of GDM were 0·8-1·2, 0·8-1·2 and 0·35-0·70 kg for underweight, normal-weight and overweight/obese women, respectively.
Excessive GWG in the first trimester, rather than the second trimester, is associated with increased risk of GDM regardless of pre-pregnancy BMI. Obstetricians should provide more pre-emptive guidance in achieving adequate GWG-F.</description><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980019003513</identifier><identifier>PMID: 31858951</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Adult ; Avoidance ; Body Mass Index ; Body weight ; China ; Diabetes ; Diabetes mellitus ; Diabetes, Gestational - epidemiology ; Exercise ; Family medical history ; Female ; Gestation ; Gestational diabetes ; Gestational Weight Gain ; Glucose tolerance ; Glucose Tolerance Test ; Health risk assessment ; Hospitals ; Humans ; Multiple births ; Obesity ; Overweight ; Personal income ; Physical fitness ; Population studies ; Pregnancy ; Pregnancy Outcome - epidemiology ; Pregnancy Trimester, First ; Pregnancy Trimester, Second ; Prospective Studies ; Questionnaires ; Research Paper ; Risk ; Studies ; Thinness ; Thyroid diseases ; Underweight ; Weight Gain ; Womens health</subject><ispartof>Public health nutrition, 2020-02, Vol.23 (3), p.394-401</ispartof><rights>The Authors 2019</rights><rights>The Authors 2019 2019 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-6a617cf41689685f79abf56fa262dc7cb40e8db9d2c56035b7d7a6ad560031e23</citedby><cites>FETCH-LOGICAL-c476t-6a617cf41689685f79abf56fa262dc7cb40e8db9d2c56035b7d7a6ad560031e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10200587/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10200587/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31858951$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lan, Xi</creatorcontrib><creatorcontrib>Zhang, Yi-Qi</creatorcontrib><creatorcontrib>Dong, Hong-Li</creatorcontrib><creatorcontrib>Zhang, Ju</creatorcontrib><creatorcontrib>Zhou, Feng-Ming</creatorcontrib><creatorcontrib>Bao, Yan-Hong</creatorcontrib><creatorcontrib>Zhao, Rong-Ping</creatorcontrib><creatorcontrib>Cai, Cong-Jie</creatorcontrib><creatorcontrib>Bai, Dan</creatorcontrib><creatorcontrib>Pang, Xin-Xin</creatorcontrib><creatorcontrib>Zeng, Guo</creatorcontrib><title>Excessive gestational weight gain in the first trimester is associated with risk of gestational diabetes mellitus: a prospective study from Southwest China</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>To evaluate the effects of gestational weight gain (GWG) in the first trimester (GWG-F) and the rate of gestational weight gain in the second trimester (RGWG-S) on gestational diabetes mellitus (GDM), exploring the optimal GWG ranges for the avoidance of GDM in Chinese women.
A population-based prospective study was conducted. Gestational weight was measured regularly in every antenatal visit and assessed by the Institute of Medicine (IOM) criteria (2009). GDM was assessed with the 75-g, 2-h oral glucose tolerance test at 24-28 weeks of gestation. Multivariable logistic regression was performed to assess the effects of GWG-F and RGWG-S on GDM, stratified by pre-pregnancy BMI. In each BMI category, the GWG values corresponding to the lowest prevalence of GDM were defined as the optimal GWG range.
Southwest China.
Pregnant women (n 1910) in 2017.
After adjusting for confounders, GWG-F above IOM recommendations increased the risk of GDM (OR; 95 % CI) among underweight (2·500; 1·106, 5·655), normal-weight (1·396; 1·023, 1·906) and overweight/obese women (3·017; 1·118, 8·138) compared with women within IOM recommendations. No significant difference was observed between RGWG-S and GDM (P > 0·05) after adjusting for GWG-F based on the previous model. The optimal GWG-F ranges for the avoidance of GDM were 0·8-1·2, 0·8-1·2 and 0·35-0·70 kg for underweight, normal-weight and overweight/obese women, respectively.
Excessive GWG in the first trimester, rather than the second trimester, is associated with increased risk of GDM regardless of pre-pregnancy BMI. Obstetricians should provide more pre-emptive guidance in achieving adequate GWG-F.</description><subject>Adult</subject><subject>Avoidance</subject><subject>Body Mass Index</subject><subject>Body weight</subject><subject>China</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes, Gestational - epidemiology</subject><subject>Exercise</subject><subject>Family medical history</subject><subject>Female</subject><subject>Gestation</subject><subject>Gestational diabetes</subject><subject>Gestational Weight Gain</subject><subject>Glucose tolerance</subject><subject>Glucose Tolerance Test</subject><subject>Health risk assessment</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Multiple births</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Personal income</subject><subject>Physical fitness</subject><subject>Population studies</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Pregnancy Trimester, First</subject><subject>Pregnancy Trimester, Second</subject><subject>Prospective Studies</subject><subject>Questionnaires</subject><subject>Research Paper</subject><subject>Risk</subject><subject>Studies</subject><subject>Thinness</subject><subject>Thyroid diseases</subject><subject>Underweight</subject><subject>Weight Gain</subject><subject>Womens 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associated with risk of gestational diabetes mellitus: a prospective study from Southwest China</title><author>Lan, Xi ; Zhang, Yi-Qi ; Dong, Hong-Li ; Zhang, Ju ; Zhou, Feng-Ming ; Bao, Yan-Hong ; Zhao, Rong-Ping ; Cai, Cong-Jie ; Bai, Dan ; Pang, Xin-Xin ; Zeng, Guo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-6a617cf41689685f79abf56fa262dc7cb40e8db9d2c56035b7d7a6ad560031e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Avoidance</topic><topic>Body Mass Index</topic><topic>Body weight</topic><topic>China</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes, Gestational - epidemiology</topic><topic>Exercise</topic><topic>Family medical history</topic><topic>Female</topic><topic>Gestation</topic><topic>Gestational diabetes</topic><topic>Gestational Weight Gain</topic><topic>Glucose tolerance</topic><topic>Glucose 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Hong-Li</au><au>Zhang, Ju</au><au>Zhou, Feng-Ming</au><au>Bao, Yan-Hong</au><au>Zhao, Rong-Ping</au><au>Cai, Cong-Jie</au><au>Bai, Dan</au><au>Pang, Xin-Xin</au><au>Zeng, Guo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Excessive gestational weight gain in the first trimester is associated with risk of gestational diabetes mellitus: a prospective study from Southwest China</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>23</volume><issue>3</issue><spage>394</spage><epage>401</epage><pages>394-401</pages><issn>1368-9800</issn><eissn>1475-2727</eissn><abstract>To evaluate the effects of gestational weight gain (GWG) in the first trimester (GWG-F) and the rate of gestational weight gain in the second trimester (RGWG-S) on gestational diabetes mellitus (GDM), exploring the optimal GWG ranges for the avoidance of GDM in Chinese women.
A population-based prospective study was conducted. Gestational weight was measured regularly in every antenatal visit and assessed by the Institute of Medicine (IOM) criteria (2009). GDM was assessed with the 75-g, 2-h oral glucose tolerance test at 24-28 weeks of gestation. Multivariable logistic regression was performed to assess the effects of GWG-F and RGWG-S on GDM, stratified by pre-pregnancy BMI. In each BMI category, the GWG values corresponding to the lowest prevalence of GDM were defined as the optimal GWG range.
Southwest China.
Pregnant women (n 1910) in 2017.
After adjusting for confounders, GWG-F above IOM recommendations increased the risk of GDM (OR; 95 % CI) among underweight (2·500; 1·106, 5·655), normal-weight (1·396; 1·023, 1·906) and overweight/obese women (3·017; 1·118, 8·138) compared with women within IOM recommendations. No significant difference was observed between RGWG-S and GDM (P > 0·05) after adjusting for GWG-F based on the previous model. The optimal GWG-F ranges for the avoidance of GDM were 0·8-1·2, 0·8-1·2 and 0·35-0·70 kg for underweight, normal-weight and overweight/obese women, respectively.
Excessive GWG in the first trimester, rather than the second trimester, is associated with increased risk of GDM regardless of pre-pregnancy BMI. Obstetricians should provide more pre-emptive guidance in achieving adequate GWG-F.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>31858951</pmid><doi>10.1017/S1368980019003513</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adult Avoidance Body Mass Index Body weight China Diabetes Diabetes mellitus Diabetes, Gestational - epidemiology Exercise Family medical history Female Gestation Gestational diabetes Gestational Weight Gain Glucose tolerance Glucose Tolerance Test Health risk assessment Hospitals Humans Multiple births Obesity Overweight Personal income Physical fitness Population studies Pregnancy Pregnancy Outcome - epidemiology Pregnancy Trimester, First Pregnancy Trimester, Second Prospective Studies Questionnaires Research Paper Risk Studies Thinness Thyroid diseases Underweight Weight Gain Womens health |
| title | Excessive gestational weight gain in the first trimester is associated with risk of gestational diabetes mellitus: a prospective study from Southwest China |
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