Determining optimal gestational weight gain in a multiethnic Asian population

Tat Xin Ee; John Carson Allen; Rahul Malhotra; Huishan Koh; Truls Østbye; Thiam Chye Tan

doi:10.1111/jog.12307

journal article Feb 26, 2014

Determining optimal gestational weight gain in a multiethnic Asian population

Tat Xin Ee John Carson Allen Rahul Malhotra

Huishan Koh Truls Østbye

Thiam Chye Tan

Journal of Obstetrics and Gynaecology Research Vol. 40 No. 4 pp. 1002-1008 · Wiley

View at Publisher Save 10.1111/jog.12307

Abstract

AbstractAimTo define the optimal gestational weight gain (GWG) for the multiethnic Singaporean population.MethodsData from 1529 live singleton deliveries was analyzed. A multinomial logistic regression analysis, with GWG as the predictor, was conducted to determine the lowest aggregated risk of a composite perinatal outcome, stratified by Asia‐specific body mass index (BMI) categories. The composite perinatal outcome, based on a combination of delivery type (cesarean section [CS], vaginal delivery [VD]) and size for gestational age (small [SGA], appropriate [AGA], large [LGA]), had six categories: (i) VD with LGA; (ii) VD with SGA; (iii) CS with AGA; (iv) CS with SGA; (v) CS with LGA; (vi) and VD with AGA. The last was considered as the ‘normal’ reference category. In each BMI category, the GWG value corresponding to the lowest aggregated risk was defined as the optimal GWG, and the GWG values at which the aggregated risk did not exceed a 5% increase from the lowest aggregated risk were defined as the margins of the optimal GWG range.ResultsThe optimal GWG by pre‐pregnancy BMI category, was 19.5 kg (range, 12.9 to 23.9) for underweight, 13.7 kg (7.7 to 18.8) for normal weight, 7.9 kg (2.6 to 14.0) for overweight and 1.8 kg (−5.0 to 7.0) for obese.ConclusionThe results of this study, the first to determine optimal GWG in the multiethnic Singaporean population, concur with the Institute of Medicine (IOM) guidelines in that GWG among Asian women who are heavier prior to pregnancy, especially those who are obese, should be lower. However, the optimal GWG for underweight and obese women was outside the IOM recommended range.

Topics

No keywords indexed for this article. Browse by subject →

References

29

[1]

10.1097/aog.0b013e31818b5dd9

[2]

10.1007/s10995-008-0318-4

[3]

10.1111/j.1471-0528.2007.01483.x

[4]

10.1097/01.aog.0000242568.75785.68

[5]

10.1007/s10995-011-0741-9

[6]

10.3945/ajcn.2009.27919

[7]

10.1016/0029-7844(95)00119-c

[8]

10.1016/s1701-2163(16)34432-2

[9]

10.1097/01.aog.0000278819.17190.87

[10]

10.1002/ajhb.10139

[11]

10.3945/ajcn.2009.29008

[12]

10.1111/j.1467-789x.2011.00886.x

[13]

10.1186/1477-7827-9-6

[14]

Institute of Medicine (U.S.) (1990)

[15]

Rasmussen KM (2009)

[16]

Overweight and obesity in the United States: prevalence and trends, 1960–1994

KM Flegal, MD Carroll, RJ Kuczmarski et al.

International Journal of Obesity 10.1038/sj.ijo.0800541

[17]

10.1016/s0140-6736(06)69703-1

[18]

10.1046/j.1467-789x.2002.00065.x

[19]

10.1046/j.1467-789x.2002.00069.x

[20]

10.1016/s0140-6736(03)15268-3

[21]

10.2471/blt.10.077982

[22]

10.1016/s0002-8223(00)00230-3

[23]

10.1097/01.aog.0000279450.85198.b2

[24]

10.3109/00016341003801706

[25]

Health Promotion Board.Revision of Body Mass Index (BMI) cut‐offs in Singapore. Singapore: Health Promotion Board;2005[cited 2013 April 12]. Available from:http://archive.is/o2DQ

[26]

10.1186/1471-2431-3-13

[27]

10.1016/j.ajog.2009.07.002

[28]

10.1111/j.1467-789x.2007.00397.x

[29]

10.3945/ajcn.2009.28026

Cited By

42

Optimal gestational weight gain and pregnancy outcomes, by BMI and height, in a marginalised population of women with short stature living along the Thailand-Myanmar border: A retrospective cohort, 2004–2023

Mary Gouws, Rose McGready · 2025

PLoS ONE

Maternal Prepregnancy Body Mass Index, Gestational Weight Gain, and Risk of Adverse Perinatal Outcomes in Taiwan: A Population-Based Birth Cohort Study

Chi-Nien Chen, Ho-Sheng Chen · 2020

International Journal of Environmen...

Nutrition in transition: historical cohort analysis summarising trends in under- and over-nutrition among pregnant women in a marginalised population along the Thailand–Myanmar border from 1986 to 2016

A. Hashmi, Nicola Solomon · 2019

British Journal of Nutrition

Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational weight gain: a systematic review and meta-analysis

Kathryn M. Denize, Nina Acharya · 2018

PeerJ

Prevalence and predictors of early gestational weight gain associated with obesity risk in a diverse Australian antenatal population: a cross-sectional study

K. Cheney, S. Berkemeier · 2017

BMC Pregnancy and Childbirth

Metrics

42

Citations

29

References

Details

Published: Feb 26, 2014
Vol/Issue: 40(4)
Pages: 1002-1008
License: View

Authors

T

Tat Xin Ee

Duke‐NUS Graduate Medical School Singapore

J

John Carson Allen

Office of Clinical Sciences Duke‐NUS Graduate Medical School Singapore

R

Rahul Malhotra

Health Services and Systems Research Duke‐NUS Graduate Medical School Singapore

H

Huishan Koh

Duke‐NUS Graduate Medical School Singapore

T

Truls Østbye

Duke‐NUS Graduate Medical School Singapore; Duke Global Health Institute Durham North Carolina USA

T

Thiam Chye Tan

Obstetrics and Gynaecology KK Women's and Children's Hospital Singapore

Funding

KK Research Center

Cite This Article

Tat Xin Ee, John Carson Allen, Rahul Malhotra, et al. (2014). Determining optimal gestational weight gain in a multiethnic Asian population. Journal of Obstetrics and Gynaecology Research, 40(4), 1002-1008. https://doi.org/10.1111/jog.12307

Determining optimal gestational weight gain in a multiethnic Asian population

You May Also Like