These trends likely affected all of our study participants, but our research shows that in addition, women who experienced
excessive gestational weight gain also experienced sustained increases in fat mass and weight.»
In 2009, the Institute of Medicine issued revised recommendations for
gestational weight gain for use in conjunction with clinical judgment by healthcare providers.
Further, there has been little research on the long - term effects
of gestational weight gain on childhood obesity risk in vulnerable populations.
«
Gestational weight gain greater than the IOM recommendations has long - term implications for weight - related health,» said Elizabeth Widen, PhD, RD, postdoctoral fellow at the New York Obesity Research Center in the Department of Medicine, Department of Epidemiology, and Institute of Human Nutrition.
«This is the first study to evaluate the long - term effects of
gestational weight gain in a contemporary low - income multi-ethnic urban population, characterized by a high risk of obesity,» noted Elizabeth Widen, PhD, RD, postdoctoral fellow at the Mailman School Department of Epidemiology, the Institute of Human Nutrition, and the New York Obesity Research Center.
For the first time, researchers at Columbia University's Mailman School of Public Health studied the effects of
gestational weight gain on childhood obesity risk among a multi-ethnic urban population.
«The findings also suggest that normal and modestly overweight women may be more physiologically sensitive to effects of
high gestational weight gain and, therefore, need to be further supported to gain weight appropriately during pregnancy.»
This new study provides data that have the potential to aid in the development of national reference values for
optimal gestational weight gain for pregnancy among women who have higher classes of obesity including class II and class III.
For the first time, researchers at Columbia University's Mailman School of Public Health studied the association
between gestational weight gain and long - term weight retention and body fat among a multi-ethnic urban population.
He agreed with Rabin that «we need to see studies with a much larger number of patients, and also studies testing additional interventions such as drug therapy,» to truly determine if efforts to
limit gestational weight gain can lower complication rates.
Despite an increased need for calories, excessive
gestational weight gain still affects many women, contributing to adverse maternal and child health outcomes.
According to the World Health Organisation (WHO), the additional protein requirements to support 13.8
g gestational weight gain are 1, 9 and 31 g / day in the first, second and third trimesters, respectively.
A systematic review investigating healthy lifestyle interventions incorporating goal setting strategies for preventing
excess gestational weight gain.
For example, for a woman with a prepregnancy BMI of 22 (normal weight),
high gestational weight gain was associated with 3 percent higher body fat and 12 pounds greater weight at seven years after delivery.
Risk of retaining ≥ 5 kg
of gestational weight gain (GWG) at 6 mo postpartum among normal - weight (A) and obese class I (B) women by GWG and breastfeeding (BF) patterns according to percentiles of GWG (20th, 50th, and 80th percentiles) and BF patterns.
She's written chapters and published research on various breastfeeding topics, delayed cord clamping,
gestational weight gain and postpartum care.
Gestational weight gain and subsequent postpartum weight loss among young, low - income, ethnic minority women
ANMS, Austin New Mothers Study; GWG,
gestational weight gain; IFPS, Infant Feeding Practices Study; NMIHS, National Maternal and Infant Health Survey; NR, not reported; PIN, Pregnancy, Infection, and Nutrition Study; PNSS, Pregnancy Nutrition Surveillance System; pp, postpartum; PPWR, postpartum weight retention; PRAMS, Pregnancy Risk Assessment Monitoring System; SES, socioeconomic status; WIC, Women, Infants and Children Food and Nutrition Services.
Gestational weight gain (GWG) may contribute to complications during labor and delivery (4, 17), and it is an important determinant of postpartum weight retention (PPWR).
BF, breastfeeding; GWG,
gestational weight gain.
He said that lifestyle modifications such as healthy eating, physical activity and behavioral modifications during pregnancy have had limited benefits on improving adverse perinatal outcomes, with the exception of reducing excessive
gestational weight gain, on the average of two to five pounds in obese women.
Although previous studies have identified a link between maternal obesity and / or excessive
gestational weight gain and long - term obesity risk in children, the Kaiser Permanente study included women and children who received standard medical care and it examined the interplay among all four factors associated with childhood obesity: pre-pregnancy obesity, gestational weight gain, gestational diabetes and breastfeeding.
In recent estimates, 47 percent of women had
a gestational weight gain greater than IOM guidelines.
The findings suggest that excessive
gestational weight gain has long - term consequences for women who are normal weight or a little overweight before pregnancy.
Even if an infant has a few extra ounces due to a mother's excessive
gestational weight gain, «the infant developed in a metabolically abnormal intrauterine environment,» Ludwig explains.
Associations Between Maternal Prepregnancy Body Mass Index and
Gestational Weight Gain and Daughter's Age at Menarche.