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Predictors and adverse outcomes of inadequate or excessive gestational weight gain in an Asian population
Author(s) -
Koh Huishan,
Ee Tat Xin,
Malhotra Rahul,
Allen John Carson,
Tan Thiam Chye,
Østbye Truls
Publication year - 2013
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2012.02067.x
Subject(s) - medicine , underweight , obstetrics , weight gain , overweight , body mass index , pregnancy , population , mass index , logistic regression , body weight , environmental health , biology , genetics
Aim The aim of this study was to assess maternal characteristics as predictors of inadequate or excessive gestational weight gain ( GWG ) and to characterize maternal and neonatal outcomes associated with inadequate or excessive GWG in Asian women. Material and Methods A study was conducted among 1166 C hinese, M alay, and I ndian women who delivered a live singleton infant at KK W omen's and C hildren's H ospital, S ingapore. Logistic regression analysis was used to determine predictors and maternal and neonatal outcomes of inadequate or excessive GWG , relative to adequate (recommended) GWG . Results While maternal age less than 20 years, Malay ethnicity and underweight pre‐pregnancy body mass index increased the risk of inadequate GWG , overweight pre‐pregnancy body mass index decreased this risk. Tall stature and Malay ethnicity were associated with an increased risk of excessive GWG , while maternal age greater than 30 years was associated with a decreased risk. Inadequate GWG increased the risk of preterm birth and decreased the risk of delivery by cesarean section and postpartum weight retention at 6 months. Excessive GWG increased the risk of delivery by cesarean section, postpartum weight retention at 6, 12 and 24 months and having a high‐birthweight baby. Conclusion Maternal predictors and perinatal outcomes of GWG among Asian women are similar to those identified previously among Caucasian, African‐American and Hispanic women.