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Pre‐pregnancy body mass index, height and physical activity are associated with rate of gestational weight gain among Malaysian mothers
Author(s) -
Yong Heng Yaw,
Mohd Shariff Zalilah,
Koo Shi Jia,
Binti Sa'ari Norul Syurafak
Publication year - 2016
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/jog.13039
Subject(s) - medicine , overweight , weight gain , pregnancy , body mass index , obstetrics , gestation , obesity , demography , gynecology , body weight , sociology , biology , genetics
Aim Both inadequate and excessive weight gain during pregnancy can have immediate and long‐term health risks for women and infants. This study investigated rate of gestational weight gain (GWG) and its associated factors in Malaysian pregnant women. Methods This cross‐sectional study was conducted at maternal and child health clinics in Selangor and Negeri Sembilan between November 2010 and April 2012. A pre‐tested questionnaire was used to obtain sociodemographic, obstetric, dietary intake and physical activity information. Current weight and height were measured using standard procedures. GWG rate was calculated as the average weekly weight gain in that particular trimester of pregnancy and further categorized according to the Institute of Medicine (IOM) recommendations. Results Mean GWG rate for all pre‐pregnancy BMI categories in the second and third trimesters was higher than the IOM recommendations. Overweight women (adjusted OR, 4.26; 95%CI: 1.92–9.44) and women <153 cm tall (adjusted OR, 1.96; 95%CI: 1.21–3.18) tend to have inadequate GWG rate. Women with high pre‐pregnancy body mass index (BMI; ≥25.0 kg/m 2 ; overweight: adjusted OR, 3.88; 95%CI: 2.12–7.09; obese: adjusted OR, 2.34; 95%CI: 1.28–4.29) and low physical activity (adjusted OR, 1.74; 95%CI: 0.77–3.97) were two–threefold more likely to have excessive GWG. Conclusion Both inadequate and excessive GWG can have detrimental effects on the health of mothers and infants. Pre‐pregnancy BMI, height and physical activity should be emphasized in prenatal care to ensure that women have adequate GWG rate.