111: Decreased sleep duration in the third-trimester is not associated with excessive gestational weight gain

AbstractExcessive gestational weight gain (GWG) increases the risk of maternal anaemia during pregnancy, but whether it is associated with offspring anaemia has not been investigated. We aimed to prospectively investigate the association of GWG rate in the second/third trimester with infant Hb concentration and anaemia risk. The present study comprised 13 765 infants born during 2006–2009 to mothers who participated in a trial on prenatal micronutrient supplementation. The GWG was calculated by subtracting the maternal weight at enrolment from that at end-pregnancy. The GWG rate was calculated as dividing the GWG by number of weeks between the two measurements and classified into quintiles within each category of maternal BMI. Infant Hb concentrations were measured at 6 and 12 months of age, and anaemia was defined as an Hb concentration <110 g/l. Of the 13 765 infants, 949 (6·9 %) were anaemic at 6 months and 728 (5·3 %) at 12 months. The GWG rate was inversely and linearly associated with the infant Hb concentrations at both 6 and 12 months (P < 0·001 for linearity). Compared with the middle quintile of GWG rate, the highest quintile was associated with an increased risk of anaemia at 6 months (adjusted OR 1·30, 95 % CI 1·07, 1·59) and 12 months (adjusted OR 1·74, 95 % CI 1·40, 2·17). The associations were consistently mediated by maternal anaemia during pregnancy (P < 0·001). In conclusion, excessive GWG rate appears to be associated with an increased risk of infant anaemia, partly independent of maternal anaemia during pregnancy that mediates the association.

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Consumption of Ultraprocessed Foods by Pregnant Women with Diabetes Mellitus (P11-021-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz048.p11-021-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Patricia Padilha ◽

Carolina Felizardo ◽

Claudia Saunders ◽

Letícia Cunha ◽

Amanda Pinheiro ◽

...

Keyword(s):

Diabetes Mellitus ◽

Weight Gain ◽

Glycemic Control ◽

Pregnant Women ◽

Gestational Weight Gain ◽

Caloric Intake ◽

Third Trimester ◽

Daily Consumption ◽

Gestational Weight ◽

The Third

Abstract Objectives To evaluate the consumption of ultraprocessed foods (UPF)by pregnant women with previous diabetes mellitus (DM) in use of the method of counting carbohydrates, besides investigating their association with the outcomes of total gestational weight gain and glycemic control. Methods A cohort study developed in a reference maternity hospital in the city of Rio de Janeiro, Brazil, with adult pregnant women with single fetus, with a diagnosis of DM prior to pregnancy, without other chronic morbidities. Food consumption was assessed by the semi-quantitative frequency of consumption questionnaire in the second and third quarters and the NOVA classification was used to identify the consumed of UPF. Measurements of weight were measured at all consultations and laboratory tests were evaluated at each gestational trimester. The multivariate linear regression was used in the analysis. Results Pregnant women (n = 42) presented mean total gestational gain of 12.02 ± 4.8 kg, 65.8% of them with inadequacy. The daily consumption of UPF was 317.29 ± 187.28 Kcal and 272.37 ± 170.55 Kcal, respectively, representing 16.9 ± 7.7% and 15.2 ± 10% of the average daily energy consumption. The increase of every 1 kcal in the caloric intake from UPF in the third trimester increased the glycated hemoglobin in the third trimester (β = 0.007, P = 0.025), 0.14mg/dL of postprandial 1-hour glycemia in the third trimester (β = 0.143, P = 0.011) and 0.11 kg in the total gestational weight gain (β = 0.11, P = 0.006). No associations were found for ultraprocessed foods consumption in the second trimester. Conclusions Ultraprocessed foods consumption was associated with the gestational endpoints glycemic control and total weight gain. It is necessary to intensify the strategies of orientation and nutritional education for pregnant women with previous DM in use of the method of counting carbohydrates. Funding Sources FAPERJ.

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When and How Should Chinese Pregnant Women Exercise? A Longitudinal Study in China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17010180 ◽

2019 ◽

Vol 17 (1) ◽

pp. 180

Author(s):

Mi Xiang ◽

Masayuki Konishi ◽

Huanhuan Hu ◽

Mio Nishimaki ◽

Hyeon-Ki Kim ◽

...

Keyword(s):

Physical Activity ◽

Weight Gain ◽

Longitudinal Study ◽

Pregnant Women ◽

Energy Intake ◽

Gestational Weight Gain ◽

Moderate Intensity ◽

Third Trimester ◽

Gestational Weight ◽

The Third

This study aimed to examine when and how physical activity (PA) influences gestational weight gain (GWG) and infant birthweight (BW) by considering the PA’s total volume, timing, intensity, and type, controlling for the influence of energy intake. A total of 1272 participants in different stages of pregnancy were recruited from hospital. The associations between PA and GWG or BW in the latter half of pregnancy were significant. Women with the highest PA volume in the third trimester had significantly lower risks of inadequate and excessive GWG by 69% (OR = 0.31, 95%CI: 0.10–0.91) and 67% (OR = 0.33, 95% CI: 0.12–0.91), respectively, compared to women in the lowest quartile. Women who achieved the recommended moderate intensity of PA during their second and third trimesters, independent of total volume of PA, had infants with significantly lower BWs compared to those who did not (β = −0.15, SE = 66.33, p = 0.04; β = −0.20, SE = 64.54, p = 0.01, respectively). Therefore, the effects of total volume and intensity of PA on GWG and BW were different. Interventions to prevent inappropriate GWG and macrosomia may need to set different priorities and timing regarding total volume or intensity of PA.

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699: The influence of maternal body composition (MBC) and gestational weight gain (GWG) on fetal body composition (FBC) in the third trimester

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2011.10.717 ◽

2012 ◽

Vol 206 (1) ◽

pp. S311

Author(s):

Clare O'Connor ◽

Nadine Farah ◽

Vicky O'Dwyer ◽

Mairead Kennelly ◽

Bernard Stuart ◽

...

Keyword(s):

Body Composition ◽

Weight Gain ◽

Gestational Weight Gain ◽

Third Trimester ◽

Maternal Body ◽

Gestational Weight ◽

The Third

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Factors Associated With Rates of Gestational Weight Gain Among Pregnant Women in West Sumatera, Indonesia

Current Developments in Nutrition ◽

10.1093/cdn/nzab046_118 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 821-821

Author(s):

Isman Susanto ◽

Nur Indrawaty Lipoeto ◽

Arif Sabta Aji

Keyword(s):

Weight Gain ◽

Pregnant Women ◽

Gestational Weight Gain ◽

Calorie Intake ◽

P Value ◽

Institute Of Medicine ◽

Third Trimester ◽

Factors Associated ◽

Gestational Weight ◽

The Third

Abstract Objectives Gestational weight gain (GWG) is an important anthropometric indicator for maternal nutritional status. This study analyzed to determine factors associated with rates of gestational weight gain among women in the third trimester in West Sumatera, Indonesia. Methods This cross-sectional study was conducted among healthy pregnant women in the third trimester in West Sumatera, Indonesia. A total 195 pregnant women attending at each public health center were enrolled in the present study from September 2017 to March 2018. Information regarding demographic characteristics, obstetrical history, physical activity, calorie intake, and anthropometric was assessed through direct interview. GWG rates were determined based on recommendations of Institute of Medicine (IOM) 2009. Results Of the 195 pregnant women, more than half of the women were GWG inadequate 53.3%, adequate 34.4%, and excessive 12.3%. Prepregnancy BMI were overweight/obese 43.1%, normal 46.7%, underweight 10.3%. The multinomial logistic model indicates than women who were overweight or obese at pre-pregnancy were 17 times more likely to have excessive GWG rate (p-value < 0.01) as compared to women who were pre-pregnancy normal weight. Conclusions Women who were overweight/obese at pre-pregnancy were at-risk of having excessive GWG rate, which underlines the importance of targeting these women for pre-conception counseling or health education on GWG. Funding Sources Indonesian Danone Institute Foundation.

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Part of the Fat Component in the Structure of Gestational Weight Gain

Galician Medical Journal ◽

10.21802/gmj.2018.1.12 ◽

2018 ◽

Vol 25 (1) ◽

Author(s):

Svitlana Ostafiichuk

Keyword(s):

Body Composition ◽

Weight Gain ◽

Pregnant Women ◽

Gestational Weight Gain ◽

Fat Mass ◽

First Trimester ◽

The Body ◽

Third Trimester ◽

Gestational Weight ◽

The Third

Gestational weight gain (GWG), which is more or less of the recommended guidelines, has serious short- and long-term negative consequences for the health of the mother and children. Determining the dynamics of body composition during pregnancy is important for full antenatal care in order to prevent pathological weight gain and prevention of gestational complications.Objective: Our goal was to determine the proportion of fat component in the structure of GWG in women with normal body weight before pregnancy. Design: 153 pregnant women aged 18-43 years with normal pre-pregnancy body mass index (pBMI) were examined. BMI was calculated by using the standard formula of person’s weight in kilograms divided by the square of his height in meters (kg/m2). Total weight gain was calculated by subtracting the pre-pregnancy weight from the last measured weight before delivery. The body composition (fat mass (FM), fat-free mass (FFM), and the percentage of fat mass (%FM)) was calculated on the basis of bioelectrical impedance analysis (BIA) using the ‘DIAMANT-AIST’ analyzer (St. Petersburg). Statistical analyses were carried out using Statistical program "Statistica 5.5".Results: It has been established that in women of normal weight before pregnancy, GWG was directly proportional to an increase in the fraction of FM (r=0.87; p<0.001). In pregnant with the recommended GWG, FM increased monotonous in the first and second trimesters and subsequently stabilized. In patients with insufficient GWG, fat component increased similarly (p>0.05), however, it was accompanied by low growth of the FFM, especially in the third trimester (p<0.05). Pregnant women with excessive GWG were more likely to gain weight in the first trimester mainly due to the accumulation of FM (p<0.05), and this tendency remained until delivery r=0.99 (p<0.01).Conclusion: In women with normal GWG there is a monotonous increase in fat component in the first and second trimesters, and subsequently stabilized, which promotes adequate weight reduction after childbirth. In patients with high GWG, the excessive increase in the proportion of FM and, consequently, a rapid increase in weight in the first trimester of pregnancy, initiates further accumulation of adipose tissue and slows down its reduction in the postpartum period. In pregnant women with low weight gain there is adequate increase of FM but an insufficient increase of FFM, especially in the third trimester, which leads to the development of placental hypoplasia and small-for-gestational age.

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The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1712132 ◽

2020 ◽

Vol 42 (06) ◽

pp. 316-324

Author(s):

Daiane Sofia Morais Paulino ◽

Maira Pinho-Pompeu ◽

Fernanda Raikov ◽

Juliana Vasconcellos Freitas-Jesus ◽

Helymar Costa Machado ◽

...

Keyword(s):

Weight Gain ◽

Sleep Duration ◽

Gestational Weight Gain ◽

Overweight And Obesity ◽

The Body ◽

Stepwise Logistic Regression ◽

Cross Sectional ◽

Gestational Weight ◽

Health Related Behaviors ◽

Health Related

Abstract Objective To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity. Methods A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed. Results The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35–6.46 and OR = 1.91; 95%CI: 1.01–3.63, respectively) and stress (OR = 1.63; 95%CI 1.01–2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03–2.96). Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

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