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Maternal weight gain in women with gestational diabetes mellitus.
J Perinat Med. 2013 Sep 01; 41(5):523-8.JP

Abstract

OBJECTIVE

The aim of the study was to examine the perinatal outcomes in gestational diabetes in women with body mass index (BMI)-adjusted gestational weight gain (GWG) according to the Institute of Medicine (IOM) 2009 recommendations.

MATERIAL AND METHODS

The clinic's database was used to analyze 675 singleton GDM pregnancy outcomes. GWG for the entire pregnancy was compared to IOM recommendations and adjusted for prepregnancy BMI categories: underweight <18.5; normal 18.5-24.9; overweight 25-29.9; and obese >30. The study group was divided into three categories: below IOM limits, within IOM limits and above IOM limits.

RESULTS

Only 37% of women achieved the proper weight gain (n=256). Almost 30% of women with GDM (n=196) had an excessive weight gain. GWG above limits was associated with a significantly higher neonatal measurements and a higher rate of large-for-gestational-age neonates. In underweight and normal-prepregnancy-weight women, no relation between GWG and birth-weight percentile was noted. For the overweight and obese women, a positive significant correlation between GWG until GDM diagnosis and birth-weight percentile was noted (P=0.002), which was not present when GWG until delivery was considered.

CONCLUSIONS

Limited weight gain in overweight and obese women with gestational diabetes mellitus results in favourable pregnancy outcomes.

Authors+Show Affiliations

First Department of Obstetrics and Gynaecology, Medical University of Warsaw, Poland. edytahorosz@tlen.plNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23492551

Citation

Horosz, Edyta, et al. "Maternal Weight Gain in Women With Gestational Diabetes Mellitus." Journal of Perinatal Medicine, vol. 41, no. 5, 2013, pp. 523-8.
Horosz E, Bomba-Opon DA, Szymanska M, et al. Maternal weight gain in women with gestational diabetes mellitus. J Perinat Med. 2013;41(5):523-8.
Horosz, E., Bomba-Opon, D. A., Szymanska, M., & Wielgos, M. (2013). Maternal weight gain in women with gestational diabetes mellitus. Journal of Perinatal Medicine, 41(5), 523-8. https://doi.org/10.1515/jpm-2012-0254
Horosz E, et al. Maternal Weight Gain in Women With Gestational Diabetes Mellitus. J Perinat Med. 2013 Sep 1;41(5):523-8. PubMed PMID: 23492551.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal weight gain in women with gestational diabetes mellitus. AU - Horosz,Edyta, AU - Bomba-Opon,Dorota A, AU - Szymanska,Monika, AU - Wielgos,Miroslaw, PY - 2012/10/29/received PY - 2013/02/25/accepted PY - 2013/3/16/entrez PY - 2013/3/16/pubmed PY - 2014/4/26/medline SP - 523 EP - 8 JF - Journal of perinatal medicine JO - J Perinat Med VL - 41 IS - 5 N2 - OBJECTIVE: The aim of the study was to examine the perinatal outcomes in gestational diabetes in women with body mass index (BMI)-adjusted gestational weight gain (GWG) according to the Institute of Medicine (IOM) 2009 recommendations. MATERIAL AND METHODS: The clinic's database was used to analyze 675 singleton GDM pregnancy outcomes. GWG for the entire pregnancy was compared to IOM recommendations and adjusted for prepregnancy BMI categories: underweight <18.5; normal 18.5-24.9; overweight 25-29.9; and obese >30. The study group was divided into three categories: below IOM limits, within IOM limits and above IOM limits. RESULTS: Only 37% of women achieved the proper weight gain (n=256). Almost 30% of women with GDM (n=196) had an excessive weight gain. GWG above limits was associated with a significantly higher neonatal measurements and a higher rate of large-for-gestational-age neonates. In underweight and normal-prepregnancy-weight women, no relation between GWG and birth-weight percentile was noted. For the overweight and obese women, a positive significant correlation between GWG until GDM diagnosis and birth-weight percentile was noted (P=0.002), which was not present when GWG until delivery was considered. CONCLUSIONS: Limited weight gain in overweight and obese women with gestational diabetes mellitus results in favourable pregnancy outcomes. SN - 1619-3997 UR - https://www.unboundmedicine.com/medline/citation/23492551/Maternal_weight_gain_in_women_with_gestational_diabetes_mellitus_ L2 - https://www.degruyter.com/doi/10.1515/jpm-2012-0254 DB - PRIME DP - Unbound Medicine ER -