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Is it appropriate for Korean women to adopt the 2009 Institute of Medicine recommendations for gestational weight gain?
PLoS One. 2017; 12(7):e0181164.Plos

Abstract

BACKGROUND

The 2009 Institute of Medicine (IOM) guidelines for gestational weight gain (GWG) are intended for use among women in the United States. Little data are available on whether the 2009 IOM recommendations can be applied to Asian women. This study aimed to evaluate whether the recommendations are related to adverse pregnancy outcomes in Korean pregnant women.

METHODS AND FINDINGS

A retrospective cohort study was conducted for all singleton-pregnant women at a university hospital in Korea. After classifying the enrolled women into four Korean pre-pregnancy body mass index (BMI) categories, the risk of adverse pregnancy outcomes were analyzed for women who gained inadequate or excessive GWG based on 2009 IOM recommendations. Of 7,843 pregnancies, 64.0% of women had normal pre-pregnancy BMI and 42.7% achieved optimal GWG. Across all BMI categories, adverse pregnancies outcomes such as small for gestational age (SGA), large for gestational age (LGA), preterm birth, preeclampsia, and cesarean due to dystocia were significantly associated with GWG (all P ≤ 0.001).Women with normal BMI who gained inadequate weight were more likely to develop SGA and preterm birth and less likely to develop LGA (adjusted odds ratio (aOR) 2.21, 1.33, and 0.54, respectively). Whereas, women with normal BMI who gained excessive weight were more likely to develop LGA, preterm birth, preeclampsia, and cesarean section due to dystocia (aOR 2.10, 1.33, 1.37, and 1.37, respectively) and less likely to develop SGA (aOR 0.60).

CONCLUSIONS

It is tolerable for Korean women to follow recommended GWG from the 2009 IOM guidelines to decrease adverse pregnancy outcomes. This will be helpful for antenatal care on GWG not only for Korean pregnant women, but also other Asian women who have lower BMI criteria than Caucasian women.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28704550

Citation

Wie, Jeong Ha, et al. "Is It Appropriate for Korean Women to Adopt the 2009 Institute of Medicine Recommendations for Gestational Weight Gain?" PloS One, vol. 12, no. 7, 2017, pp. e0181164.
Wie JH, Park IY, Namkung J, et al. Is it appropriate for Korean women to adopt the 2009 Institute of Medicine recommendations for gestational weight gain? PLoS One. 2017;12(7):e0181164.
Wie, J. H., Park, I. Y., Namkung, J., Seo, H. W., Jeong, M. J., & Kwon, J. Y. (2017). Is it appropriate for Korean women to adopt the 2009 Institute of Medicine recommendations for gestational weight gain? PloS One, 12(7), e0181164. https://doi.org/10.1371/journal.pone.0181164
Wie JH, et al. Is It Appropriate for Korean Women to Adopt the 2009 Institute of Medicine Recommendations for Gestational Weight Gain. PLoS One. 2017;12(7):e0181164. PubMed PMID: 28704550.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is it appropriate for Korean women to adopt the 2009 Institute of Medicine recommendations for gestational weight gain? AU - Wie,Jeong Ha, AU - Park,In Yang, AU - Namkung,Jeong, AU - Seo,Hae Won, AU - Jeong,Min Jin, AU - Kwon,Ji Young, Y1 - 2017/07/13/ PY - 2017/01/31/received PY - 2017/06/26/accepted PY - 2017/7/14/entrez PY - 2017/7/14/pubmed PY - 2017/9/30/medline SP - e0181164 EP - e0181164 JF - PloS one JO - PLoS One VL - 12 IS - 7 N2 - BACKGROUND: The 2009 Institute of Medicine (IOM) guidelines for gestational weight gain (GWG) are intended for use among women in the United States. Little data are available on whether the 2009 IOM recommendations can be applied to Asian women. This study aimed to evaluate whether the recommendations are related to adverse pregnancy outcomes in Korean pregnant women. METHODS AND FINDINGS: A retrospective cohort study was conducted for all singleton-pregnant women at a university hospital in Korea. After classifying the enrolled women into four Korean pre-pregnancy body mass index (BMI) categories, the risk of adverse pregnancy outcomes were analyzed for women who gained inadequate or excessive GWG based on 2009 IOM recommendations. Of 7,843 pregnancies, 64.0% of women had normal pre-pregnancy BMI and 42.7% achieved optimal GWG. Across all BMI categories, adverse pregnancies outcomes such as small for gestational age (SGA), large for gestational age (LGA), preterm birth, preeclampsia, and cesarean due to dystocia were significantly associated with GWG (all P ≤ 0.001).Women with normal BMI who gained inadequate weight were more likely to develop SGA and preterm birth and less likely to develop LGA (adjusted odds ratio (aOR) 2.21, 1.33, and 0.54, respectively). Whereas, women with normal BMI who gained excessive weight were more likely to develop LGA, preterm birth, preeclampsia, and cesarean section due to dystocia (aOR 2.10, 1.33, 1.37, and 1.37, respectively) and less likely to develop SGA (aOR 0.60). CONCLUSIONS: It is tolerable for Korean women to follow recommended GWG from the 2009 IOM guidelines to decrease adverse pregnancy outcomes. This will be helpful for antenatal care on GWG not only for Korean pregnant women, but also other Asian women who have lower BMI criteria than Caucasian women. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/28704550/Is_it_appropriate_for_Korean_women_to_adopt_the_2009_Institute_of_Medicine_recommendations_for_gestational_weight_gain L2 - https://dx.plos.org/10.1371/journal.pone.0181164 DB - PRIME DP - Unbound Medicine ER -