Effect of Gestational Weight Gain on Overweight and Obese Pregnant Women

Main Article Content

Prasert Sunsaneevitayakul
Nalat Sompagdee
Maria Asad- Dehghan
Pattarawalai Talungchit

Abstract

Objective: To examine the adherence of gestational weight gain (GWG) recommendations and pregnancy outcomes among overweight and obese pregnant women.
Materials and Methods: The medical records of 405 overweight or obese pregnant women who delivered at Siriraj Hospital between September 2018 and June 2019 were reviewed. The adherence to GWG recommendations according to pre-pregnancy body mass index (BMI) was examined. The characteristics and pregnancy outcomes of the overweight and obese pregnancies as well as between the adherence and non-adherence to the GWG recommendations groups were studied and compared between the groups.
Results: Adherence to the GWG recommendations between the overweight and obese pregnancy groups were significantly different at 60.2% and 44% respectively (p-value = 0.002), although the average GWG was significantly lower in the obese than overweight pregnancies (p-value = 0.003). Pre-pregnancy BMI was significantly higher in the non-adherence group compared with the adherence group (p-value = 0.025). Pregnancy outcomes as well as the prevalence of gestational diabetes mellitus between these two groups were comparable. Also, adverse pregnancy outcomes were not statistically significantly different among the adherence and non-adherence groups.
Conclusion: The adherence to gestational weight gain recommendations in obese and overweight pregnancies is still a challenge. Obese pregnant women are less likely to control weight gain during pregnancy. Pre-pregnancy BMI is an important factor for overweight and obese pregnant women to achieve the GWG goal. Ensuring a proper GWG alone might not improve most adverse pregnancy outcomes in overweight and obese pregnancies.

Downloads

Download data is not yet available.

Article Details

How to Cite
Sunsaneevitayakul, P. ., Sompagdee, N. ., Dehghan, M. A.-. ., & Talungchit, P. . (2022). Effect of Gestational Weight Gain on Overweight and Obese Pregnant Women. Siriraj Medical Journal, 74(6), 364–370. https://doi.org/10.33192/Smj.2022.44
Section
Original Article

References

Leonard SA, Carmichael SL, Main EK, Lyell DJ, Abrams B. Risk of severe maternal morbidity in relation to prepregnancy body mass index: Roles of maternal co-morbidities and caesarean birth. Paediatr Perinat Epidemiol. 2020;34(4):460-8.

Lisonkova S, Muraca GM, Potts J, Liauw J, Chan WS, Skoll A, et al. Association Between Prepregnancy Body Mass Index and Severe Maternal Morbidity. JAMA. 2017;318(18):1777-86.

Liu P, Xu L, Wang Y, Zhang Y, Du Y, Sun Y, et al. Association between perinatal outcomes and maternal pre-pregnancy body mass index. Obes Rev. 2016;17(11):1091-102.

Asanathong N, Jiamjira-anon N, Eiamcharoenwit (Thonsontia) J, Mantaga S, Thanakiattiwibun C, Siriussawakul A, et al. Incidence of Adverse Perioperative Airway Complications in Obese Non-Pregnant and Pregnant Patients Undergoing General Anesthesia. Siriraj Med J. 2022;74(3): 178-84.

Jin C, Lin L, Han N, Zhao Z, Liu Z, Luo S, et al. Excessive gestational weight gain and the risk of gestational diabetes: Comparison of Intergrowth-21st standards, IOM recommendations and a local reference. Diabetes Res Clin Pract. 2019;158:107912.

Champion ML, Harper LM. Gestational Weight Gain: Update on Outcomes and Interventions. Curr Diab Rep. 2020;20(3):11.

Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, et al. Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis. JAMA. 2017;317(21):2207-25.

Rogozinska E, Zamora J, Marlin N, Betran AP, Astrup A, Bogaerts A, et al. Gestational weight gain outside the Institute of Medicine recommendations and adverse pregnancy outcomes: analysis using individual participant data from randomised trials. BMC Pregnancy Childbirth. 2019;19(1):322.

Santos S, Voerman E, Amiano P, Barros H, Beilin LJ, Bergstrom A, et al. Impact of maternal body mass index and gestational weight gain on pregnancy complications: an individual participant data meta-analysis of European, North American and Australian cohorts. BJOG. 2019;126(8):984-95.

Zhao R, Xu L, Wu ML, Huang SH, Cao XJ. Maternal prepregnancy body mass index, gestational weight gain influence birth weight. Women Birth. 2018;31(1):e20-e5.

Zhang D, Zhang L, Wang Z. The relationship between maternal weight gain in pregnancy and newborn weight. Women Birth. 2019;32(3):270-5.

Sun Y, Shen Z, Zhan Y, Wang Y, Ma S, Zhang S, et al. Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications. BMC Pregnancy Childbirth. 2020;20(1):390.

Gesche J, Nilas L. Pregnancy outcome according to pre-pregnancy body mass index and gestational weight gain. Int J Gynaecol Obstet. 2015;129(3):240-3.

Sitticharoon C, Klinjampa R, Souvannavong-Vilivong X, Chatree S, Boonpuan P, Sripong C, et al. Serum Neuropeptide Y and Leptin Levels compared between Non-pregnant and Pregnant Women in Overall, Non-obese, and Obese Subjects. Siriraj Med J 2018;70: 204-212

Sitticharoon C, Souvannavong-Vilivong X, Klinjampa R, Churintaraphan M, Nway NC, Keadkraichaiwat I, et al. Serum Adiponectin, Visfatin, and Omentin Compared between Non-pregnant and Pregnant Women in Overall, Non-obese, and Obese subjects. Siriraj Med J 2018;70:219-26

Ruangvutilert P, Sampaojarean U, Boriboonhirunsarn D. Knowledge of Pregnant Women on Gestational Weight Gain and Associated Factors. Thai J Obstet Gynaecol. 2021;29(4):208-16.

Shub A, Huning EY, Campbell KJ, McCarthy EA. Pregnant women’s knowledge of weight, weight gain, complications of obesity and weight management strategies in pregnancy. BMC Res Notes. 2013;6:278.

Sawangkum P, Louis JM. Gestational Weight Gain: Achieving a Healthier Weight Between Pregnancies. Obstet Gynecol Clin North Am. 2020;47(3):397-407.

Lamminpaa R, Vehvilainen-Julkunen K, Schwab U. A systematic review of dietary interventions for gestational weight gain and gestational diabetes in overweight and obese pregnant women. Eur J Nutr. 2018;57(5):1721-36.

Sunsaneevithayakul P, Titapant V, Ruangvutilert P, Sutantawibul A, Phatihattakorn C, Wataganara T, et al. Relation between gestational weight gain and pregnancy outcomes. J Obstet Gynaecol Res. 2014;40(4):995-1001.

Rasmussen KM, Yaktine AL, editors. Weight Gain During Pregnancy: Reexamining the Guidelines. The National Academies Collection: Reports funded by National Institutes of Health. Washington (DC), 2009.

Yang Z, Phung H, Freebairn L, Sexton R, Raulli A, Kelly P. Contribution of maternal overweight and obesity to the occurrence of adverse pregnancy outcomes. Aust N Z J Obstet Gynaecol. 2019;59(3):367-74.

Fallatah AM, Babatin HM, Nassibi KM, Banweer MK, Fayoumi MN, Oraif AM. Maternal and Neonatal Outcomes among Obese Pregnant Women in King Abdulaziz University Hospital: A Retrospective Single-Center Medical Record Review. Med Arch. 2019;73(6):425-432. doi:10.5455/medarh.2019.73.425-432.

Bennett CJ, Walker RE, Blumfield ML, Gwini SM, Ma J, Wang F, et al. Interventions designed to reduce excessive gestational weight gain can reduce the incidence of gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials. Diabetes Res Clin Pract. 2018;141:69-79.

Hedderson MM, Gunderson EP, Ferrara A. Gestational weight gain and risk of gestational diabetes mellitus. Obstet Gynecol. 2010;115(3):597-604.

Champion ML, Harper LM. Gestational Weight Gain: Update on Outcomes and Interventions. Curr Diab Rep. 2020;20(3):11.

Muktabhant B, Lawrie T, Lumbiganon P, Laopaiboon M. Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database Syst Rev. 2015;6: CD007145.

Farpour-Lambert NJ, Ells LJ, Martinez de Tejada B, Scott C. Obesity and Weight Gain in Pregnancy and Postpartum: an Evidence Review of Lifestyle Interventions to Inform Maternal and Child Health Policies. Front Endocrinol (Lausanne). 2018;9:546.

LifeCycle Project-Maternal Obesity and Childhood Outcomes Study Group, Voerman E, Santos S, Inskip H, Amiano P, Barros H, et al. Association of Gestational Weight Gain With Adverse Maternal and Infant Outcomes. JAMA. 2019;321(17):1702-15.