ArticleInternational journal of obesity (2005)2016
Changing national guidelines is not enough: the impact of 1990 IOM recommendations on gestational weight gain among US women.
Article in International journal of obesity (2005), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gestational weight gain outside the Institute of Medicine recommendations and adverse pregnancy outcomes: analysis using individual participant data from randomised trials.BMC pregnancy and childbirth · 2019Pooled it
- Class II obese and healthy pregnant controls exhibit indistinguishable pro- and anti-inflammatory immune responses to Caesarian section.Immunity, inflammation and disease · 2017Trial
- Trends in Gestational Weight Gain From 2007 to 2019: A Prospective Cohort Study.Paediatric and perinatal epidemiology · 2026Article
- The effect of the 2009 revised U.S. guidelines for gestational weight gain on maternal and infant health: a quasi-experimental study.BMC pregnancy and childbirth · 2023Article
- Analysis and Comparison of Early Childhood Nutritional Outcomes Among Offspring of Chinese Women Under the Chinese 2021 and US 2009 Gestational Weight Gain Guidelines.JAMA network open · 2022Article
- The impact of IOM recommendations on gestational weight gain among US women: An analysis of birth records during 2011-2019.PLOS global public health · 2022Article
- Prevalence and determinants of gestational weight gain among pregnant women in Niger.Maternal & child nutrition · 2020Article
- The Impact of the Revised WIC Food Package on Maternal Nutrition During Pregnancy and Postpartum.American journal of epidemiology · 2019Article
- Patient Attitudes toward Gestational Weight Gain and Exercise during Pregnancy.Journal of pregnancy · 2019Article
- Multilevel Interventions Targeting Obesity: Research Recommendations for Vulnerable Populations.American journal of preventive medicine · 2017Article
- Effect of Maternal Obesity on Foetal Growth and Metabolic Health of the Offspring.Obesity facts · 2017Review
- Perspectives in obesity and pregnancy.Women's health (London, England) · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
BACKGROUND AND
objectivesGestational weight gain (GWG) is associated with both long- and short-term maternal and child health outcomes, particularly obesity. Targeting maternal nutrition through policies is a potentially powerful pathway to influence these outcomes. Yet prior research has often failed to evaluate national policies and guidelines that address maternal and child health. In 1990, the U.S. Institute of Medicine (IOM) released guidelines recommending different GWG thresholds based on women's pre-pregnancy body mass index (BMI), with the goal of improving infant birth weight. In this study, we employ quasi-experimental methods to examine whether the release of the IOM guidelines led to changes in GWG among a diverse and nationally representative sample of women.
methodsOur sample included female participants of the National Longitudinal Survey of Youth who self-reported GWG for pregnancies during 1979-2000 (n=7442 pregnancies to 4173 women). We compared GWG before and after the guidelines were released using difference-in-differences (DID) and regression discontinuity (RD) analyses.
resultsIn DID analyses we found no reduction in GWG among overweight/obese women relative to normal/underweight women. Meanwhile, RD analyses demonstrated no changes in GWG by pre-pregnancy BMI for either overweight/obese or normal/underweight women. Results were similar for women regardless of educational attainment, race or parity.
conclusionsThese findings suggest that national guidelines had no effect on weight gain among pregnant women. These results have implications for the implementation of policies targeting maternal and child health via dietary behaviors.
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