ArticleEpidemiology (Cambridge, Mass.)2016
Low Gestational Weight Gain and Risk of Adverse Perinatal Outcomes in Obese and Severely Obese Women.
Article in Epidemiology (Cambridge, Mass.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
19 citing papers in PubMed, 39 citations in OpenAlex.
- The association between self-reported total gestational weight gain by pre-pregnancy body mass index and moderate to late preterm birth.BMC pregnancy and childbirth · 2025Article
- Do current pregnancy weight gain guidelines balance risks of adverse maternal and child health in a United States cohort?The American journal of clinical nutrition · 2024Article
- Low gestational weight gain (+2.0 to 4.9 kg) for singleton-term gestations associated with favorable perinatal outcomes for all prepregnancy obesity classes.AJOG global reports · 2023Article
- Novel approaches to examining weight changes in pregnancies affected by obesity.The American journal of clinical nutrition · 2023Article
- Weight gain patterns among pregnancies with obesity and small- and large-for-gestational-age births.Obesity (Silver Spring, Md.) · 2023Article
- The importance of nutrition in pregnancy and lactation: lifelong consequences.American journal of obstetrics and gynecology · 2022Review
- Maternal characteristics associated with gestational weight gain in France: a population-based, nationally representative study.BMJ open · 2021Article
- The impact of setting a pregnancy weight gain goal on total weight gain.Paediatric and perinatal epidemiology · 2021Article
- Weight gain during pregnancy and the risk of severe maternal morbidity by prepregnancy BMI.The American journal of clinical nutrition · 2020Article
- Body Composition During Pregnancy Differs by Obesity Class.Obesity (Silver Spring, Md.) · 2020Article
- Nutrition and Metabolic Adaptations in Physiological and Complicated Pregnancy: Focus on Obesity and Gestational Diabetes.Frontiers in endocrinology · 2020Review
- The Current Understanding of Gestational Weight Gain Among Women with Obesity and the Need for Future Research.NAM perspectives · 2020Review
- Association between gestational weight gain and severe adverse birth outcomes in Washington State, US: A population-based retrospective cohort study, 2004-2013.PLoS medicine · 2019Article
- Gestational Weight Gain Particularly Affects the Risk of Large for Gestational Age Infants in Non-obese Mothers.Geburtshilfe und Frauenheilkunde · 2019Article
- Gestational Weight Gain and Adverse Birth Outcomes in Twin Pregnancies.Obstetrics and gynecology · 2019Article
- Energy Intake Requirements in Pregnancy.Nutrients · 2019Review
- Evidence-based recommendations for energy intake in pregnant women with obesity.The Journal of clinical investigation · 2019Observational
- Weight gain during pregnancy and the black-white disparity in preterm birth.Annals of epidemiology · 2017Observational
- Vitamin D status and gestational weight gain: A narrative review of maternal and fetal metabolic risk.Women's health (London, England)Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundOur objective was to estimate associations between gestational weight gain z scores and preterm birth, neonatal intensive care unit admission, large- and small-for-gestational age birth, and cesarean delivery among grades 1, 2, and 3 obese women.
methodsWe included singleton infants born in Pennsylvania (2003-2011) to grade 1 (body mass index 30-34.9 kg/m, n = 148,335), grade 2 (35-39.9 kg/m, n = 72,032), or grade 3 (≥40 kg/m, n = 47,494) obese mothers. Total pregnancy weight gain (kg) was converted to gestational age-standardized z scores. Multivariable Poisson regression models stratified by obesity grade were used to estimate associations between z scores and outcomes. A probabilistic bias analysis, informed by an internal validation study, evaluated the impact of body mass index and weight gain misclassification.
resultsRisks of adverse outcomes did not substantially vary within the range of z scores equivalent to 40-week weight gains of -4.3 to 9 kg for grade 1 obese, -8.2 to 5.6 kg for grade 2 obese, and -12 to -2.3 kg for grade 3 obese women. As gestational weight gain increased beyond these z score ranges, there were slight declines in risk of small-for-gestational age birth but rapid rises in cesarean delivery and large-for-gestational age birth. Risks of preterm birth and neonatal intensive care unit admission were weakly associated with weight gain. The bias analysis supported the validity of the conventional analysis.
conclusionsGestational weight gain below national recommendations for obese mothers (5-9 kg) may not be adversely associated with fetal growth, gestational age at delivery, or mode of delivery.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.