ArticlePaediatric and perinatal epidemiology2018
Gestational Weight Gain-for-Gestational Age Z-Score Charts Applied across U.S. Populations.
Article in Paediatric and perinatal epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Trends in Gestational Weight Gain From 2007 to 2019: A Prospective Cohort Study.Paediatric and perinatal epidemiology · 2026Article
- Trends and Racial and Ethnic Disparities in Maternal Cardiovascular Health in California.Journal of the American Heart Association · 2025Article
- Methods for modeling gestational weight gain: empirical application using electronic health record data from a safety net population.BMC pregnancy and childbirth · 2025Article
- 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
- Maternal Health During the COVID-19 Pandemic in the United States: An Interrupted Time-series Analysis.Epidemiology (Cambridge, Mass.) · 2024Article
- Polybrominated diphenyl ethers and gestational weight gain: a multi-center prospective cohort study.BJOG : an international journal of obstetrics and gynaecology · 2024Article
- Weight Loss, Stability, and Low Weight Gain during Pregnancy among Individuals with Obesity: Associations with Adverse Perinatal Outcomes: An Observational Study.American journal of perinatology · 2024Observational
- Safety of low weight gain or weight loss in pregnancies with class 1, 2, and 3 obesity: a population-based cohort study.Lancet (London, England) · 2024Article
- Associations between gestational weight gain under different guidelines and adverse birth outcomes: A secondary analysis of a randomized controlled trial in rural western China.PLOS global public health · 2024Article
- Sugar-Sweetened Beverage Taxes and Perinatal Health: A Quasi-Experimental Study.American journal of preventive medicine · 2023Article
- Neighborhood Food Environment and Birth Weight Outcomes in New York City.JAMA network open · 2023Article
- Novel approaches to examining weight changes in pregnancies affected by obesity.The American journal of clinical nutrition · 2023Article
- Association between gestational weight gain and preterm birth and post-term birth: a longitudinal study from the National Vital Statistics System database.BMC pediatrics · 2023Article
- Insights into Prevention of Health Complications in Small for Gestational Age (SGA) Births in Relation to Maternal Characteristics: A Narrative Review.Journal of clinical medicine · 2023Review
- Risk factors and pregnancy outcomes vary among Asian American, Native Hawaiian, and Pacific Islander individuals giving birth in California.Annals of epidemiology · 2022Article
- Prepregnancy weight change associated with high gestational weight gain.Obesity (Silver Spring, Md.) · 2022Article
- Weight gain during pregnancy and the risk of severe maternal morbidity by prepregnancy BMI.The American journal of clinical nutrition · 2020Article
- The Current Understanding of Gestational Weight Gain Among Women with Obesity and the Need for Future Research.NAM perspectives · 2020Review
- The association between gestational weight gain z-score and stillbirth: a case-control study.BMC pregnancy and childbirth · 2019Article
- Gestational Weight Gain and Adverse Birth Outcomes in Twin Pregnancies.Obstetrics and gynecology · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundGestational weight gain may be a modifiable contributor to infant health outcomes, but the effect of gestational duration on gestational weight gain has limited the identification of optimal weight gain ranges. Recently developed z-score and percentile charts can be used to classify gestational weight gain independent of gestational duration. However, racial/ethnic variation in gestational weight gain and the possibility that optimal weight gain differs among racial/ethnic groups could affect generalizability of the z-score charts. The objectives of this study were (1) to apply the weight gain z-score charts in two different U.S. populations as an assessment of generalisability and (2) to determine whether race/ethnicity modifies the weight gain range associated with minimal risk of preterm birth.
methodsThe study sample included over 4 million live, singleton births in California (2007-2012) and Pennsylvania (2003-2013). We implemented a noninferiority margin approach in stratified subgroups to determine weight gain ranges for which the adjusted predicted marginal risk of preterm birth (gestation <37 weeks) was within 1 or 2 percentage points of the lowest observed risk.
resultsThere were minimal differences in the optimal ranges of gestational weight gain between California and Pennsylvania births, and among several racial/ethnic groups in California. The optimal ranges decreased as severity of prepregnancy obesity increased in all groups.
conclusionsThe findings support the use of weight gain z-score charts for studying gestational age-dependent outcomes in diverse U.S. populations and do not support weight gain recommendations tailored to race/ethnicity.
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