ArticleEuropean journal of nutrition2019
Macronutrient composition and food groups associated with gestational weight gain: the GUSTO study.
Article in European journal of nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 38 citations in OpenAlex.
- Harnessing generalized structural equation modelling to understand the pathway linking maternal and child factors to fruit and vegetable intake trajectories from toddlerhood to adolescence.European journal of nutrition · 2026Article
- 2020-2025 Dietary Guidelines for Americans in Pregnancy: Adherence Shortfalls and Associations with Gestational Weight Gain.The Journal of nutrition · 2026Article
- Association of maternal dietary patterns in early pregnancy with gestational weight gain: Yazd Birth Cohort.International journal of reproductive biomedicine · 2025Article
- Perinatal Plasma Carotenoids and Vitamin E Concentrations with Glycemia and Insulin Resistance in Women during and after Pregnancy.Nutrients · 2023Article
- Changes in Diet Quality from Pregnancy to 6 Years Postpregnancy and Associations with Cardiometabolic Risk Markers.Nutrients · 2023Article
- Gestational Health Outcomes Among Pregnant Women in the United States by Level of Dairy Consumption and Quality of Diet, NHANES 2003-2016.Maternal and child health journal · 2022Article
- A Golden Thread approach to transforming Maternal and Child Health in Singapore.BMC pregnancy and childbirth · 2022Article
- Determinants of excessive gestational weight gain: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2022Article
- Development and Validation of a Lifestyle Behavior Tool in Overweight and Obese Women through Qualitative and Quantitative Approaches.Nutrients · 2021Article
- Association of weight status and carbohydrate intake with gestational weight gain.Clinical obesity · 2021Article
- The Relationship of Diet and Physical Activity with Weight Gain and Weight Gain Prevention in Women of Reproductive Age.Journal of clinical medicine · 2021Review
- Association of Maternal Dietary Patterns With Birth Weight and the Mediation of Gestational Weight Gain: A Prospective Birth Cohort.Frontiers in nutrition · 2021Article
- Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy.International journal of environmental research and public health · 2020Article
- Relationships between excessive gestational weight gain and energy and macronutrient intake in pregnant women.The Journal of international medical research · 2020Article
- Factors associated with gestational weight gain: a cross-sectional survey.BMC pregnancy and childbirth · 2018Article
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Authors and funding
13 authors at 7 institutions in 3 countries.
Funding
Abstract
purposeTo examine the associations of energy, macronutrient and food intakes with GWG on 960 pregnant women from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) mother-offspring cohort.
methodsDietary intake was assessed at 26-28 weeks' gestation with a 24-hour recall and 3-day food diary. GWG z-scores were calculated from first (4-13 weeks' gestation) and last (30-40 weeks gestation) measured weights; inadequate and excessive GWG were defined using the Institute of Medicine recommendations based on weights between 15 and 35 weeks' gestation. Associations were examined using substitution models for macronutrient composition, with linear or multinomial logistic regressions.
resultsMean ± SD daily energy intake was 1868 ± 598 kcal, and percentage energy intakes were 51.8 ± 8.9% from carbohydrate, 15.7 ± 3.9% from protein and 32.6 ± 7.7% from fat. Higher energy intake (per 500 kcal increment) was associated with 0.18 SD higher GWG. In isocaloric diets, higher-carbohydrate and lower-fat intakes (at 5% energy substitution) were associated with 0.07 SD higher GWG, and 14% higher likelihood of excessive GWG. Concordantly, the highest tertile of carbohydrate-rich foods intake was associated with 0.20 SD higher GWG, but the highest tertile of fruit and vegetable intake was independently associated with 60% lower likelihood of inadequate GWG. Additionally, the highest tertile of dairy intake was associated with 0.18 SD lower GWG; and the highest tertile of plant-based protein foods intake was associated with 60% and 34% lower likelihood of inadequate and excessive GWG.
conclusionsBalancing the proportions of carbohydrates and fat, and a higher intake of plant-based protein foods may be beneficial for achieving optimal GWG.
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