Evidence map›Paper›PMID 30527864›Full record

Observational studyWomen's health issues : official publication of the Jacobs Institute of Women's Health

Patterns of Gestational Weight Gain and Infants Born Large-for-Gestational Age Across Consecutive Pregnancies.

Elizabeth L Adams, Michele E Marini, Krista S Leonard, Danielle Symons Downs, Ian M Paul, Jennifer L Kraschnewski, Kristen H Kjerulff, Jennifer S Savage

Abstract readObservational Study
In one paragraph

Observational study in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elizabeth L AdamsDepartment of Nutritional Sciences, The Pennsylvania State University, University Park, Pennsylvania; Center for Childhood Obesity Research, The Pennsylvania State University, University Park, Pennsylvania.
Michele E MariniCenter for Childhood Obesity Research, The Pennsylvania State University, University Park, Pennsylvania.
Krista S LeonardDepartment of Kinesiology, The Pennsylvania State University, University Park, Pennsylvania.
Danielle Symons DownsDepartment of Kinesiology, The Pennsylvania State University, University Park, Pennsylvania; Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania.
Ian M PaulDepartment of Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania; Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
Jennifer L KraschnewskiDepartment of Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania; Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
Kristen H KjerulffDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
Jennifer S SavageDepartment of Nutritional Sciences, The Pennsylvania State University, University Park, Pennsylvania; Center for Childhood Obesity Research, The Pennsylvania State University, University Park, Pennsylvania. Electronic address: jfs195@psu.edu.

Funding

Mode of First Delivery and Subsequent Child-BearingR01HD052990 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KJERULFF, KRISTEN HAWTHORNE · 2008 to 2012
$3.9M
NICHD NIH HHS R01 HD052990
6 · The paper itself

Abstract

introductionFactors that occur between consecutive pregnancies may influence repeated excessive gestational weight gain (GWG) and infants born large-for-gestational age (LGA). We examined interpregnancy interval, weight retention, and GWG in women's first pregnancy as predictors of excessive GWG and LGA in women's second pregnancy.

methodsWe used data from women's first two live births during the First Baby Study, a 3-year prospective observational cohort of first-time mothers (N = 549). GWG was calculated as weight at delivery minus prepregnancy weight for first and second pregnancies and categorized using the Institute of Medicine guidelines. Weight retention at 6 and 12 months and interpregnancy interval (time from first live birth to conception of second infant) were quantified. Infants were considered LGA if birthweight was in the 90th percentile or greater for gestational age.

resultsMany women (51.7%) exceeded GWG recommendations in both pregnancies. Women who exceeded guidelines in their first pregnancy had a 5.08 greater odds (p < .01) for exceeding guidelines in their second pregnancy, compared with women who did not exceed guidelines in their first pregnancy. Interpregnancy interval and weight retention had no association with exceeding guidelines in women's second pregnancy. Exceeding guidelines in women's first pregnancy resulted in a 4.48 greater odds (p < .01) of first-born infants being LGA, and exceeding guidelines in women's second pregnancy resulted in a 1.82 greater odds of second-born infants being large-for-gestational age (p = .02), compared with women who met guidelines in their first or second pregnancy, respectively.

conclusionsExceeding GWG guidelines in women's first pregnancy predicted exceeding guidelines in their second pregnancy, independent of interpregnancy interval and weight retention.

Indexed as

Birth WeightGestational Weight GainGravidityLive BirthPatient CompliancePregnancy ComplicationsAdultBody Mass IndexCohort StudiesFemaleFertilizationGestational AgeHumansInfantInfant, NewbornMothers

Identifiers

PMID30527864
PMCPMC6424600

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Registered trials

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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.