Evidence map›Paper›PMID 33843557›Full record

ArticlePublic health nutrition2021

Optimal gestational weight gain in Chinese pregnant women by Chinese-specific BMI categories: a multicentre prospective cohort study.

Cai-Xia Zhang, Jian-Qiang Lai, Kai-Yan Liu, Nian-Hong Yang, Guo Zeng, Li-Mei Mao, Zeng-Ning Li, Yue Teng, Wei Xia, Nan Dai and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Public health nutrition, 2021. 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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21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

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

21 citing papers in PubMed.

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  11. Maternal Height Is an Independent Risk of Adverse Outcomes in Women with Gestational Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
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  14. High pre-pregnancy body mass index and gestational weight gain among women belonging to upper SES from Delhi, India.European journal of obstetrics & gynecology and reproductive biology: X · 2023
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Cai-Xia Zhang *Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China.
Jian-Qiang Lai *National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, People's Republic of China.
Kai-Yan LiuDepartment of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China.
Nian-Hong YangDepartment of Nutrition and Food Hygiene, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Guo ZengDepartment of Nutrition and Food Safety, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, People's Republic of China.
Li-Mei MaoDepartment of Nutrition and Food Hygiene, School of Public Health, Southern Medical University, Guangzhou, People's Republic of China.
Zeng-Ning LiDepartment of Clinical Nutrition, Hebei Medical University First Affiliated Hospital, Shijiazhuang, People's Republic of China.
Yue TengOutpatient of Nutrition Consult, Beijing Haidian District Maternal and Child Health Hospital, Beijing, People's Republic of China.
Wei XiaDepartment of Children's and Adolescent Health, Public Health College of Harbin Medical University, Harbin, People's Republic of China.
Nan DaiDepartment of Obstetrics and Gynecology, Danyang People's Hospital of Jiangsu Province, Danyang, People's Republic of China.
Zhi-Xu WangDepartment of Maternal, Child and Adolescent Health, School of Public Health, Nanjing Medical University, Nanjing211166, People's Republic of China.
Yi-Xiang SuDepartment of Nutrition, School of Public Health, Sun Yat-sen University, Guangzhou510080, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo establish optimal gestational weight gain (GWG) in Chinese pregnant women by Chinese-specific BMI categories and compare the new recommendations with the Institute of Medicine (IOM) 2009 guidelines.

designMulticentre, prospective cohort study. Unconditional logistic regression analysis was used to evaluate the OR, 95 % CI and the predicted probabilities of adverse pregnancy outcomes. The optimal GWG range was defined as the range that did not exceed a 1 % increase from the lowest predicted probability in each pre-pregnancy BMI group.

settingFrom nine cities in mainland China.

participantsA total of 3731 women with singleton pregnancy were recruited from April 2013 to December 2014.

resultsThe optimal GWG (ranges) by Chinese-specific BMI was 15·0 (12·8-17·1), 14·2 (12·1-16·4) and 12·6 (10·4-14·9) kg for underweight, normal weight and overweight pregnant women, respectively. Inappropriate GWG was associated with several adverse pregnancy outcomes. Compared with women gaining weight within our proposed recommendations, women with excessive GWG had higher risk for macrosomia, large for gestational age and caesarean section, whereas those with inadequate GWG had higher risk for low birth weight, small for gestational age and preterm delivery. The comparison between our proposed recommendations and IOM 2009 guidelines showed that our recommendations were comparable with the IOM 2009 guidelines and could well predict the risk of several adverse pregnancy outcomes.

conclusionsInappropriate GWG was associated with higher risk of several adverse pregnancy outcomes. Optimal GWG recommendations proposed in the present study could be applied to Chinese pregnant women.

Indexed as

Gestational Weight GainPregnancy ComplicationsBody Mass IndexCesarean SectionChinaFemaleHumansInfant, NewbornOverweightPregnancyPregnancy OutcomePregnant PeopleProspective StudiesBMIGestational weight gainPregnancy outcomeProspective cohort study

Identifiers

PMID33843557
PMCPMC10195362

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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.