ArticleReproductive health2021
Patterns and predictors of gestational weight gain in Addis Ababa, Central Ethiopia: a prospective cohort study.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Preconception health risks among women of reproductive age in Sub-Saharan Africa: a systematic review of implications for preconception care.Journal of health, population, and nutrition · 2025Pooled it
- Effect of nutrition education integrating the health belief model and theory of planned behavior during pregnancy on gestational weight gain and birth weight in Southeast Ethiopia using complex analyses.BMC pregnancy and childbirth · 2025Trial
- Magnitude and determinants of gestational weight gain in Ethiopia: a systematic review and meta-analysis.Maternal health, neonatology and perinatology · 2026Review
- Knowledge, attitude, and practices on gestational weight gain among pregnant women, partners, female household members, and healthcare providers: a mixed-method study in Tanzania.BMC pregnancy and childbirth · 2026Article
- Inadequate Gestational Weight Gain and Associated Factors Among Pregnant Women in Gamo Zone Public Hospitals, South Ethiopia: A Facility-Based Cross-Sectional Study.Journal of pregnancy · 2026Article
- Maternal overweight and obesity among pregnant women in public hospitals of eastern Ethiopia: Multicentre cross-sectional study.SAGE open medicine · 2026Article
- Gestational weight gain and its determinant factors among women attending at public health facilities, Northwest Ethiopia, 2023.Maternal health, neonatology and perinatology · 2025Article
- Predictors of inadequate and excessive gestational weight gain in women: a retrospective longitudinal observational study.BMJ open · 2025Observational
- Gestational weight gain and its determinants among pregnant women attending antenatal care at West Shawa Hospitals, Oromia, Ethiopia.PloS one · 2025Article
- Factors related to weight gain in pregnancy in Deli Serdang District, North Sumatera, Indonesia.Medical journal of the Islamic Republic of Iran · 2025Article
- Pre-pregnancy BMI, gestational weight gain, and telomere length in amniotic fluid: a causal graph analysis.Scientific reports · 2024Article
- The Association between Psychosocial Stressors and Gestational Weight Gain: Analysis of the National Pregnancy Risk Assessment Monitoring System (PRAMS) Results from 2012 to 2015.Maternal and child health journal · 2024Article
- Magnitude and Factors Associated with Gestational Weight Gain Adequacy among Pregnant Women in South Gondar Zone, Northwest Ethiopia.Current developments in nutrition · 2023Article
- Physical activity during pregnancy and its relationship with gestational weight gain.Revista latino-americana de enfermagem · 2023Article
- Influence of gestational weight gain on baby's birth weight in Addis Ababa, Central Ethiopia: a follow-up study.BMJ open · 2022Article
- Determinants of weight gain in pregnant women with hyperemesis gravidarum in Dire Dawa administration, Eastern Ethiopia: An unmatched case-control study.Women's health (London, England)Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
introductionGaining excessive or inadequate gestational weight is associated with many adverse maternal and fetal outcomes. Inadequate gestational weight gain (GWG) increases the risk of fetal growth restriction, pre-term birth, and low birth weight. It is a public health concern in sub-Saharan Africa. The aim of this study was to assess the patterns and predictors of GWG in Addis Ababa, Ethiopia.
methodsWe conducted a prospective cohort study among pregnant women who attended antenatal care in health centres in Addis Ababa, from January to September 2019. Data were collected by a structured questionnaire and checklists and analysed using Stata version-14. Weight at or before 16 weeks gestation was used as a proxy for pre-pregnancy weight. Women's height and baseline weight were measured by data collectors, and we obtained weight at the end of the 24th and 36th weeks of gestation from women's medical records. GWG was categorized as inadequate, adequate and excessive based on the United States Institute of Medicine criteria. Predictors of GWG were identified using multinomial logistic regression.
resultsA total of 395 pregnant women were enrolled in the study. GWG was assessed for 369 (93%) women. The median GWG was 8.7 kg with inter quartile ranges (25th, 75th percentiles) of 7.0 kg and 11.6 kg. More than two-third of the participants, 248 (67.2% [95% CI: 62.2, 72.0%]), gained inadequate weight; 103 (27.9% [95% CI: 23.4, 32.8%]) gained adequate weight; and 18 (4.9% [95% CI: 2.9%, 7.6%]) gained excessive weight. Three quarters (75%) of underweight women gained inadequate gestational weight, whereas 43% of overweight or obese women gained inadequate gestational weight. Being underweight (AOR = 3.30 [95% CI: 1.32, 8.24]) or normal weight (AOR = 2.68 [95% CI: 1.37, 5.24]) before pregnancy increased the odds of gaining inadequate gestational weight compared to overweight or obese women. Not having paid employment was associated with higher odds of gaining inadequate gestational weight compared to women employed outside the home (AOR = 2.17 [95% CI: 1.16, 4.07]).
conclusionsMost pregnant women in Addis Ababa gain inadequate gestational weight. In particular, three quarters of underweight women gained inadequate gestational weight. Being underweight, normal weight or having no paid employment were associated with higher odds of inadequate GWG. Promoting adequate GWG in Addis Ababa among underweight and normal weight women may be an important public health initiative.
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