ArticleThe Journal of nutrition2026
2020-2025 Dietary Guidelines for Americans in Pregnancy: Adherence Shortfalls and Associations with Gestational Weight Gain.
Article in The Journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.
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.
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.
Who cites it
5 citing papers in PubMed.
- Dietary guidelines adherence and pregnancy exposure to 10 classes of priority chemicals: an observational study in the Environmental influences on Child Health Outcomes Cohort.The American journal of clinical nutrition · 2026Observational
- Weight Change Between Pregnancies and Mortality Over 50 Years of Follow-Up.Obesity (Silver Spring, Md.) · 2026Article
- Adherence to the EAT-Lancet Planetary Health Diet during pregnancy and associations with preterm birth and infant size: a prospective analysis from the New Hampshire Birth Cohort.The American journal of clinical nutrition · 2026Article
- The Association Between Periconceptional Consumption of Ultra-Processed Food and the Incidence of Adverse Pregnancy Outcomes.Nutrients · 2026Article
- Adherence to dietary and physical activity guidelines and influencing factors among pregnant women: a cross-sectional study in China.Frontiers in nutrition · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
Abstract
backgroundThe 2020-2025 Dietary Guidelines for Americans (DGA) include, for the first time, tailored recommendations for pregnant females, and guidance on weight management. In the United States, nearly 50% of pregnant females exceed the recommended gestational weight gain (GWG), whereas only ∼30% gain weight within the established guidelines. Optimal nutrition during pregnancy is essential for maternal and fetal health, and for achieving appropriate GWG.
objectivesThis study evaluated adherence to the 2020-2025 DGA during pregnancy and examined its association with GWG.
methodsWe included 1452 pregnant participants from the New Hampshire birth cohort study. Intake of specific food groups and nutrients was estimated by a validated food frequency questionnaire. The difference between prepregnancy weight and the last recorded weight prior to delivery was used to calculate GWG. Adherence to the food groups and nutrient intake was based on the 2020‒2025 DGA and the Food and Nutrition Board of the National Academies of Sciences, Engineering, and Medicine for pregnant people. The association between overall and individual adherence to food groups and nutrients in relation to GWG was evaluated by multinomial regression analysis. Models were adjusted for age, prepregnancy body mass index (in kg/m
resultsOnly 3% of participants met the recommended intake for all 5 core 2020‒2025 DGA food groups, with particularly low adherence observed for fruits, grains, and dairy. Intake of several nutrients also fell below recommendations. Just 30% of females achieved GWG within the recommendations. Participants adherent to the 2020-2025 DGA had 19% and 4% higher odds of having GWG within the recommended range compared with under- and overrecommendations, respectively (odds ratio: 0.81; 95% confidence interval: 0.81, 0.81; and odds ratio: 0.96; 95% confidence interval: 0.95, 0.97).
conclusionsAdherence to the 2020‒2025 DGA and GWG guidelines was low in this rural cohort. Addressing inadequate dietary patterns and promoting balanced nutrient intake may improve pregnancy outcomes and support healthier GWG trajectories. However, because an adequate diet alone was associated with recommended GWG in only ∼19% of participants, additional strategies are likely needed to help more pregnant individuals meet GWG recommendations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.