Evidence map›Paper›PMID 42093106›Full record

ArticlePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2026

Excessive gestational weight gain and risk of asthma, rhinitis and allergic sensitization: Results from a Portuguese birth cohort.

Mónica Rodrigues, Susana Santos, Francisca Castro Mendes, Pedro Moreira, André Moreira

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Article in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Excessive gestational weight gain and risk of asthma, rhinitis and allergic sensitization: Results from a Portuguese birth cohort.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mónica RodriguesEPIUnit ITR, Institute of Public Health of the University Porto, University of Porto, Porto, Portugal.ORCID https://orcid.org/0000-0002-7932-9460
Susana SantosEPIUnit ITR, Institute of Public Health of the University Porto, University of Porto, Porto, Portugal.
Francisca Castro MendesEPIUnit ITR, Institute of Public Health of the University Porto, University of Porto, Porto, Portugal.
Pedro MoreiraEPIUnit ITR, Institute of Public Health of the University Porto, University of Porto, Porto, Portugal.
André MoreiraEPIUnit ITR, Institute of Public Health of the University Porto, University of Porto, Porto, Portugal.

Funding

Fundação para a Ciência e a Tecnologia 2023.02362.BDFundação para a Ciência e a Tecnologia LA/P/0064/2020Fundação para a Ciência e a Tecnologia UIDB/04750/2020Marie Curie 101109136
6 · The paper itself

Abstract

backgroundMaternal body mass index (BMI) before pregnancy and gestational weight gain (GWG) have been implicated in offspring health, yet their specific impact on the development of allergic diseases remains unclear. We aimed to evaluate associations between pre-pregnancy BMI and GWG with asthma, rhinitis, eczema, food allergy, anaphylaxis, and allergic sensitization during childhood and adolescence.

methodsWe analyzed 7280 mother-child pairs from Generation XXI, a Portuguese population-based birth cohort. Maternal BMI was categorized per World Health Organization criteria and grouped into underweight/normal weight vs. overweight/obesity. GWG was considered using Institute of Medicine (IOM) guidelines and GWG z-scores. Allergic outcomes were assessed via parent-reported physician diagnosis at 4, 7, 10, and 13 years, and allergic sensitization was determined at 10 years using ImmunoCAP. Associations were analyzed using logistic regression models adjusted for confounders.

resultsChildren of mothers with excessive GWG had increased odds of asthma at ages 7 and 13 (aOR = 1.30; 95% CI 1.01-1.66 and aOR = 1.29; 95% CI 1.01-1.65, respectively), and rhinitis at 4 (OR = 1.48; 95% CI 1.10-1.98). Higher GWG z-score group was associated with increased odds of asthma (aOR = 1.33; 95% CI 1.03-1.72), rhinitis (aOR = 1.54; 95% CI 1.13-2.09), and sensitization (aOR = 1.44; 95% CI 1.05-1.97). Lower GWG z-score group was associated to higher eczema odds at 13, while higher reduced eczema odds at age 4. Maternal overweight/obesity was associated with lower odds of eczema at age 13 (aOR = 0.73; 95% CI 0.60-0.88). Apart from eczema, maternal BMI showed no significant associations with others allergic diseases.

conclusionHigher GWG is associated with increased odds of childhood asthma, rhinitis, and sensitization. In contrast, maternal overweight/obesity is linked to lower odds of eczema, suggesting condition-specific effects of maternal weight on childhood allergy risk.

Indexed as

AsthmaGestational Weight GainHypersensitivityObesityPrenatal Exposure Delayed EffectsRhinitisAdolescentAdultBirth CohortBody Mass IndexChildChild, PreschoolCohort StudiesDevelopmental Origins of Health and DiseaseFemaleHumansallergic diseasesbody mass indexearly life exposuresgestational weight gainperinatal health

Identifiers

PMID42093106
PMCPMC13150049

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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.