GESTATIONAL WEIGHT-GAIN AMONG AVERAGE-WEIGHT AND OVERWEIGHT WOMEN - WHAT IS EXCESSIVE
GESTATIONAL WEIGHT-GAIN AMONG AVERAGE-WEIGHT AND OVERWEIGHT WOMEN - WHAT IS EXCESSIVE
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DOI：
10.1016/0002-9378(95)90598-7
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发表时间：
1995-02-01
影响因子：
9.8
通讯作者：
YIP, R
中科院分区：
文献类型：
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作者：
COGSWELL, ME;SERDULA, MK;YIP, R
目的：我们的目的是确定低收入妇女妊娠期体重增加与出生体重结局之间的关系。研究设计：对来自8个州的53,541名1990年至1991年间出生的活单婴儿进行评估，这些婴儿的母亲包括白人、黑人和西班牙裔妇女。采用多元逻辑回归计算低和高（> 4500 gm）出生体重的风险，并对选定的因素进行调整。结果：妊娠期体重增加与出生体重的关系因孕前体重指数而异。对于体重正常的妇女来说，低出生体重的风险随着体重增加而降低。然而，除了超重妇女体重增加30至34磅和非常超重妇女体重增加15至19磅之外，低出生体重的风险并没有减少。然而，在所有三组中，高出生体重的风险随着体重增加而增加。结论：非常超重的妇女（体重指数> 29 kg/m(2)）可能受益于25磅的体重增加上限，以帮助降低高出生体重的风险。
OBJECTIVE: Our purpose was to determine the association between increased gestational weight gain and birth weight outcomes for low-income women.STUDY DESIGN: A total of 53,541 single, live infants delivered from 1990 to 1991 to white, black, and Hispanic women in eight states were evaluated. Multiple logistic regression was used to calculate risk of low and high (> 4500 gm) birth weight, adjusting for selected factors.RESULTS: The association between gestational weight gain and birth weight varied by prepregnancy body mass index. Risk for low birth weight decreased with increasing weight gain for average-weight women. There was no reduction in risk for low birth weight, however, beyond weight gains of 30 to 34 pounds for overweight women and 15 to 19 pounds for very-overweight women. Risk for high birth weight, however, increased with increasing weight gain in all three groups.CONCLUSION: Very-overweight women (body mass index > 29 kg/m(2)) may benefit from an upper guideline of 25 pounds of weight gain to help reduce risk for high birth weight.