Accès ouvert déclaré 2025 article

The association between self-reported total gestational weight gain by pre-pregnancy body mass index and moderate to late preterm birth

Alexandra M. Palumbo, Giulia M. Muraca, Anne E. Fuller, Charles D. G. Keown‐Stoneman, Catherine S. Birken, Jonathon L. Maguire, Laura N. Anderson, Christopher T. B. Allen, Danielle D’Annunzio, Mateenah Jaleel, Natricha Levy McFarlane, Jessica A. Omand, Sharon Thadani, Mary Aglipay, Imaan Bayoumi, Cornelia M. Borkhoff, Sarah Horsch Carsley, Alice Charach, Katherine Tombeau Cost, Curtis J. D’Hollander, Laura M. Kinlin, Michaela Kucab, Patricia Li, Pat Parkin, Nav Persaud, Sarah Rae, Izabela Socynska, Shelley M. Vanderhout, Leigh M. Vanderloo, Peter D Wong, Piyumi Konara Mudiyanselage, Xuedi Li, Jenny X. Liu, Michelle L. Mitchell, Yulika Yoshida‐Montezuma, Nusrat Zaffar, Tiffany Bondoc, Pamela Ruth Flores, Kardelen Kurt, Sangeetha Loganathan, Tarandeep Mali, Laurie Thompson, Jennifer Batten, Jennifer Ai-wen Chan, John A. Clark, Amy Craig, Kim De Castris‐Garcia, Sharon Dharman, Sarah A. Kelleher, Salimah Nasser, Tammara Pabon, Michelle A. Rhodes, Rafael Salsa, Julie Skelding, Daniel Stern, Kerry J. Stewart, Erika Sendra Tavares, Shannon Weir, Maria Zaccaria Cho, Magdalena Janus, Eric Duku, Caroline Reid‐Westoby, Patricia Raso, Amanda Offord, Emy Abraham, Sara Ali, Gordon Arbess, Jillian G. Baker, Tony Barozzino, Sylvie Bergeron, Gary Bloch, Joey Bonifacio, Ashna Bowry, Caroline Calpin, Douglas Campbell, Sohail Cheema, Brian Chisamore, Evelyn Constantin, Karoon Danayan, Paul Das, Viveka De Guerra, Mary Beth Derocher, Anh Do, Kathleen Doukas, Anne E. Egger, Allison Farber, Amy Lynn Freedman, Sloane Jaye Freeman, Sharon Gazeley, Karen J. Grewal, Charlie B. Guiang, Curtis D. Handford, Laura Nelle Hanson, Leah Harrington, Sheila Jacobson, Lukasz Jagiello, Gwen Jansz, Paul Kadar, Lukas Keiswetter, Tara Kiran, Holly Knowles, Bruce Kwok, Piya Lahiry, Sheila Lakhoo, Margarita Lam-Antoniades, Eddy Lau, Denis Leduc, Fok‐Han Leung, Alan Li, Roy Male, Aleks Meret, Élise Mok, Rosemary G. Moodie, Katherine A. Nash, James Stuart Owen, Michael Peer, Marty Perlmutar, Navindra Persaud, Andrew Pinto, Michelle Porepa, Vikky Qi, Noor Ramji, Danyaal Raza, Katherine D. Rouleau, Caroline Ruderman, Janet Saunderson, Vanna Schiralli, Michael D. Sgro, Hafiz Shuja, Farah Siam, Susan Shepherd, Cinntha Srikanthan, Carolyn Taylor, Stephen Treherne, Suzanne Dawn Turner, Fatima Uddin, Meta van den Heuvel, Thea Weisdorf, John Yaremko, Ethel Ying, Elizabeth H. Young, Michael Zajdman, Esmot Ara Begum, Peter Jüni, Gurpreet Lakhanpal, Gerald Lebovic, Ifeayinchukwu Nnorom, Marc Denzel Nunez, Kevin E. Thorpe, Homa Bondar, George S. Charames, Andrea Djolovic, Chelsea Gorscak-Dunn, Mary Hassan, Rita A. Kandel

4Citations signalées, ce qui n’est pas une note de qualité

11Institutions déclarées

2Pays d’affiliation déclarés

Rattachement africain : ca, se. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

BACKGROUND: Inadequate and excessive gestational weight gain (GWG) defined by the Institute of Medicine (IOM) has been associated with preterm birth. However, studies demonstrate inconsistent associations. OBJECTIVES: We examined the associations between categorical and continuous total GWG and moderate to late preterm birth (32-<37 weeks), and evaluated differences in these associations by pre-pregnancy BMI. METHODS: We analyzed cross-sectional data from children participating in TARGet Kids! in Toronto, Canada. Parents of children < 6 years of age recalled pre-pregnancy weight, end-of-pregnancy weight, and gestational age. GWG was categorized according to the 2009 IOM guidelines as inadequate, recommended, or excessive for each pre-pregnancy BMI category. GWG was expressed as the percentage of recommendations met to account for gestational duration. Adjusted odds ratios (aORs) for moderate to late preterm birth were estimated using logistic regression models. Restricted cubic splines were used to model the adjusted predicted probability of moderate to late preterm birth against continuous GWG. RESULTS: Of the 4,529 participants, 8.2% were born moderate to late preterm. 31.1% of parents met the GWG recommendations, 41.0% had excessive GWG, and 27.9% had inadequate GWG. Compared to recommended GWG, excessive GWG had increased odds of moderate to late preterm birth (aOR 1.68, 95% CI 1.29, 2.19). There was insufficient evidence of an association between inadequate GWG and moderate to late preterm birth (aOR 1.10, 95% CI 0.81, 1.50). For parents who were overweight or had obesity, the risk of moderate to late preterm birth did not increase substantially until a GWG > 200% of the recommendations, which is well above the IOM recommended upper limit. CONCLUSIONS: Excessive GWG was associated with an increased risk of moderate to late preterm birth, with variation in the association by pre-pregnancy BMI. Current definitions of excessive GWG may not adequately reflect increased risk of preterm birth among those with overweight or obesity.

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Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref: The association between self-reported total gestational weight gain by pre-pregnancy body mass index and moderate to late preterm birth
Date Crossref: 11/01/2025
Éditeur: Springer Science and Business Media LLC
Type: journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Où se fait cette recherche

Impact pays non établi dans la notice
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McMaster University Department of Health Research Methods pays non établi dans la notice
Université ou école supérieure
Karolinska Institutet pays non établi dans la notice
Université ou école supérieure
University of Toronto pays non établi dans la notice
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Public Health Ontario pays non établi dans la notice
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Centre for Global Health Research pays non établi dans la notice
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Unity Health Toronto pays non établi dans la notice
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Hospital for Sick Children Child Health Evaluative Sciences pays non établi dans la notice
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SickKids Foundation pays non établi dans la notice
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Institute for Clinical Evaluative Sciences pays non établi dans la notice
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St. Michael's Hospital Department of Pediatrics pays non établi dans la notice
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Clinical Epidemiology Unit pays non établi dans la notice
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Impact, Department of Health Research Methods — McMaster University et Karolinska Institutet, avec 9 autres affiliations.

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Gestational Diabetes Research and ManagementPreterm Birth and ChorioamnionitisBirth, Development, and Health

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