Gestational weight gain during the second and third trimesters and adverse pregnancy outcomes, results from a prospective pregnancy cohort in urban Tanzania.

Yang, Jiaxi; Wang, Molin; Tobias, Deirdre K; Rich-Edwards, Janet W; Darling, Anne Marie; Abioye, Ajibola I; Pembe, Andrea B; Madzorera, Isabel; Fawzi, Wafaie W

Yang, Jiaxi; Wang, Molin; Tobias, Deirdre K; Rich-Edwards, Janet W; Darling, Anne Marie; Abioye, Ajibola I; Pembe, Andrea B; Madzorera, Isabel; Fawzi, Wafaie W.

Afiliación

Yang J; Department of Epidemiology, Harvard T. H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA. jiaxiyang@nus.edu.sg.
Wang M; Global Center for Asian Women's Health, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. jiaxiyang@nus.edu.sg.
Tobias DK; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. jiaxiyang@nus.edu.sg.
Rich-Edwards JW; Department of Epidemiology, Harvard T. H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Darling AM; Department of Biostatistics, Harvard T. H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Abioye AI; Department of Nutrition, Harvard T. H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Pembe AB; Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, 900 Commonwealth Avenue, Boston, MA, 02115, USA.
Madzorera I; Department of Epidemiology, Harvard T. H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Fawzi WW; Channing Division of Network Medicine, Division of Women's Health, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, 900 Commonwealth Avenue, Boston, MA, 02115, USA.

Reprod Health ; 19(1): 140, 2022 Jun 16.

Article en En | MEDLINE | ID: mdl-35710384

Pregnancy is a critical lifetime event for both mother and the offspring, with implications in short-term and long-term health consequences. Gestational weight gain (GWG) is an important modifiable factor for pregnancy outcomes related to infant body size and weight and prematurity. Countries in sub-Saharan Africa (SSA) have long had poor rates of insufficient GWG and pregnancy complications associated with insufficient GWG. Nevertheless, some SSA countries are experiencing economic transitions accompanied with changes in lifestyle and nutrition, which might impact pregnancy experiences, including GWG and pregnancy outcomes. This study aimed to characterize recent GWG patterns and the associations of both inadequate and excessive GWG with adverse pregnancy outcomes, using an urban pregnancy cohort in Tanzania. This study found that 42.0%. 22.0%, and 36.0% of women had insufficient, adequate, and excessive GWG, respectively. Insufficient GWG was associated with higher risks of small infant size and low infant body weight, and excessive GWG was associated with higher risk of preterm birth, particularly among women with body mass index 18.525.0 kg/m². Results from the present study highlight that both insufficient and excessive GWG are of potential public health concerns in urban centers of SSA, concerning upward trends in obesity and possibly obesity-related pregnancy consequences. Local public health practitioners should continue to advocate longitudinal GWG monitoring and care among African pregnant women, and optimal GWG with feasible and effective clinical guidelines should be developed to prevent both over- and under-gaining of maternal weight during pregnancy.

Asunto(s)

Ganancia de Peso Gestacional; Complicaciones del Embarazo; Nacimiento Prematuro; Índice de Masa Corporal; Femenino; Retardo del Crecimiento Fetal; Humanos; Recién Nacido; Masculino; Embarazo; Complicaciones del Embarazo/epidemiología; Resultado del Embarazo/epidemiología; Tercer Trimestre del Embarazo; Nacimiento Prematuro/epidemiología; Estudios Prospectivos; Tanzanía/epidemiología; Aumento de Peso

Palabras clave

Adverse birth outcomes; Gestational weight gain; Institute of Medicine (U.S.); Tanzania

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Nacimiento Prematuro / Ganancia de Peso Gestacional Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Reprod Health Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

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