Excessive gestational weight gain as problematic as pre-pregnancy overweight and obesity

Published on April 18, 2012 at 4:27 AM · No Comments

One out of every two women of reproductive age is overweight or obese. Researchers from the Children's Hospital of Eastern Ontario (CHEO) Research Institute, from the University of Ottawa (faculties of Medicine and Health Sciences) and from the Ottawa Hospital Research Institute set out to discover if overweight or obese women are in fact more likely to give birth to above average weight babies, as reported in the Journal of Maternal Fetal and Neonatal Medicine.

"Obesity can become part of an intergenerational cycle," said Dr. Kristi Adamo, co-author of this report and co-founder of the Healthy Active Living and Obesity (HALO) Research Group at the CHEO Research Institute. "Birth weight averages can be an indicator of the weight a child will carry through preschool and even into adulthood. It's critical for a mother to understand that her healthy eating and lifestyle decisions during pregnancy will impact much more than a nine-month gestation period."

To investigate this issue in more detail, Dr. Adamo and her colleagues examined data from more than 4,000 mother and baby pairs cared for at The Ottawa Hospital and the Kingston General Hospital between 2002 and 2009. They found that excessive gestational weight gain (GWG) can be just as problematic as pre-pregnancy overweight and obesity. In fact, the study indicated that independent of pre-pregnancy body mass index (BMI), mothers who exceeded GWG recommendations specific to their pre-pregnancy BMI significantly increased the likelihood that their child would be born larger than average for gestational age (i.e. above the 90th percentile of infant weight for gestational age.)

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