Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Association of Nutrient Intake and Pregnancy Outcome with Gestational Weight Gain

임신 중 체중증가에 따른 영양섭취 및 임신결과와의 관련성

  • 한영선 (한양대학교 식품영양학과) ;
  • 이상선 (한양대학교 식품영양학과)
  • Received : 2009.12.23
  • Accepted : 2010.03.25
  • Published : 2010.04.30
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Abstract

Gestational age and infant birth weight are influenced by gestational weight gain. This study was aimed to examine the effects of gestational weight gain on pregnancy outcomes. Pregnant women were recruited at two hospitals in Seoul area. Characteristics and dietary intakes of pregnant women were obtained using 24-hour recall questionnaires. Gestational weight gain was categorized as less (Under-gain) than, within (Recommended gain), or greater (Over-gain) than the Institute of Medicine guidelines. Maternal height and pre-pregnancy weight in the over-gain group significantly higher than under-gain and recommended gain group. Mini dietary assessment score of eating bean has significantly higher in under-gain group than recommended gain group and eating kimchi has significantly higher in undergain group than over-gain group. Score of eating fruit was significantly higher in over-gain group than other groups. The mean intake of carbohydrate in the recommended gain group were significantly higher than under-gain group, and mean intake of potassium in the over-gain group were significantly higher than under-gain group. Under-gain group showed the high rate of the preterm delivery and low birth weight infant delivery. However recommended gain group showed 46% reduced risk of preterm delivery (OR = 0.54 CI = 0.30-0.98). Risk of macrosomia increased with increasing gestational weight gain (p for trend < 0.05). In conclusion, pregnancy outcomes were influenced by gestational weight gain. Therefore, these finding suggested adequate gestational weight gain according to BMI for reducing the risk of preterm delivery, low birth weight and macrosomia.

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References

  1. Berenson AB, Wiemann CM, Rowe TF, Rickert VI. Inadequate weight gain among pregnant adolescents: risk factors and relationship to infant birth weight. Am J Obstet Gynecol 1997; 176 (6): 1220-1227 https://doi.org/10.1016/S0002-9378(97)70338-7
  2. Godfrey KM, Barker DJ. Fetal nutrition and adult disease. Am J Clin Nutr 2000; 71(5): 1344s-1352s
  3. Korean statistical information service. Population trend survey, Seoul; 2008
  4. World Health Organization. WHO: Recommended definitions, terminology and format for statistical tables related to the perinatal period and use of a new certificate for cause of perinatal deaths. Modifications recommended by FIGO as amended October 14, 1976. Acta Obstet Gynecol Scand 1977; 56(3): 247-253
  5. Johnson JW. Obstetric aspects of preterm delivery. Clin Obstet Gynecol 1980; 23(1): 15-16 https://doi.org/10.1097/00003081-198003000-00004
  6. Koo YH, Kim SK, Shim JY, Won HS, Lee PR, Kim A. Analysis of preterm birth rate based on birth certificate data: from 1995 to 2003. Korean J Obstet Gynecol 2006; 49(9): 1855-1865
  7. Abrams B, Newman V, Key T, Parker J. Maternal weight gain and preterm delivery. Obstet Gynecol 1989; 74(4): 577-583
  8. Hediger ML, Scholl TO, Belsky DH, Ances IG, Salmon RW. Patterns of weight gain in adolescent pregnancy: effects on birth weight and preterm delivery. Obstet Gynecol 1989; 74(1): 6-12
  9. Nohr EA, Bech BH, Vaeth M, Rasmussen KM, Henriksen TB, Olsen J. Obesity, gestational weight gain and preterm birth: a study within the Danish National Birth Cohort. Paediatr Perinat Epidemiol 2007; 21(1): https://doi.org/10.1111/j.1365-3016.2007.00762.x
  10. Dietz PM, Callaghan WM, Cogswell ME, Morrow B, Ferre C, Schieve LA. Combined effects of prepregnancy body mass index and weight gain during pregnancy on the risk of preterm delivery. Epidemiology 2006; 17(2): 170-177 https://doi.org/10.1097/01.ede.0000198470.26932.9a
  11. Fortner RT, Pekow P, Solomon CG, Markenson G, Chasan-Taber L. Prepregnancy body mass index, gestational weight gain, and risk of hypertensive pregnancy among Latina women. Am J Obstet Gynecol 2009; 200(2): 167.e1-167. e7 https://doi.org/10.1016/j.ajog.2008.08.021
  12. Chen Z, Du J, Shao L, Zheng L, Wu M, Ai M, Zhang Y. Prepregnancy body mass index, gestational weight gain, and pregnancy outcomes in China. Int J Gynaecol Obstet 2009 Dec 15. [Epub ahead of print]
  13. Kabali C, Werler MM. Pre-pregnant body mass index, weight gain and the risk of delivering large babies among non-diabetic mothers. Int J Gynecol Obstet 2007; 97(2): 100-104 https://doi.org/10.1016/j.ijgo.2007.02.001
  14. IOM (Institute of Medicine). Weight gain during pregnancy: Re-examining the guidelines. Washington, DC: The national academies press. Posted online May 28; 2009
  15. Holmes TH, Rache RH. The social readjustment rating scale. J Psychosom Reprod Med 1967; 11(2): 213-218 https://doi.org/10.1016/0022-3999(67)90010-4
  16. Kim YJ, Lee SS. The relation of maternal stress with nutrients intake and pregnancy outcome in pregnant women. Korean J Nutr 2008; 41(8): 776-785
  17. Kim WY, Cho MS, Lee HS. Development and validation of mini dietary assessment index for Koreans. Korean J Nutr 2003; 36 (1): 83-92
  18. The Korean Nutrition Society. Dietary reference intakes for Koreans, Seoul; 2005
  19. Abrams BF, Laros RK. Prepregnancy weight, weight gain, and birth weight. Am J Obstet Gynecol 1986; 154(3): 504-509
  20. Simpson JW, Lawless RW, Mitchell AC. Responsibility of the obstetrician to the fetus. II. Influence of prepregnancy weight and pregnancy weight gain on birth weight. Obstet Gynecol 1975; 45 (5): 481-487
  21. IOM (Institute of Medicine). Nutrition during pregnancy. Report of the committee on nutritional status during pregnancy and lactation, Food and nutrition board, Washington DC: The nutritional academic press; 1990. p.1-233
  22. Lee MS, Lee MY, Yang SH, Jung IS, Shin DH, Suh SH. The relationships of pre-pregnancy BMI (Body Mass Index), maternal weight gain during pregnancy to newborn birth weight. J Korea Soc Maternal and Child Health 1999; 3(1): 23-34
  23. Se HJ, Yang YO. A study about the influencing variables of maternal weight gain and neonatal birth weight in full term pregnancies. The Academic Soc Parent-Child Health 2005; 8(2): 147-156
  24. American College of Obstetricians and Gynecologists. Exercise during pregnancy and the postpartum period (Technical Bulletin #189). Washington: American College of Obetetricians and Gynecologists; 1994
  25. Choi MK, Jun YS, Kim AJ. A survey on dietary behavior and nutrient intake of smoking male college students in Chungnam area. J Korean Diet Assoc 2001; 7(3): 248-257
  26. Szwajcer EM, Hiddink GJ, Koelen MA, van Woerkum CM. Nutrition awareness and pregnancy: implications for the life course perspective. Eur J Obstet Gynecol Reprod Biol 2007; 135(1): 58-64 https://doi.org/10.1016/j.ejogrb.2006.11.012
  27. Lee YS, Lym HS, Ahn HS, Jang NS. Nutrition throughout the life cycle. Seoul: Kyomunsa; 2006. p.68
  28. Oh YJ, Hwang IJ. Effects of kimchi consumption on iron status in adult male volunteers. Korean J Nutr 1997; 30(10): 1188-1194
  29. Choe HM, Kim JH, Jang GG, Min HS, Lym GS, Byeon GW, Lee HM, Kim GW, Kim HS, Kim HA. Essentials of nutrition. Seoul: Kyomunsa; 2002. p.230-231
  30. Park HA. Nutritional counseling for pregnant women. J Korean Acad Fam Med 2002; 23(6): 688-705
  31. Goldberg G. Nutrition in pregnancy lactation. In: Shetty P, editors. Nutrition through the life cycle. Leatherhead, UK: Leatherhead publishing; 2002. p.63-90
  32. Dary O. Nutritional interpretation of folic acid interventions. Nutr Rev 2009; 67(4): 235-244 https://doi.org/10.1111/j.1753-4887.2009.00193.x
  33. Rasmussen MM, Clemmensen D. Folic acid supplementation in pregnant women. Dan Med Bull 2010; 57(1): A4134
  34. Duley L, Henderson-Smart DJ. Reduced salt intake compared to normal dietary salt, or high intake, in pregnancy. Cochrane Database Syst Rev 1999;3:CD001687
  35. Lee GW, Myeong CO, Park YS, Nam HW, Kim EG. Special topics in nutrition, Seoul: Shinkwang; 1995
  36. Kim EK, Lee KH. Assessment of the intake and availability of dietary iron and nutrition knowledge in pregnant women. Korean J Community Nutr 1998; 3(1): 53-61
  37. Choi BS, Shin JJ, Kim WK. Relationship of pregnancy complications to maternal prenatal dietary intakes and birth weight. Food Sci Nutr 1999; 1(3): 167-177
  38. Frederick IO, Williams MA, Sales AE, Martin DP, Killien M. Pre-pregnancy body mass index, gestational weight gain, and other maternal characteristics in relation to infant birth weight. Matern Child Health J 2008; 12(5): 557-567 https://doi.org/10.1007/s10995-007-0276-2
  39. Koh KS, Park CH. The relationship between maternal body mass index, gestational weight gain patterns and preterm birth. Kor Soc Obstet Gynecol 1997; 40(10): 2168-2177

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