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Maternal and Child Health Journal

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01.08.2015

Racial/Ethnic Disparities in Inadequate Gestational Weight Gain Differ by Pre-pregnancy Weight

verfasst von: Irene Headen, Mahasin S. Mujahid, Alison K. Cohen, David H. Rehkopf, Barbara Abrams

Erschienen in: Maternal and Child Health Journal | Ausgabe 8/2015

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Abstract

Pre-pregnancy body mass index (BMI) varies by race/ethnicity and modifies the association between gestational weight gain (GWG) and adverse pregnancy outcomes, which disproportionately affect racial/ethnic minorities. Yet studies investigating whether racial/ethnic disparities in GWG vary by pre-pregnancy BMI are inconsistent, and none studied nationally representative populations. Using categorical measures of GWG adequacy based on Institute of Medicine recommendations, we investigated whether associations between race/ethnicity and GWG adequacy were modified by pre-pregnancy BMI [underweight (<18.5 kg/m²), normal weight (18.5–24.9 kg/m²), overweight (25.0–29.9 kg/m²), or obese (≥30.0 kg/m²)] among all births to Black, Hispanic, and White mothers in the 1979 USA National Longitudinal Survey of Youth cohort (n = 6,849 pregnancies; range 1–10). We used generalized estimating equations, adjusted for marital status, parity, smoking during pregnancy, gestational age, and multiple measures of socioeconomic position. Effect measure modification between race/ethnicity and pre-pregnancy BMI was significant for inadequate GWG (Wald test p value = 0.08). Normal weight Black [risk ratio (RR) 1.34, 95 % confidence interval (CI) 1.18, 1.52] and Hispanic women (RR 1.33, 95 % CI 1.15, 1.54) and underweight Black women (RR 1.38, 95 % CI 1.07, 1.79) experienced an increased risk of inadequate GWG compared to Whites. Differences in risk of inadequate GWG between minority women, compared to White women, were not significant among overweight and obese women. Effect measure modification between race/ethnicity and pre-pregnancy BMI was not significant for excessive GWG. The magnitude of racial/ethnic disparities in inadequate GWG appears to vary by pre-pregnancy weight class, which should be considered when designing interventions to close racial/ethnic gaps in healthy GWG.

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Lu, M. C., Kotelchuck, M., Hogan, V., Jones, L., Wright, K., & Halfon, N. (2010). Closing the Black–White tap in birth outcomes: A life-course approach. Ethnicity and Disease, 20, S2.62–S2.76.

Braveman, P. (2011). Black–White disparities in birth outcomes: Is racism-related stress a missing piece of the puzzle? In A. J. Lemelle, W. Reed, & S. Taylor (Eds.), Handbook of African American health: Social and behavioral interventions (pp. 155–163). New York, NY: Springer.CrossRef

Dixon, B., Rifas-Shiman, S. L., James-Todd, T., et al. (2012). Maternal experiences of racial discrimination and child weight status in the first 3 years of life. Journal of Developmental Origins of Health and Disease, 3(06), 433–441.PubMedCrossRef

Rasmussen, K. M., & Yaktine, A. L. (Eds.). (2009). Weight gain during pregnancy. Washington, DC: National Academies Press.

National Center for Chronic Disease Prevention and Health Promotion, Activity D.O.N.A.P. (Ed.). (2013). Table 20D. Nation: Summary of trends in maternal health indicators by race/ethnicity. Pediatric and Pregnancy Nutrition Surveillance System.

Caulfield, L. E., Witter, F. R., & Stoltzfus, R. J. (1996). Determinants of gestational weight gain outside the recommended ranges among black and white women. Obstetrics and Gynecology, 87(5), 760–766.PubMedCrossRef

Chu, S. Y., Callaghan, W. M., Bish, C. L., & D’Angelo, D. (2009). Gestational weight gain by body mass index among US women delivering live births, 2004–2005: Fueling future obesity. American Journal of Obstetrics and Gynecology, 200, 271.e1–271.e7.CrossRef

Stuebe, A. M., Oken, E., & Gillman, M. W. (2009). Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain. American Journal of Obstetrics and Gynecology, 201, 58.e1–58.e8.CrossRef

Gould Rothberg, B. E., Magriples, U., Kershaw, T. S., Rising, S. S., & Ickovics, J. R. (2011). Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women. American Journal of Obstetrics and Gynecology, 204, 52.e1–52.e11.CrossRef

10.

Hickey, C. A., Kreauter, M., Bronstein, J., et al. (1999). Low prenatal weight gain among adult WIC participants delivering term singleton infants: Variation by maternal and program participation characteristics. Maternal and Child Health Journal, 3(3), 129–140.PubMedCrossRef

11.

Pawlak M. T., Alvarez, B. T., Jones, D. M., & Lezotte, D. C. (2013) The effect of race/ethnicity on gestational weight gain. Journal of Immigrant and Minority Health. doi:10.1007/s10903-013-9886-5.

12.

Poston, L. (2012). Maternal obesity, gestational weight gain and diet as determinants of offspring long term health. Best Practice & Research Clinical Endocrinology, 26(5), 627–639.CrossRef

13.

Margerison-Zilko, C. E., Rehkopf, D., & Abrams, B. (2010). Association of maternal gestational weight gain with short- and long-term maternal and child health outcomes. American Journal of Obstetrics and Gynecology, 202(6), 574.e1–574.e8.CrossRef

14.

Oken, E., Kleinman, K. P., Belfort, M. B., Hammitt, J. K., & Gillman, M. W. (2009). Associations of gestational weight gain with short- and longer-term maternal and child health outcomes. American Journal of Epidemiology, 170(2), 173–180.PubMedCentralPubMedCrossRef

15.

Deardorff, J., Berry-Millett, R., Rehkopf, D., et al. (2013). Maternal pre-pregnancy BMI, gestational weight gain, and age at menarche in daughters. Maternal and Child Health Journal, 17(8), 1391–1398.PubMedCentralPubMedCrossRef

16.

Fraser, A., Tilling, K., Macdonald-Wallis, C., et al. (2011). Associations of gestational weight gain with maternal body mass index, waist circumference, and blood pressure measured 16 y after pregnancy: The Avon Longitudinal Study of Parents and Children (ALSPAC). American Journal of Clinical Nutrition, 93(6), 1285–1292.PubMedCentralPubMedCrossRef

17.

Mamun, A. A., Callaway, L. K., O’Callaghan, M. J., et al. (2011). Associations of maternal pre-pregnancy obesity and excess pregnancy weight gains with adverse pregnancy outcomes and length of hospital stay. BMC Pregnancy Childbirth, 11(1), 62.PubMedCentralPubMedCrossRef

18.

Cohen, A. K., Chaffee, B. W., Rehkopf, D. H., Coyle, J. R., & Abrams, B. (2014). Excessive gestational weight gain over multiple pregnancies and the prevalence of obesity at age 40. International Journal of Obesity, 38(5), 714–718.PubMedCentralPubMedCrossRef

19.

Headen, I. E., Davis, E. M., Mujahid, M. S., & Abrams, B. (2012). Racial-ethnic differences in pregnancy-related weight. Advances in Nutrition, 3, 83–94.PubMedCentralPubMedCrossRef

20.

Stotland, N. E., Caughey, A. B., Lahiff, M., et al. (2006). Weight gain and spontaneous preterm birth. Obstetrics and Gynecology, 108(6), 1448–1455.PubMedCrossRef

21.

Bryant, A. S., Worjoloh, A., Caughey, A. B., & Washington, E. (2010). Racial/ethnic disparities in obstetric outcomes and care: Prevalence and determinants. American Journal of Obstetrics and Gynecology, 202(4), 335–343.PubMedCentralPubMedCrossRef

22.

Flegal, K. M. (2012). Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA, 307(5), 491–497.PubMedCrossRef

23.

Fontaine, P. L., Hellerstedt, W. L., Dayman, C. E., Wall, M. M., & Sherwood, N. E. (2012). Evaluating body mass index-specific trimester weight gain recommendations: Differences between Black and White women. J Midwifery Womens Health, 57(4), 327–335.PubMedCrossRef

24.

Bureau of Labor Statistics. (1979). National Longitudinal Survey of Youth. Washington, DC: US Department of Labor.

25.

Bureau of Labor Statistics. (1986). National Longitudinal Survey of Youth, 1979. Washington, DC: US Department of Labor.

26.

Oken, E., Kleinman, K. P., Rich-Edwards, J., & Gillman, M. W. (2003). A nearly continuous measure of birth weight for gestational age using a United States national reference. BMC Pediatrics, 3, 6.PubMedCentralPubMedCrossRef

27.

Siega-Riz, A. M., & Hobel, C. (1997). Predictors of poor maternal weight gain from baseline anthropometric, psychosocial, and demographic information in a Hispanic population. Journal of the American Dietetic Association, 97(11), 1264–1268.PubMedCrossRef

28.

Bodnar, L. M., Hutcheon, J. A., Platt, R. W., et al. (2011). Should gestational weight gain recommendations be tailored by maternal characteristics? American Journal of Epidemiology, 174(2), 136–146.PubMedCentralPubMedCrossRef

29.

Keppel, K. G., & Taffel, S. M. (1993). Pregnancy-related weight gain and retention: Implications of the 1990 Institute of Medicine guidelines. American Journal of Public Health, 83, 1100–1103.PubMedCentralPubMedCrossRef

30.

Hickey, C. A. (2000). Sociocultural and behavioral influences on weight gain during pregnancy. American Journal of Clinical Nutrition, 71(Suppl), 1364S–1370S.PubMed

31.

Burkhauser, R. V., & Cawley, J. (2008). Beyond BMI: The value of more accurate measures of fatness and obesity in social science research. Journal of Health Economics, 27, 519–529.PubMedCrossRef

32.

McClure, C. K., Bodnar, L. M., Ness, R., & Catov, J. M. (2011). Accuracy of maternal recall of gestational weight gain 4 to 12 years after delivery. Obesity, 19(5), 1047–1063.PubMedCentralPubMedCrossRef

33.

Stevens-Simon, C., Roghmann, K. J., & McAnarney, E. R. (1992). Relationship of self-reported prepregnant weight and weight gain during pregnancy to maternal body habitus and age. Journal of the American Dietetic Association, 92, 85–87.PubMed

34.

World Health Organization. (2000). Obesity: Preventing and managing the global epidemic. Geneva: World Health Organization.

35.

Adler, N. E., & Rehkopf, D. H. (2008). U.S. disparities in health: Descriptions, causes, and mechanisms. Annual Review of Public Health, 29, 235–252.PubMedCrossRef

36.

Braveman, P. A., Cubbin, C., Egerter, S., et al. (2005). Socioeconomic status in health research. JAMA, 294, 2879–2888.PubMedCrossRef

37.

Rehkopf, D. H., Krieger, N., Coull, B., & Berkman, L. (2010). Biologic risk markers for coronary heart disease. Epidemiology, 21, 38–46.PubMedCrossRef

38.

Greenland, S. (2009). Interactions in epidemiology: Relevance, identification, and estimation. Epidemiology, 20(1), 14–17.PubMedCrossRef

39.

Rubin, D. B., & Schenker, N. (1991). Multiple imputation in health-care databases: An overview and some applications. Statistics in Medicine, 10, 585–598.PubMedCrossRef

40.

Sparks, P. J. (2009). One size does not fit all: An examination of low birthweight disparities among a diverse set of racial/ethnic groups. Maternal and Child Health Journal, 13(6), 769–779.CrossRef

41.

Chasan-Taber, L., Schmidt, M. D., Pekow, P., et al. (2008). Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity, 16(7), 1657–1666.PubMedCrossRef

42.

Han, Z., Mulla, S., Beyene, J., Liao, G., & McDonald, S. D. (2011). Maternal underweight and the risk of preterm birth and low birth weight: A systematic review and meta-analyses. International Journal of Epidemiology, 40(1), 65–101.PubMedCrossRef

43.

Siega-Riz, A. M., Viswanathan, M., Moos, M. K., et al. (2009). A systematic review of outcomes of maternal weight gain according to the Institute of Medicine recommendations: Birthweight, fetal growth, and postpartum weight retention. American Journal of Obstetrics and Gynecology, 201(4), 339.e1–339.e14.CrossRef

44.

Savitz, D. A., Stein, C. R., Siega-Riz, A. M., & Herring, A. H. (2011). Gestational weight gain and birth outcome in relation to prepregnancy body mass index and ethnicity. Annals of Epidemiology, 21, 78–85.PubMedCentralPubMedCrossRef

45.

Caulfield, L. E., Stoltzfus, R. J., & Witter, F. R. (1998). Implications of the Institute of Medicine weight gain recommendations for preventing adverse pregnancy outcomes in Black and White women. American Journal of Public Health, 88, 1168–1174.PubMedCentralPubMedCrossRef

46.

Schieve, L. A., Cogswell, M. E., & Scanlon, K. S. (1998). An empiric evaluation of the institute of medicine’s pregnancy weight gain guidelines by race. Obstetrics and Gynecology, 91, 878–884.PubMedCrossRef

47.

Hickey, C. A., McNeal, S. F., Menefee, L., & Ivey, S. (1997). Prenatal weight gain within upper and lower recommended ranges: Effect on birth weight of black and white infants. Obstetrics and Gynecology, 90, 489–494.PubMedCrossRef

48.

Masho, S. W., Bishop, D. L., & Munn, M. (2013). Pre-pregnancy BMI and weight gain: Where is the tipping point for preterm birth? BMC Pregnancy Childbirth, 13(1), 120.PubMedCentralPubMedCrossRef

49.

Hunt, K. J., Alanis, M. C., Johnson, E. R., Mayorga, M. E., & Korte, J. E. (2013). Maternal pre-pregnancy weight and gestational weight gain and their association with birthweight with a focus on racial differences. Maternal and Child Health Journal, 17(1), 85–94.PubMedCentralPubMedCrossRef

50.

Aly, H., Hammad, T., Nada, A., Bathgate, S., & El-Mohandes, A. (2009). Maternal obesity, associated complications and risk of prematurity. Journal of Perinatology, 30(7), 447–451.PubMedCrossRef

51.

Salihu, H. M., Luke, S., Alio, A. P., et al. (2009). The superobese mother and ethnic disparities in preterm birth. Journal of the National Medical Association, 101(11), 1125–1131.PubMed

52.

Simhan, H. N. (2006). Prepregnancy body mass index, vaginal inflammation, and the racial disparity in preterm birth. American Journal of Epidemiology, 163(5), 459–466.PubMedCrossRef

53.

Torloni, M. R., Fortunato, S. J., Betrán, A. P., et al. (2011). Ethnic disparity in spontaneous preterm birth and maternal pre-pregnancy body mass index. Archives of Gynecology and Obstetrics, 285(4), 959–966.PubMedCrossRef

54.

de Jongh, B. E., Paul, D. A., Hoffman, M., & Locke, R. (2013). Effects of pre-pregnancy obesity, race/ethnicity and prematurity. Maternal and Child Health Journal, 18(3), 511–517.CrossRef

55.

Misra, V. K., Hobel, C., & Sing, C. F. (2010). The effects of maternal weight gain patterns on term birth weight in African-American women. The Journal of Maternal-Fetal & Neonatal Medicine, 23(8), 842–849.CrossRef

56.

Wise, L. A., Palmer, J. R., Heffner, L. J., & Rosenberg, L. (2010). Prepregnancy body size, gestational weight gain, and risk of preterm birth in African-American women. Epidemiology, 21(2), 243–252.PubMedCentralPubMedCrossRef

57.

Ota, E., Tobe-Gai, R., Mori, R., & Farrar, D. (2012). Antenatal dietary advice and supplementation to increase energy and protein intake (review). Cochrane Database Systematic Review, 9, 1–59.

58.

Kramer, M. S., & Kakuma, R. (2003). Energy and protein intake in pregnancy. Cochrane Database Systematic Review, 4, 1–78.

59.

Hickey, C. A., Cliver, S. P., Goldenberg, R. L., Kohatsu, J., & Hoffman, H. J. (1993). Prenatal weight gain, term birth weight and fetal growth retardation among high-risk multiparous black and white women. Obstetrics and Gynecology, 81, 529–535.PubMed

60.

Davis, E. M., Stange, K. C., & Horwitz, R. I. (2012). Childbearing, stress and obesity disparities in women: A public health perspective. Maternal and Child Health Journal, 16(1), 109–118.PubMedCentralPubMedCrossRef

61.

Webb, J. B., Siega-Riz, A. M., & Dole, N. (2008). Psychosocial determinants of adequacy of gestational weight gain. Obesity, 17, 300–309.

62.

Zhu, P., Huang, W., Hao, J.-H., et al. (2013). Time-specific effect of prenatal stressful life events on gestational weight gain. International Journal of Gynaecology and Obstetrics, 122(3), 207–211.PubMedCrossRef

63.

Evenson, K. R., Moos, M.-K., Carrier, K., & Siega-Riz, A. M. (2008). Perceived barriers to physical activity among pregnant women. Maternal and Child Health Journal, 13(3), 364–375.PubMedCentralPubMedCrossRef

64.

Goodrich, K., Cregger, M., Wilcox, S., & Liu, J. (2012). A qualitative study of factors affecting pregnancy weight gain in African American women. Maternal and Child Health Journal, 17(3), 432–440.CrossRef

65.

Herring, S. J., Henry, T. Q., Klotz, A. A., Foster, G. D., & Whitaker, R. C. (2011). Perceptions of low-income African-American mothers about excessive gestational weight gain. Maternal and Child Health Journal, 16(9), 1837–1843.CrossRef

66.

Tovar, A., Chasan-Taber, L., Bermudez, O. I., Hyatt, R. R., & Must, A. (2009). Knowledge, attitudes, and beliefs regarding weight gain during pregnancy among Hispanic women. Maternal and Child Health Journal, 14(6), 938–949.CrossRef

67.

Marquez, D. X., Bustamante, E. E., Bock, B. C., et al. (2009). Perspectives of Latina and non-Latina White women on barriers and facilitators to exercise in pregnancy. Women and Health, 49(6–7), 505–521.PubMedCentralPubMedCrossRef

68.

Thornton, P. L., Kieffer, E. C., Salabarría-Peña, Y., et al. (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: The role of social support. Maternal and Child Health Journal, 10(1), 95–104.PubMedCrossRef

69.

Schieve, L. A., Perry, G. S., Cogswell, M. E., et al. (1999). Validity of self-reported pregnancy delivery weight: An analysis of the 1988 National Maternal and Infant Health Survey. American Journal of Epidemiology, 150(9), 947–956.PubMedCrossRef

70.

Biro, F. M., Wiley-Kroner, B., & Whitsett, D. (1999). Perceived and measured weight changes during adolescent pregnancy. Journal of Pediatric and Adolescent Gynecology, 12, 31–32.PubMedCrossRef

71.

Tomeo, C. A., Rich-Edwards, J. W., Michels, K. B., et al. (1999). Reproducibility and validity of maternal recall of pregnancy-related events. Epidemiology, 10(6), 774–777.PubMedCrossRef

72.

Yu, S. M., & Nagey, D. A. (1992). Validity of self-reported pregravid weight. Annals of Epidemiology, 2(5), 715–721.PubMedCrossRef

73.

Stevens-Simon, C., McAnarney, E. R., & Coulter, M. P. (1986). How accurately do pregnant adolescents estimate their weight prior to pregnancy? Journal of Adolescent Health Care, 7(4), 250–254.PubMedCrossRef

74.

Hunt, S. C., Daines, M. M., Adams, T. D., Heath, E. M., & Williams, R. R. (1995). Pregnancy weight retention in morbid obesity. Obesity Research, 3(2), 121–130.PubMedCrossRef

75.

Hutcheon, J. A., Bodnar, L. M., Joseph, K. S., et al. (2012). The bias in current measures of gestational weight gain. Paediatric and Perinatal Epidemiology, 26(2), 109–116.PubMedCentralPubMedCrossRef

76.

Hutcheon, J. A., Platt, R. W., Abrams, B., et al. (2013). A weight-gain-for-gestational-age z score chart for the assessment of maternal weight gain in pregnancy. The American Journal of Clinical Nutrition, 97(5), 1062–1067.

77.

Selvin, S. (2004). Statistical analysis of epidemiological data (3rd ed.). Oxford: Oxford Univ Press.CrossRef

78.

Williams, D. R., & Collins, C. (2001). Racial residential segregation: A fundamental cause of racial disparities in health. Public Health Reports, 116(5), 404–416.PubMedCentralPubMedCrossRef

Titel: Racial/Ethnic Disparities in Inadequate Gestational Weight Gain Differ by Pre-pregnancy Weight
verfasst von: Irene Headen
Mahasin S. Mujahid
Alison K. Cohen
David H. Rehkopf
Barbara Abrams
Publikationsdatum: 01.08.2015
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 8/2015
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-015-1682-5

Springer Medizin

Abstract

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