American Journal of Obstetrics & Gynecology
Volume 201, Issue 1 , Pages 58.e1-58.e8 , July 2009

Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain

Presented at the 28th Annual Meeting of the Society for Maternal–Fetal Medicine, Dallas, TX, Jan. 30-Feb. 1, 2008.

  • Alison M. Stuebe, MD, MSc

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA
    • Corresponding Author InformationReprints: Alison Stuebe, MD, MSc, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, 3010 Old Clinic Bldg, CD# 7516, Chapel Hill, NC 27599-7516
    • ,
  • Emily Oken, MD, MPH

      Affiliations

    • Obesity Prevention Program, Department of Ambulatory Care and Prevention, Harvard Medical School/Harvard Pilgrim Health Care, Boston, MA
    • ,
  • Matthew W. Gillman, MD, SM

      Affiliations

    • Obesity Prevention Program, Department of Ambulatory Care and Prevention, Harvard Medical School/Harvard Pilgrim Health Care, Boston, MA
    • Department of Nutrition, Harvard School of Public Health, Boston, MA

Received 24 September 2008 ,Revised 20 December 2008 ,Accepted 26 February 2009.

References 

  1. Stotland NE, Hopkins LM, Caughey AB. Gestational weight gain, macrosomia, and risk of cesarean birth in nondiabetic nulliparas. Obstet Gynecol. 2004;104:671–677
  2. Bianco AT, Smilen SW, Davis Y, Lopez S, Lapinski R, Lockwood CJ. Pregnancy outcome and weight gain recommendations for the morbidly obese woman. Obstet Gynecol. 1998;91:97–102
  3. Rosenberg TJ, Garbers S, Lipkind H, Chiasson MA. Maternal obesity and diabetes as risk factors for adverse pregnancy outcomes: differences among 4 racial/ethnic groups. Am J Public Health. 2005;95:1545–1551
  4. Stuebe AM, Zera C, Ecker JL, McElrath TM. A prospective assessment of metabolic function, compliance with gestational weight gain guidelines, and associated pregnancy outcomes. Am J Obstet Gynecol. 2006;195:S82
  5. Juhasz G, Gyamfi C, Gyamfi P, Tocce K, Stone JL. Effect of body mass index and excessive weight gain on success of vaginal birth after cesarean delivery. Obstet Gynecol. 2005;106:741–746
  6. Gunderson E, Abrams B, Selvin S. The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy. Int J Obes Relat Metab Disord. 2000;24:1660–1668
  7. Rooney B, Schauberger C. Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol. 2002;100:245–252
  8. Rooney BL, Schauberger CW, Mathiason MA. Impact of perinatal weight change on long-term obesity and obesity-related illnesses. Obstet Gynecol. 2005;106:1349–1356
  9. Schieve LA, Cogswell ME, Scanlon KS. Maternal weight gain and preterm delivery: differential effects by body mass index. Epidemiology. 1999;10:141–147
  10. Edwards LE, Hellerstedt WL, Alton IR, Story M, Himes JH. Pregnancy complications and birth outcomes in obese and normal-weight women: effects of gestational weight change. Obstet Gynecol. 1996;87:389–394
  11. Sewell MF, Huston-Presley L, Super DM, Catalano P. Increased neonatal fat mass, not lean body mass, is associated with maternal obesity. Am J Obstet Gynecol. 2006;195:1100–1103
  12. Oken E, Tavares EM, Kleinman KP, Rich-Edwards J, Gillman M. Gestational weight gain and child adiposity at age 3 years. Am J Obstet Gynecol. 2007;196:322.e1–322.e8
  13. Oken EM, Rifas-Shiman SL, Field AE, Frazier AL, Gillman MW. Maternal gestational weight gain and offspring weight in adolescence. Obstet Gynecol. 2008;112:999–1006
  14. Stuebe AM, Michels KB. Gestational weight gain and obesity at age 18 in the daughter. Am J Obstet Gynecol. 2006;195:S228
  15. Stotland N, Haas J, Brawarsky P, Jackson R, Fuentes-Afflick E, Escobar G. Body mass index, provider advice, and target gestational weight gain. Obstet Gynecol. 2005;105:633–638
  16. Olson C, Strawderman M. Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. J Am Diet Assoc. 2003;103:48–54
  17. Brawarsky P, Stotland NE, Jackson RA, et al. Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain. Int J Gynecol Obstet. 2005;91:125–131
  18. Institute of Medicine. Nutrition during pregnancy. Washington, DC: National Academies Press; 1990;
  19. Rifas-Shiman SL, Rich-Edwards JW, Willett WC, Kleinman KP, Oken E, Gillman MW. Changes in dietary intake from the first to the second trimester of pregnancy. Paediatr Perinat Epidemiol. 2006;20:35–42
  20. Pereira MA, Rifas-Shiman SL, Kleinman KP, Rich-Edwards JW, Peterson KE, Gillman MW. Predictors of change in physical activity during and after pregnancy: Project Viva. Am J Prev Med. 2007;32:312–319
  21. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782–786
  22. Willett WC, Stampfer MJ. Implications of total energy intake for epidemiologic analyses. In:  Willett WC editors. Nutritional epidemiology. New York: Oxford University Press; 1998;
  23. Olson C, Strawderman M, Reed R. Efficacy of an intervention to prevent excessive gestational weight gain. Am J Obstet Gynecol. 2004;191:530–536
  24. Bergmann MM, Flagg EW, Miracle-McMahill HL, Boeing H. Energy intake and net weight gain in pregnant women according to body mass index (BMI) status. Int J Obes Relat Metab Disord. 1997;21:1010–1017
  25. Olafsdottir AS, Skuladottir GV, Thorsdottir I, Hauksson A, Steingrimsdottir L. Maternal diet in early and late pregnancy in relation to weight gain. Int J Obes. 2005;30:492–499
  26. Lagiou P, Tamimi RM, Mucci LA, Adami HO, Hsieh CC, Trichopoulos D. Diet during pregnancy in relation to maternal weight gain and birth size. Eur J Clin Nutr. 2004;58:231–237
  27. Olsen SF, Halldorsson TI, Willett WC, et al. Milk consumption during pregnancy is associated with increased infant size at birth: prospective cohort study. Am J Clin Nutr. 2007;86:1104–1110
  28. US Department of Health and Human Services and US Department of Agriculture. Dietary guidelines for Americans, 2005. Washington, DC: US Government Printing Office; 2005;
  29. Pereira MA, Kartashov AI, Ebbeling CB, et al. Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet. 2005;365:36–42
  30. Duffey KJ, Gordon-Larsen P, Jacobs DR, Williams OD, Popkin BM. Differential associations of fast food and restaurant food consumption with 3-y change in body mass index: the Coronary Artery Risk Development in Young Adults Study. Am J Clin Nutr. 2007;85:201–208
  31. Taveras EM, Berkey CS, Rifas-Shiman SL, et al. Association of consumption of fried food away from home with body mass index and diet quality in older children and adolescents. Pediatrics. 2005;116:e518–e524
  32. Kinnunen TI, Pasanen M, Aittasalo M, et al. Preventing excessive weight gain during pregnancy—a controlled trial in primary health care. Eur J Clin Nutr. 2007;61:884–891
  33. Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr. 2006;84:274–288
  34. Spencer EA, Appleby PN, Davey GK, Key TJ. Diet and body mass index in 38000 EPIC-Oxford meat-eaters, fish-eaters, vegetarians and vegans. Int J Obes Relat Metab Disord. 2003;27:728–734
  35. Rosell M, Appleby P, Spencer E, Key T. Weight gain over 5 years in 21,966 meat-eating, fish-eating, vegetarian, and vegan men and women in EPIC-Oxford. Int J Obes (Lond). 2006;30:1389–1396
  36. Artal R, Catanzaro RB, Gavard JA, Mostello DJ, Friganza JC. A lifestyle intervention of weight-gain restriction: diet and exercise in obese women with gestational diabetes mellitus. Appl Physiol Nutr Metab. 2007;32:596–601
  37. Oken E, Taveras EM, Popoola FA, Rich-Edwards JW, Gillman MW. Television, walking, and diet associations with postpartum weight retention. Am J Prev Med. 2007;32:305–311

 Supported by Grants from the US National Institutes of Health (HD 34568, HL 68041), Harvard Medical School, and the Harvard Pilgrim Health Care Foundation.

 Cite this article as: Stuebe AM, Oken E, Gillman MW. Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain. Am J Obstet Gynecol 2009;201:58.e1-8.

PII: S0002-9378(09)00216-6

doi: 10.1016/j.ajog.2009.02.025

American Journal of Obstetrics & Gynecology
Volume 201, Issue 1 , Pages 58.e1-58.e8 , July 2009

Article Tools