Sharon J. Herring|Deborah B. Nelson|Adam Davey|Alicia A. Klotz|La Vette Dibble|Emily Oken|Gary D. Foster
Determinants of Excessive Gestational Weight Gain in Urban, Low-Income Women
Temple University|Temple University|Temple University|Temple University|Temple University|Harvard Pilgrim Health Care|Harvard University|Temple University
background factors influencing excessive weight gain pregnancy wellstudied among urban lowincome women methods prospective cohort study 94 prenatal care patients large university hospital philadelphia examined associations modifiable midpregnancy behaviors nonmodifiable early pregnancy factors excessive gestational weight gain data collected questionnaires medical record abstraction 2009 2011 findings majority women african american 83 100 received medicaid nearly two thirds 60 overweight obese early pregnancy 41 experienced excessive gain multivariable logistic regression analyses significant predictors excessive gestational weight gain included high early pregnancy body mass index odds ratio 420 95 confidence interval ci 1431234 overweightobese vs normal weight nulliparity 335 95 ci 117962 nulliparity vs multiparity clinician advice discordant institute medicine guidelines 588 95 ci 1043332 discordant vs concordant advice watching 2 hours television daily 018 95 ci 003103 engaging regular physical activity pregnancy 035 95 ci 011109 suggestive reduced risk excessive gain conclusions sample urban lowincome women high early pregnancy body mass index nulliparity discordant clinician advice directly associated excessive gestational weight gain trend toward decreased risk viewing fewer hours television engaging regular physical activity intervening targets may optimize gestational weight gain promote longterm maternal health