Association of Total and Trimester-Specific Gestational Weight Gain Rate with Early Infancy Weight Status: A

Jiajin Hu1,2, Izzuddin M Aris3,4,5, Emily Oken6,7

  • 1Department of Social Medicine, School of Public Health, China Medical University, Shenyang 110122, Liaoning, China. jjhu@cmu.edu.cn.

Nutrients
|January 31, 2019
PubMed

Insights

Higher gestational weight gain (GWG) is linked to increased infant BMI z-scores in the first six months. This association is primarily driven by weight gained during the first two trimesters of pregnancy.

Area of Science:

  • Maternal and Child Health
  • Pediatric Nutrition
  • Epidemiology

Background:

  • Gestational weight gain (GWG) is a critical factor influencing maternal and infant health outcomes.
  • Existing research on GWG and offspring weight status needs expansion, particularly in Asian populations.
  • Understanding the specific impact of GWG timing on infant growth is crucial for public health interventions.

Purpose of the Study:

  • To investigate the association between total and trimester-specific gestational weight gain (GWG) and offspring weight status in infancy.
  • To analyze the longitudinal impact of GWG rate on infant growth trajectories from birth to six months.
  • To identify potential differences in these associations based on maternal pre-pregnancy weight and infant sex.

Main Methods:

  • Prospective cohort study involving 801 mother-infant pairs in China.
  • Linear mixed-effects models and linear regression were used to analyze GWG rate (kg/week) against infant growth measures (BMIZ, WFAZ, LFAZ) at multiple time points.
  • Statistical analyses examined associations at birth, 1, 3, and 6 months postpartum.

Main Results:

  • A greater total GWG rate was significantly associated with higher infant BMI z-scores (BMIZ) and weight-for-age z-scores (WFAZ) throughout the first six months.
  • GWG rate during the first two trimesters, but not the third, showed a positive association with infant BMIZ.
  • The positive association between GWG rate and infant BMIZ was consistent across all measured time points and more pronounced in normal-weight mothers and male infants.

Conclusions:

  • Increased gestational weight gain rate is positively associated with higher offspring BMI z-scores in early infancy.
  • The first two trimesters appear to be the critical period for GWG's influence on infant adiposity.
  • Findings highlight the importance of monitoring and managing GWG, especially in Asian populations, to promote healthy infant growth.

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