Skip to main content
Journal cover image

Determining optimal gestational weight gain in a multiethnic Asian population.

Publication ,  Journal Article
Ee, TX; Allen, JC; Malhotra, R; Koh, H; Østbye, T; Tan, TC
Published in: J Obstet Gynaecol Res
April 2014

AIM: To define the optimal gestational weight gain (GWG) for the multiethnic Singaporean population. METHODS: Data from 1529 live singleton deliveries was analyzed. A multinomial logistic regression analysis, with GWG as the predictor, was conducted to determine the lowest aggregated risk of a composite perinatal outcome, stratified by Asia-specific body mass index (BMI) categories. The composite perinatal outcome, based on a combination of delivery type (cesarean section [CS], vaginal delivery [VD]) and size for gestational age (small [SGA], appropriate [AGA], large [LGA]), had six categories: (i) VD with LGA; (ii) VD with SGA; (iii) CS with AGA; (iv) CS with SGA; (v) CS with LGA; (vi) and VD with AGA. The last was considered as the 'normal' reference category. In each BMI category, the GWG value corresponding to the lowest aggregated risk was defined as the optimal GWG, and the GWG values at which the aggregated risk did not exceed a 5% increase from the lowest aggregated risk were defined as the margins of the optimal GWG range. RESULTS: The optimal GWG by pre-pregnancy BMI category, was 19.5 kg (range, 12.9 to 23.9) for underweight, 13.7 kg (7.7 to 18.8) for normal weight, 7.9 kg (2.6 to 14.0) for overweight and 1.8 kg (-5.0 to 7.0) for obese. CONCLUSION: The results of this study, the first to determine optimal GWG in the multiethnic Singaporean population, concur with the Institute of Medicine (IOM) guidelines in that GWG among Asian women who are heavier prior to pregnancy, especially those who are obese, should be lower. However, the optimal GWG for underweight and obese women was outside the IOM recommended range.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Obstet Gynaecol Res

DOI

EISSN

1447-0756

Publication Date

April 2014

Volume

40

Issue

4

Start / End Page

1002 / 1008

Location

Australia

Related Subject Headings

  • Young Adult
  • Weight Gain
  • United States
  • Singapore
  • Risk Assessment
  • Pregnancy Outcome
  • Pregnancy
  • Practice Guidelines as Topic
  • Obstetrics & Reproductive Medicine
  • Nutrition Policy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ee, T. X., Allen, J. C., Malhotra, R., Koh, H., Østbye, T., & Tan, T. C. (2014). Determining optimal gestational weight gain in a multiethnic Asian population. J Obstet Gynaecol Res, 40(4), 1002–1008. https://doi.org/10.1111/jog.12307
Ee, Tat Xin, John Carson Allen, Rahul Malhotra, Huishan Koh, Truls Østbye, and Thiam Chye Tan. “Determining optimal gestational weight gain in a multiethnic Asian population.J Obstet Gynaecol Res 40, no. 4 (April 2014): 1002–8. https://doi.org/10.1111/jog.12307.
Ee TX, Allen JC, Malhotra R, Koh H, Østbye T, Tan TC. Determining optimal gestational weight gain in a multiethnic Asian population. J Obstet Gynaecol Res. 2014 Apr;40(4):1002–8.
Ee, Tat Xin, et al. “Determining optimal gestational weight gain in a multiethnic Asian population.J Obstet Gynaecol Res, vol. 40, no. 4, Apr. 2014, pp. 1002–08. Pubmed, doi:10.1111/jog.12307.
Ee TX, Allen JC, Malhotra R, Koh H, Østbye T, Tan TC. Determining optimal gestational weight gain in a multiethnic Asian population. J Obstet Gynaecol Res. 2014 Apr;40(4):1002–1008.
Journal cover image

Published In

J Obstet Gynaecol Res

DOI

EISSN

1447-0756

Publication Date

April 2014

Volume

40

Issue

4

Start / End Page

1002 / 1008

Location

Australia

Related Subject Headings

  • Young Adult
  • Weight Gain
  • United States
  • Singapore
  • Risk Assessment
  • Pregnancy Outcome
  • Pregnancy
  • Practice Guidelines as Topic
  • Obstetrics & Reproductive Medicine
  • Nutrition Policy