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

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• 作者：Irene Headen ; Mahasin S. Mujahid ; Alison K. Cohen…
• 关键词：Health status disparities ; Minority health ; Overweight ; Pregnancy ; Weight gain
• 刊名：Maternal and Child Health Journal
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：19
• 期：8
• 页码：1672-1686
• 全文大小：532 KB
• 参考文献：1.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.
  2.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. 155-63). New York, NY: Springer.View Article
  3.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), 433-41.PubMed View Article
  4.Rasmussen, K. M., & Yaktine, A. L. (Eds.). (2009). Weight gain during pregnancy. Washington, DC: National Academies Press.
  5. 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.
  6.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), 760-66.PubMed View Article
  7.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, 2004-005: Fueling future obesity. American Journal of Obstetrics and Gynecology, 200, 271.e1-71.e7.View Article
  8.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.e1-8.e8.View Article
  9.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.e1-2.e11.View Article
  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), 129-40.PubMed View Article
  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.-007/?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), 627-39.View Article
  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.e1-74.e8.View Article
  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), 173-80.PubMed Central PubMed View Article
  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), 1391-398.PubMed Central PubMed View Article
  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), 1285-292.PubMed Central PubMed View Article
  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.PubMed Central PubMed View Article
  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), 714-18.PubMed Central PubMed View Article
  19.Headen, I. E., Davis, E. M., Mujahid, M. S., & Abrams, B. (2012). Racial-ethnic differences in pregnancy-related weight. Advances in Nutrition, 3, 83-4.PubMed Central PubMed View Article
  20.Stotland, N. E., Caughey, A. B., Lahiff, M., et al. (2006). Weight gain and spontaneous preterm birth. Obstetrics and Gynecology, 108(6), 1448-455.PubMed View Article
  21.Bryant, A. S., Worjoloh, A., Caughey, A. B., & Washington, E. (2
• 作者单位：Irene Headen (1)
  Mahasin S. Mujahid (1)
  Alison K. Cohen (1)
  David H. Rehkopf (2)
  Barbara Abrams (1) (3)
  
  1. Division of Epidemiology, University of California, Berkeley School of Public Health, 101 Haviland Hall, Berkeley, CA, USA
  2. Division of General Medical Disciplines, Stanford University School of Medicine, Stanford, CA, USA
  3. Division of Epidemiology, University of California, Berkeley School of Public Health, 103 Haviland Hall, Berkeley, CA, 94720, USA
  
• 刊物主题：Public Health; Sociology, general; Population Economics; Pediatrics; Gynecology; Maternal and Child Health;
• 出版者：Springer US
• ISSN：1573-6628

文摘

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 (18.5-4.9?kg/m2), overweight (25.0-9.9?kg/m2), or obese (?0.0?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 1-0). 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.