Are women in Singapore gaining weight appropriately during pregnancy: a prospective cohort study

• Published in: BMC pregnancy and childbirth Vol. 19; no. 1; p. 290
• Main Authors: He, Song, Allen, John Carson, Razali, Nurul Syaza, Win, Nyo Mie, Zhang, Jun Jim, Ng, Mor Jack, Yeo, George Seow Heong, Chern, Bernard Su Min, Tan, Kok Hian
• Format: Journal Article
• Language: English
• Published: England BioMed Central 13.08.2019; BMC
• Subjects: Adult; Cohort Studies; Female; Gestational Weight Gain; Guideline Adherence; Guidelines as Topic; Humans; Logistic Models; Obesity; Obesity, Maternal; Odds Ratio; Overweight; Patient Compliance; Pregnancy; Pregnancy Complications; Prospective Studies; Singapore; Thinness; Young Adult; Singapore; Pregnancy; Obesity; Gestational weight gain; Overweight
• ISSN: 1471-2393; 1471-2393
• DOI: 10.1186/s12884-019-2443-z

We aimed to study gestational weight gain (GWG) in a Singaporean population and compare it with Institute of Medicine (IOM) 2009 GWG guidelines. Nine hundred twenty-six women with low-risk singleton pregnancy were enrolled in a prospective cohort study from 2010 to 2014 in a Singapore tertiary maternity hospital. Seven hundred twenty-four patients had maternal weight information till term pregnancy and were included in analysis. Participants were categorized according to their first antenatal visit body mass index (BMI) as underweight, normal weight, overweight and obese. Total GWG for each BMI group was calculated. Multivariate logistic regression was performed to determine the predictors of total GWG above and below IOM guidelines. Obese women had a mean total GWG (9.1 kg) that exceeded the upper limit IOM guidelines (9 kg). In multivariate analysis of predictors of total GWG above IOM guidelines, being overweight (adjusted OR: 3.91 [95% CI, 2.60-5.88]; p < .0001) and obese (adjusted OR: 4.78 [95% CI, 2.80, 8.15]; p < .0001) significantly increased the risks of gaining weight above IOM guidelines during pregnancy, compared to being normal weight. Overweight and obesity are independent significant risk factors for gaining excessive gestational weight. Appropriate weight management for overweight and obese Singaporean women prior to and during pregnancy is important.