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Influence of Pregnancy Weight on Maternal and Child Health Workshop Report (2007) / Chapter Skim
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2 Trends in Maternal and Gestational Weight
Pages 6-17

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From page 6...
... . The obesity rate varies, however, among different ethnic populations: 24 percent for nonHispanic white women, 36 percent for Mexican American women, and 50 percent for non-Hispanic black women (Ogden et al., 2006)
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From page 7...
... . No nationally representative data exist for other minority populations, such as non-Mexican Hispanic, American Indian, Alaskan Native, and Asian women.
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From page 8...
... nonpregnant women, ages 12­19, by race/ethnicity, 2003­2004. Overweight is defined as greater than or equal to the 95th percentile of body mass index based on gender and age.
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From page 9...
... . GESTATIONAL WEIGHT GAIN The recommendations of the 1990 IOM report specify weight gain ranges during pregnancy for singleton term births based on prepregnancy BMI (Table 2-2)
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From page 10...
... . TABLE 2-2 Summary of IOM Recommended Total Weight Gain Ranges for Pregnant Women,a by Prepregnancy Body Mass Index (BMI)
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From page 11...
... . Data are not available to support analyses of national birth certificate data in relation to the 1990 IOM recommendations based on prepregnancy BMI; such analyses can examine only total gestational weight gain at this time.
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From page 12...
... · Height and prepregnancy weight are self-reported · Weight gain during pregnancy is from the birth certificate Pregnancy Nutrition Program-based public health surveillance system among lowSurveillance Systems income pregnant women who participated in federally funded public health programs · Currently collects data from programs in 25 states and 6 trial agencies · Height and weight at first prenatal visit measured by clinician · Prepregnancy weight and weight gain during pregnancy are self-reported California Maternal Ongoing population-based survey of mothers delivering live and Infant Health infants in California from February through May of each Assessment year · All indicators are self-reported SOURCE: Cogswell, Dietz, and Branum (2006)
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From page 13...
... <20 10 10 18 8 20­34 73 75 75 75 35+ 17 15 7 17 Race/Ethnicity Non-Hispanic white 62 64 50 35 Non-Hispanic black 15 15 24 5 Hispanic 18 15 22 45 Other 5 6 4 14 NOTES: NVSS = National Vital Statistics System: Birth Data; PRAMS = Pregnancy Risk Assessment Monitoring System; PNSS = Pregnancy and Nutrition Surveillance System; CAMIHA = California Maternal and Infant Health Assessment. SOURCE: Cogswell, Dietz, and Branum (2006)
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From page 14...
... For example, the 1988 National Maternal and Infant Health Survey data indicate that gestational weight gain is associated with excess postpartum weight retention (Keppel and Taffel, 1993) , and preliminary analyses of the Early Childhood Longitudinal Study Birth Cohort suggest that little association exists between gestational weight gain and postpartum obesity except for women who weighed 130 to 149 lbs.
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From page 15...
... children Longitudinal Study born in 2001 that looks at children's health, development, Birth Cohort care, and education from birth through first grade Infant Feeding A national mail panel survey on infant feeding practices that Practices Survey-2 enrolled pregnant women in 2005 Pregnancy Nutrition Program-based public health surveillance system that Surveillance System monitors risk factors associated with infant mortality and poor birth outcomes among low-income pregnant women who participate in federally funded public health programs, 1983+ (1988+ for pregnancy weight gain) SOURCE: Cogswell, Dietz, and Branum (2006)
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From page 16...
... During the presentations and discussion sessions, several challenges were addressed for the prevention of obesity among adolescent girls and women of childbearing age and for the promotion of healthy weight gain during pregnancy. They include the striking absence of evidence of increased adherence to the IOM gestational weight gain recommendations during the course of a pregnancy among general or selected populations of women and the variations in prevalence estimates that persist from the use of different classification criteria (IOM or NHLBI)
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From page 17...
... 2006 Prevalence of overweight and obesity in the United States, 1999­2004. Journal of the American Medical Association 295(13)
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Key Terms

  • gestational weight
  • body mass
  • mass index
  • postpartum weight
  • black women

  • weight retention
  • prepregnancy bmi
  • white women
  • bmi categories
  • maternal weight

  • iom recommendations
  • classification criteria
  • gain recommendations
  • infant feeding
  • pregnancy weight

  • weight postpartum
  • iom gestational
  • national birth
  • iom criteria
  • national surveillance

  • infant health
  • certificate data
  • nhlbi criteria
  • pregnant women
  • birth certificate

  • gain ranges
  • pregnancy nutrition
  • adolescent girls
  • childbearing age
  • women retained


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