Abstract
Study Objective
To examine the association between gestational weight gain (GWG) and interpregnancy
weight change (IPWC) in adolescent mothers (younger than 20 years), and to determine
if this association differs from adult women (aged 20-35 years).
Design
Retrospective cohort study.
Setting and Participants
We included 3055 adolescents and 17,090 adult women with singleton pregnancies recorded
in the Nova Scotia Atlee Perinatal Database with a subsequent pregnancy occurring
between 2003 and 2014.
Interventions and Main Outcome Measures
GWG in the first pregnancy was categorized as below, within, or above the current
Institute of Medicine recommendations. IPWC was defined as the difference between
the prepregnancy weights of the 2 pregnancies. Analyses were adjusted for parity,
body mass index in the first pregnancy, and time between pregnancies.
Results
Relative to adolescents with GWG within the recommendations, those who gained below
had a 2.7 kg (95% confidence interval [CI], 1.4-3.9) lower mean IPWC whereas those
who gained above had a 4.2 kg (95% CI, 3.3-5.1) higher mean IPWC. Smaller differences
in IPWC between GWG categories were observed in adult women; relative to those with
GWG within the recommendations, adults who gained below had a 1.3 kg (95% CI, 0.9-1.7)
lower mean IPWC and those who gained above had a 2.9 kg (95% CI, 2.6-3.2) higher mean
IPWC.
Conclusion
Mean IPWC differed across GWG categories and the differences were greater in adolescents
than in adult women. This difference should be considered when assessing whether specific
GWG recommendations are needed for adolescents.
Key Words
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References
- Weight gain during pregnancy: reexamining the guidelines.National Academies Press, Washington, DC2009
- Nutrition for a healthy pregnancy: National guidelines for the childbearing years.Minister of Public Works and Government Services Canada, Ottawa2009
- A systematic review of outcomes of maternal weight gain according to the institute of medicine recommendations: birthweight, fetal growth, and postpartum weight retention.Am J Obstet Gynecol. 2009; 201: 339.e1
- Gestational weight gain and long-term postpartum weight retention: a meta-analysis.Am J Clin Nutr. 2011; 94: 1225
- Association between weight gain during pregnancy and postpartum weight retention and obesity: a bias-adjusted meta-analysis.Nutr Rev. 2013; 71: 343
- Pre-pregnancy BMI, gestational weight gain and postpartum weight retention: a meta-analysis of observational studies.Public Health Nutr. 2015; 18: 2172
- Postpartum weight change: how much of the weight gained in pregnancy will be lost after delivery?.Obstet Gynecol. 1988; 71: 701
- Maternal body weight development after pregnancy.Int J Obes. 1990; 14: 159
- Implications of the Camden study of adolescent pregnancy: interactions among maternal growth, nutritional status, and body composition.Ann N Y Acad Sci. 1997; 817: 281
- The long-term impact of adolescent gestational weight gain.Res Nurs Health. 2008; 31: 108
- Pre-pregnancy body mass index among pregnant adolescents: gestational weight gain and long-term post partum weight retention.J Pediatr Adolesc Gynecol. 2008; 21: 195
- Interpregnancy weight change and risk of adverse pregnancy outcomes: a population-based study.Lancet. 2006; 368: 1164
- Canadian Perinatal Surveillance System: Validation of perinatal data in the discharge abstract database of the Canadian Institute for Health Information.Chronic Dis Can. 2009; 29: 96
- Adolescent pregnancy guidelines.J Obstet Gynaecol Can. 2015; 37: 740
Statistics Canada: NHS profile, 2011. Available at: https://www12.statcan.gc.ca/nhs-enm/2011/dp-pd/prof/index.cfm?Lang=E. Accessed June 30, 2016.
World Health Organization: BMI classification. Available at: http://apps.who.int/bmi/index.jsp?introPage=intro_3.html. Accessed June 30, 2016.
- Gestational weight gain and perinatal outcomes in adolescent mothers: a retrospective cohort study.J Obstet Gynaecol Can. 2016; 38: 338
- Gynecologic age is an important risk factor for obstetric and perinatal outcomes in adolescent pregnancies.Women Birth. 2015; 28: e119
- One-year changes in weight and fatness in girls during late adolescence.Pediatrics. 1995; 96: 253
- Adolescents increase to more gestational weight and fat than adults according to BMI pre-gestational [in Spanish].Rev Invest Clin. 2011; 63: 500
- Weight retention within the puerperium in adolescents: a risk factor for obesity?.Public Health Nutr. 2010; 13: 283
- Physical, behavioral, and body image characteristics in a tri-racial group of adolescent girls.Obes Res. 2004; 12: 1670
- Childhood obesity and adult morbidities.Am J Clin Nutr. 2010; 91: 1499S
- Validity of prepregnancy weight status estimated from self-reported height and weight.Matern Child Health J. 1667; 2014: 18
Article info
Publication history
Published online: March 05, 2017
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
