Excessive early gestational weight gain and risk of gestational diabetes mellitus in nulliparous women

Carlos A. Carreno, Rebecca G. Clifton, John C. Hauth, Leslie Myatt, James M. Roberts, Catherine Y. Spong, Michael W. Varner, John M. Thorp, Brian M. Mercer, Alan M. Peaceman, Susan M. Ramin, Marshall W. Carpenter, Anthony Sciscione, Jorge Tolosa, Yoram Sorokin

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Abstract

Objective: To estimate whether there is an association between excessive early gestational weight gain and the development of gestational diabetes mellitus (GDM) and excessive fetal growth. Methods: This is a secondary analysis of a randomized controlled trial of vitamins C and E in nulliparous low-risk women. Maternal weight gain from prepregnancy (self-reported) to 15-18 weeks of gestation was measured, and expected gestational weight gain was determined using the Institute of Medicine 2009 guidelines for each prepregnancy body mass index category. Excessive early gestational weight gain was defined as gestational weight gain greater than the upper range of the Institute of Medicine guidelines. Rates of GDM, birth weight greater than 4,000 g, and large for gestational age (LGA, birth weight 90 percentile or higher) were calculated and compared between women with excessive early gestational weight gain and early nonexcessive gestational weight gain (within or below Institute of Medicine guidelines). Results: A total of 7,985 women were studied. Excessive early gestational weight gain occurred in 47.5% of women. Ninety-three percent of women with excessive early gestational weight gain had total gestational weight gain greater than Institute of Medicine guidelines. In contrast, only 55% of women with nonexcessive early gestational weight gain had total gestational weight gain greater than Institute of Medicine guidelines (P

Original languageEnglish (US)
Pages (from-to)1227-1233
Number of pages7
JournalObstetrics and Gynecology
Volume119
Issue number6
DOIs
Publication statusPublished - Jun 2012

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Carreno, C. A., Clifton, R. G., Hauth, J. C., Myatt, L., Roberts, J. M., Spong, C. Y., ... Sorokin, Y. (2012). Excessive early gestational weight gain and risk of gestational diabetes mellitus in nulliparous women. Obstetrics and Gynecology, 119(6), 1227-1233. https://doi.org/10.1097/AOG.0b013e318256cf1a