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. 1998 Aug;88(8):1168–1174. doi: 10.2105/ajph.88.8.1168

Implications of the Institute of Medicine weight gain recommendations for preventing adverse pregnancy outcomes in black and white women.

L E Caulfield 1, R J Stoltzfus 1, F R Witter 1
PMCID: PMC1508301  PMID: 9702142

Abstract

OBJECTIVES: This study examined the relation between gestational weight gain and risk of delivering a small-for-gestational-age or large-for-gestational-age infant by race, along with the implications of gaining weight according to the Institute of Medicine guidelines. METHODS: Logistic regression methods were used to identify risk factors for small- and large-for-gestational-age births among 2617 Black and 1253 White women delivering at the Johns Hopkins Hospital between 1987 and 1989. RESULTS: Rate of total weight gain was related to risk of small- and large-for-gestational-age births; the relationship differed according to maternal body mass index but not race. No differences in outcome by race were evident for women with low body mass indexes; among those with average or high indexes, however, Black women were at higher risk of small-for-gestational-age births and at lower risk of large-for-gestational-age births. CONCLUSIONS: Having Black women gain at the upper end of the recommended range is unlikely to produce measurable reductions in small-for-gestational-age births. Some beneficial reductions in the risk of large-for-gestational-age births may occur if weight gain recommendations are lowered for average-weight and overweight White women.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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