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. 2021 Jan 12;151(3):649–656. doi: 10.1093/jn/nxaa371

TABLE 3.

Association between BMI at 18 y and weight change since 18 y and probability of implantation, clinical pregnancy, and live birth in the Environment and Reproductive Health Study

Adjusted probability (95% CI)1
Characteristic Women Cycles Successful implantation Clinical pregnancy Live birth
BMI at 18 y, kg/m2
 <18.5 92 150 58.7 (50.1, 66.8) 52.2 (44.0, 60.3) 43.4 (35.2, 51.9)
 18.5–19.9 89 153 54.0 (45.7, 62.0) 48.3 (40.5, 56.2) 40.7 (32.9, 48.9)
 20–22.4 (reference) 197 358 56.1 (50.7, 61.4) 46.8 (41.6, 52.0) 36.6 (31.6, 42.0)
 22.5–24.9 68 129 51.1 (42.1, 60.0) 41.5 (33.3, 50.2) 32.5 (24.7, 41.4)
 ≥25 40 73 50.1 (38.4, 61.8) 47.1 (36.1, 58.5) 38.9 (28.1, 50.8)
P-trend2 0.20 0.20 0.20
Weight change since 18 y
 Lost (<0 kg) 58 104 57.7 (47.5, 67.3) 46.2 (36.8, 56.0) 38.7 (29.4, 48.9)
 Stable (gained 0–4.9 kg) (reference) 129 222 55.1 (48.2, 61.8) 47.4 (40.9, 54.1) 40.1 (33.6, 47.0)
 Gained 5–9.9 kg 117 213 58.9 (51.9, 65.7) 50.1 (43.3, 56.8) 37.1 (30.6, 44.1)
 Gained 10–14.9 kg 75 131 57.6 (48.7, 66.1) 51.3 (42.7, 59.8) 45.4 (36.6, 54.4)
 Gained ≥15 kg 107 193 47.0 (39.6, 54.5) 41.9 (34.9, 49.1) 31.6 (25.1, 38.9)
P-trend for weight change 0.07 0.35 0.19
P-trend for weight gain3 0.07 0.24 0.17

1Adjusted for age, smoking status, race, education, and height. Weight change models were further adjusted for BMI at 18 y.

2Test for trend was performed using the median level of BMI at 18 y or weight change since 18 y in each category as a continuous variable in the model.

3Test for trend using median value for each weight change category among women who remained weight stable or gained weight (excludes women who lost weight).