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. 2022 Jul 19;5(7):e2222537. doi: 10.1001/jamanetworkopen.2022.22537

Table. Comparison of GWG IQRs Assessed Using the Study Population and IOM Recommendations.

BMI category GWG ranges IOM recommendations
Statistics-based approach Outcome-based approach
Optimal range GWG rate Optimal range GWG rate IQR GWG rate
kg lb kg/wk lb/wk kg lb kg/wk lb/wk kg lb kg/wk lb/wk
Underweight (BMI <18.5) 15.9-22.7 35.1-50.0 0.44-0.63 0.97-1.39 17.5-24.9 38.6-54.9 0.49-0.69 1.07-1.52 ND ND ND ND
Normal weight (BMI 18.5-24.9) 15.4-22.7 34.0-50.0 0.43-0.63 0.94-1.39 15.0-24.9 33.1-54.9 0.42-0.69 0.92-1.52 16.8-24.5 37.0-54.0 0.45-0.66 1.03-1.50
Overweight (BMI 25.0-29.9) 12.7-22.2 28.0-48.9 0.35-0.62 0.78-1.36 15.0-24.9 33.1-54.9 0.42-0.69 0.92-1.52 14.1-22.7 31.1-50.0 0.38-0.61 0.86-1.39
Class 1 obesity (BMI 30.0-34.9) 10.0-20.0 22.0-44.1 0.28-0.56 0.61-1.22 10.0-19.9 22.0-43.9 0.28-0.55 0.61-1.22 11.3-19.1 24.9-42.1 0.31-0.51 0.69-1.17
Class 2 obesity (BMI 35.0-39.9) 7.7-18.1 17.0-39.9 0.21-0.50 0.47-1.11 7.5-17.4 16.5-38.4 0.21-0.48 0.46-1.07 ND ND ND ND
Class 3 obesity (BMI ≥40.0) 5.9-16.3 13.0-35.9 0.16-0.45 0.36-1.00 5.0-9.9 11.0-21.8 0.14-0.28 0.31-0.61 ND ND ND ND

Abbreviations: BMI, body mass index calculated as weight in kilograms divided by height in meters squared; GWG, gestational weight gain; IOM, US Institute of Medicine; ND, not determined.