RT Journal Article
T1 Influence of gestational weight gain on the nutritional status of offspring at birth and at 5 years of age
A1 Feria Ramírez, Carmen
A1 Molina Luque, Rafael
A1 Molina Regio, Guillermo
A1 González Sanz, Juan Diego
AB Objective: To determine the influence of pre-pregnancy maternal BMI and increases in maternal weight duringpregnancy on perinatal and child outcomes at birth and at 5 years.Research design/setting: A prospective cohort study was conducted between November 2016 and December 2021.The participants were a total of 115 women-child dyads, selected from among pregnant women receiving routineprenatal care in different health centres belonging to 2 health districts. Follow-ups were conducted with thewomen during pregnancy and with their children during the 10 days after birth and at 5 years.Findings: The total weight gain during pregnancy is influenced by an inadequate pre-pregnancy BMI (0.03; 95 %CI, 0.004 – 0.25; P=.001) and a greater increase in maternal BMI during the first and second term of pregnancy.A greater increase in BMI during pregnancy was associated with higher breastfeeding rates both in the short term(1.21; 95 % CI, 1.01–1.44; P = 0.04) and the long term (12 months: 1.30; 95 % CI, 1.02 – 1.67; P = 0.04; 24months: 1.30; 95 % CI, 1.02 – 1.69; P = 0.04). No links were found between gains in maternal weight and theweight of the newborn, nor between maternal weight and/or pre-pregnancy BMI with the nutritional status ofthe child.Key conclusions: After studying these results, it was concluded that promoting and implementing health andeducation policies focused on enhancing maternal nutritional status is essential to improve the nutritional statusof children.Implications for practice: Healthy gestational weight gain (GWG) is an important issue to be addressed by themidwife in primary care, both in the preconception period and throughout pregnancy.As a result, it is important that the midwife is trained and has the appropriate resources and tools to work withpregnant women individually and collectively. In addition to paying attention to overweight and obese pregnantwomen, the midwife should also pay attention to women with a normal BMI, as they seem to have greaterdifficulty in maintaining a healthy weight gain.Another line of intervention to be addressed is breastfeeding (BF), where the midwife should be the main point ofreference from the beginning of this process, taking into account the relationship between BMI and BF
PB Elsevier
SN 0266-6138
SN 1532-3099 (electrónico)
YR 2024
FD 2024-02
LK https://hdl.handle.net/10272/23994
UL https://hdl.handle.net/10272/23994
LA eng
NO Feria-Ramirez, C., Gonzalez-Sanz, J. D., Molina-Luque, R., & Molina-Recio, G. (2024). Influence of gestational weight gain on the nutritional status of offspring at birth and at 5 years of age. In Midwifery (Vol. 129, p. 103908). Elsevier BV. https://doi.org/10.1016/j.midw.2023.103908
DS Repositorio Institucional de la Universidad de Huelva
RD 31 may 2026