Original Article

The effect of maternal weight gain during pregnancy on the child growth until the age of 6 months: A retrospective cohort study


Back ground & Aim: Recently, early growth patterns have been associated with metabolic and cardiovascular diseases in adulthood. Early child development depends on women’s health. Lack of maternal health during pregnancy can lead to death, disease, and disability in the newborn baby. This research was conducted to study the effect of maternal weight gain during pregnancy on the children’s growth until 6 months of age.
Methods & Materials: This retrospective cohort study was conducted on a sample of  257 mother/child pairs using the household records of the urbane health center of Amirieh in Shahriar County. Health care records of pregnant women were collected, and their children’s weight was measured at birth and 6 months of age. Multiple linear regressions were used to estimate the adjusted association between maternal and infant weight gain from birth to 6 months of life.
Results: According to multiple analysis, there was no statistically significant and clinically important association between the infant weight gain and gestational weight gain [b = 3.8; 95% confidence interval (CI): −20.8, 28.5; P = 0.076]. Gestational weight gain, however, showed a significant association with birth weight (b = 16.34; 95% CI: 3.4, 29.3; P = 0.014).
Conclusion: In this study, there was no association between gestational weight gain and infant weight gain from birth to 6 months. It seems that further studies with larger sample sizes and variables can help us to understand the maternal factors affecting early infant growth. 

Spyrides MH, Struchiner CJ, Serrano Barbosa MT, Kac G. The effect of breastfeeding practices on infant growth. Rev Bras Saude Mater Infant 2005; 5(2): 145-53.

Young TK, Woodmansee B. Factors that are associated with cesarean delivery in a large private practice: The importance of prepregnancy body mass index and weight gain. Am J Obstet Gynecol 2002; 187(2): 312-8.

Sebire NJ, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, et al. Maternal obesity and pregnancy outcome: A study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord 2001; 25(8): 1175-82.

Guelinckx I, Devlieger R, Beckers K, Vansant G. Maternal obesity: Pregnancy complications, gestational weight gain and nutrition. Obes Rev 2008; 9(2): 140-50.

Li C, Goran MI, Kaur H, Nollen N, Ahluwalia JS. Developmental trajectories of overweight during childhood: Role of early life factors. Obesity (Silver Spring) 2007; 15(3): 760-71.

Baird J, Fisher D, Lucas P, Kleijnen J, Roberts H, Law C. Being big or growing fast: Systematic review of size and growth in infancy and later obesity. BMJ 2005; 331(7522): 929.

Min J, Li J, Li Z, Wang Y. Impacts of infancy rapid weight gain on 5-year childhood overweight development vary by age and sex in China. Pediatr Obes 2012; 7(5): 365-73.

Barker DJ. Fetal origins of coronary heart disease. BMJ 1995; 311(6998): 171-4.

Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and

child undernutrition: Consequences for adult health and human capital. Lancet 2008; 371(9609): 340-57.

Ludwig DS, Currie J. The association between pregnancy weight gain and birthweight: a within-family comparison. Lancet 2010; 376(9745): 984-90.

Nohr EA, Bech BH, Vaeth M, Rasmussen KM, Henriksen TB, Olsen J. Obesity, gestational weight gain and preterm birth: A study within the Danish National Birth Cohort. Paediatr Perinat Epidemiol 2007; 21(1): 5-14.

Yaktine AL, Rasmussen KM. Weight gain during pregnancy: Reexamining the guidelines. Washington, DC: National Academies Press; 2010.

WHO and the World Bank Group. Levels and trends in child malnutrition [Online]. [cited 2016]; Available from: URL: www.who.int/nutgrowthdb/jme_brochure201 6.pdf

Houshiar Rad A, Dorosty A, Kalantari N, Abdollahi M, Abtahi M. Prevalence of stunting, underweight, wasting and overweight among Iranian under-five-yearold children (2000-2002). Iran J Nutr Sci Food Technol 2009; 3(4): 49-56.

Chandler-Laney PC, Gower BA, Fields DA. Gestational and early life influences on infant body composition at 1 year. Obesity (Silver Spring ) 2013; 21(1): 144-8.

Heerman WJ, Bian A, Shintani A, Barkin SL. Interaction between maternal prepregnancy body mass index and gestational weight gain shapes infant growth. Acad Pediatr 2014; 14(5): 463-70.

Hanieh S, Ha TT, Simpson JA, Thuy TT, Khuong NC, Thoang DD, et al. Postnatal growth outcomes and influence of maternal gestational weight gain: A prospective cohort study in rural Vietnam. BMC Pregnancy Childbirth 2014; 14: 339.

Drehmer M, Duncan BB, Kac G, Schmidt MI. Association of second and third trimester weight gain in pregnancy with maternal and fetal outcomes. PLoS One 2013; 8(1): e54704.

Li Y, Chen X, Chen S, Wu J, Zhuo X, Zheng Q, et al. A cohort study on the impacts of prepregnancy maternal body mass index, gestational weight gain on neonate birth status and perinatal outcomes in Fujian province. Zhonghua Liu Xing Bing Xue Za Zhi 2014; 35(6): 635-40.

Durie DE, Thornburg LL, Glantz JC. Effect of second-trimester and third-trimester rate of gestational weight gain on maternal and neonatal outcomes. Obstet Gynecol 2011; 118(3): 569-75.

Ota E, Haruna M, Suzuki M, Anh DD, Tho Le H, Tam NT, et al. Maternal body mass index and gestational weight gain and their association with perinatal outcomes in Viet Nam. Bull World Health Organ 2011; 89(2): 127-36.

Jeric M, Roje D, Medic N, Strinic T, Mestrovic Z, Vulic M. Maternal prepregnancy underweight and fetal growth in relation to institute of medicine recommendations for gestational weight gain. Early Hum Dev 2013; 89(5): 277-81.

Watanabe H, Inoue K, Doi M, Matsumoto M, Ogasawara K, Fukuoka H, et al. Risk factors for term small for gestational age infants in women with low prepregnancy body mass index. J Obstet Gynaecol Res 2010; 36(3): 506-12.

Rafraf M, Mahdavi R, Afiat Milani S, Majboub SA. Assessment of some effective factors on the weight gain during pregnancy and birth weight of newborns. Med J Tabriz Univ Med Sci 2002; 24(3): 31-8. [In Persian].

Fraser A, Tilling K, Macdonald-Wallis C, Sattar N, Brion MJ, Benfield L, et al. Association of maternal weight gain in pregnancy with offspring obesity and

metabolic and vascular traits in childhood. Circulation 2010; 121(23): 2557-64.

von Kries R, Ensenauer R, Beyerlein A, Amann-Gassner U, Hauner H, Rosario AS. Gestational weight gain and overweight in children: Results from the cross-sectional German KiGGS study. Int J Pediatr Obes 2011; 6(1): 45-52.

Wrotniak BH, Shults J, Butts S, Stettler N. Gestational weight gain and risk of overweight in the offspring at age 7 y in a multicenter, multiethnic cohort study. Am J Clin Nutr 2008; 87(6): 1818-24.

Li N, Liu E, Guo J, Pan L, Li B, Wang P, et al. Maternal prepregnancy body mass index and gestational weight gain on offspring overweight in early infancy. PLoS One 2013; 8(10): e77809.

Olson CM, Demment MM, Carling SJ, Strawderman MS. Associations between mothers' and their children's weights at 4 years of age. Child Obes 2010; 6(4): 201-7.

Deierlein AL, Siega-Riz AM, Adair LS, Herring AH. Effects of pre-pregnancy body mass index and gestational weight gain on infant anthropometric outcomes. J Pediatr 2011; 158(2): 221-6.

Whitaker RC. Predicting preschooler obesity at birth: The role of maternal obesity in early pregnancy. Pediatrics 2004; 114(1): e29-e36.

Baker JL, Michaelsen KF, Rasmussen KM, Sorensen TI. Maternal prepregnant body mass index, duration of breastfeeding, and timing of complementary food introduction are associated with infant weight gain. Am J Clin Nutr 2004; 80(6): 1579-88.

IssueVol 2 No 4 (2016) QRcode
SectionOriginal Article(s)
Pregnancy Retrospective study Weight gain

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How to Cite
Okhovat-Isfahani B, Mansournia MA, Mahmoodi M, Feyzi-Lafmejani A, Holakouie-Naieni K. The effect of maternal weight gain during pregnancy on the child growth until the age of 6 months: A retrospective cohort study. JBE. 2017;2(4):158-163.