Maternal nutrition, inadequate gestational weight gain and birth weight: results from a prospective birth cohort

• DOI: 10.1186/s12884-016-1012-y
• Publication Date: 2016-08-15T09:40:38Z
• Authors: Anke Diemert; Susanne Lezius; Mirja Pagenkemper; Gudula Hansen; Alina Drozdowska; Kurt Hecher; Petra Arck; Birgit C. Zyriax
• Keywords: Adult; 0301 basic medicine; Gestational Age; Weight Gain; Diet Surveys; Body Mass Index; Eating; 03 medical and health sciences; 0302 clinical medicine; Pregnancy; Germany; Obstetrics and Gynaecology; Birth Weight; Humans; Prospective Studies; 2. Zero hunger; Body Weight; Infant, Newborn; Maternal Nutritional Physiological Phenomena; Overweight; 3. Good health; Pregnancy Complications; Multivariate Analysis; Female; Pregnancy Trimesters; Energy Intake; Research Article

The aim of our study was to examine maternal weight gain as well nutrient intake in pregnancy throughout each trimester compared current recommendations a low-risk population and its correlation birth weight. Additionally, we have investigated the association nutrition with gestational an economically unrestricted population.Our analysis carried out population-based prospective cohort Hamburg, Germany. 200 pregnant women 197 infants born at term were included analysis. Maternal body weight, gestation, macro- micronutrients assessed based on 24 h dietary recall trimester. Our main outcome measures gain, self-reported comparison recommendations.One third characterized by elevated pre-pregnancy BMI, 60 % did not comply recommendations. Particularly overweight obese gained more than recommended. In multivariate correlated significantly BMI (p = 0.020), total 0.020) week < 0.001). Compared guidelines mean percentage energy derived from fat 0.002) protein 0.001) higher, whereas carbohydrate 0.033) lower. Mean fiber lower Saturated sugar contributed largely consumption. Gestational 0.027), carbohydrates 0.008), monosaccharides saccharose 0.006) intake. 98 below iodine recommendation, while none reached required folate, vitamin D, iron intake.During gestation appropriate individual advice seems be high priority. Pregnancy should used 'window opportunity' for behavioral changes.