Maternal Weight Gain in Pregnancy and Risk of Obesity among Offspring: A Systematic Review

Objectives. To systematically review the evidence from prospective and retrospective cohort studies on the association between gestational weight gain (GWG) and offspring’s body weight. Methods. Electronic databases PubMed, Web of Science, CINAHL, and Academic Search Premiere were searched from ince...

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Main Authors: Erica Y. Lau, Junxiu Liu, Edward Archer, Samantha M. McDonald, Jihong Liu
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2014/524939
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author Erica Y. Lau
Junxiu Liu
Edward Archer
Samantha M. McDonald
Jihong Liu
author_facet Erica Y. Lau
Junxiu Liu
Edward Archer
Samantha M. McDonald
Jihong Liu
author_sort Erica Y. Lau
collection DOAJ
description Objectives. To systematically review the evidence from prospective and retrospective cohort studies on the association between gestational weight gain (GWG) and offspring’s body weight. Methods. Electronic databases PubMed, Web of Science, CINAHL, and Academic Search Premiere were searched from inception through March 18, 2013. Included studies (n=23) were English articles that examined the independent associations of GWG with body mass index (BMI) and/or overweight status in the offspring aged 2 to 18.9 years. Two authors independently extracted the data and assessed methodological quality of the included studies. Results. Evidence from cohort studies supports that total GWG and exceeding the Institute of Medicine maternal weight gain recommendation were associated with higher BMI z-score and elevated risk of overweight or obesity in offspring. The evidence of high rate of GWG during early- and mid-pregnancy is suggestive. Additionally, the evidence on inadequate GWG and net GWG in relation to body weight outcomes in offspring is insufficient to draw conclusions. Conclusions. These findings suggest that GWG is a potential risk factor for childhood obesity. However, findings should be interpreted with caution due to measurement issues of GWG and potential confounding effects of shared familial characteristics (i.e., genetics and maternal and child’s lifestyle factors).
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spelling doaj-art-19d02b4d92c942029667b2a2240f56b62025-02-03T00:59:07ZengWileyJournal of Obesity2090-07082090-07162014-01-01201410.1155/2014/524939524939Maternal Weight Gain in Pregnancy and Risk of Obesity among Offspring: A Systematic ReviewErica Y. Lau0Junxiu Liu1Edward Archer2Samantha M. McDonald3Jihong Liu4Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USADepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Room 459 Discovery Building, Columbia, SC 29208, USANutrition Obesity Research Center, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USADepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Room 459 Discovery Building, Columbia, SC 29208, USAObjectives. To systematically review the evidence from prospective and retrospective cohort studies on the association between gestational weight gain (GWG) and offspring’s body weight. Methods. Electronic databases PubMed, Web of Science, CINAHL, and Academic Search Premiere were searched from inception through March 18, 2013. Included studies (n=23) were English articles that examined the independent associations of GWG with body mass index (BMI) and/or overweight status in the offspring aged 2 to 18.9 years. Two authors independently extracted the data and assessed methodological quality of the included studies. Results. Evidence from cohort studies supports that total GWG and exceeding the Institute of Medicine maternal weight gain recommendation were associated with higher BMI z-score and elevated risk of overweight or obesity in offspring. The evidence of high rate of GWG during early- and mid-pregnancy is suggestive. Additionally, the evidence on inadequate GWG and net GWG in relation to body weight outcomes in offspring is insufficient to draw conclusions. Conclusions. These findings suggest that GWG is a potential risk factor for childhood obesity. However, findings should be interpreted with caution due to measurement issues of GWG and potential confounding effects of shared familial characteristics (i.e., genetics and maternal and child’s lifestyle factors).http://dx.doi.org/10.1155/2014/524939
spellingShingle Erica Y. Lau
Junxiu Liu
Edward Archer
Samantha M. McDonald
Jihong Liu
Maternal Weight Gain in Pregnancy and Risk of Obesity among Offspring: A Systematic Review
Journal of Obesity
title Maternal Weight Gain in Pregnancy and Risk of Obesity among Offspring: A Systematic Review
title_full Maternal Weight Gain in Pregnancy and Risk of Obesity among Offspring: A Systematic Review
title_fullStr Maternal Weight Gain in Pregnancy and Risk of Obesity among Offspring: A Systematic Review
title_full_unstemmed Maternal Weight Gain in Pregnancy and Risk of Obesity among Offspring: A Systematic Review
title_short Maternal Weight Gain in Pregnancy and Risk of Obesity among Offspring: A Systematic Review
title_sort maternal weight gain in pregnancy and risk of obesity among offspring a systematic review
url http://dx.doi.org/10.1155/2014/524939
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