Gestational weight gain and obesity, adiposity and body size in African–American and Dominican children in the Bronx and Northern Manhattan

Elizabeth M. Widen, Robin M. Whyatt, Lori A. Hoepner, Noel T. Mueller, Judyth Ramirez-Carvey, Sharon E. Oberfield, Abeer Hassoun, Frederica P. Perera, Dympna Gallagher, Andrew G. Rundle

Research output: Contribution to journalArticle

Abstract

Gestational weight gain (GWG) is potentially modifiable and is associated with infant size and body composition; however, long-term effects on childhood obesity have not been reported among multi-ethnic urban populations. We examined the association between GWG and child anthropometric measures and body composition at 7 years [waist circumference (WC), body mass index z-score (BMIZ), obesity (BMIZ ≥95%ile) and bioelectrical impedance analysis estimates of percentage body fat (%fat)] in African–American and Dominican dyads (n = 323) in the Columbia Center for Children's Environmental Health prospective birth cohort study from 1998 to 2013. Linear and logistic regression evaluated associations between excessive GWG [>Institute of Medicine (IOM) 2009 guidelines] and outcomes, adjusting for pre-pregnancy BMI and covariates. Pre-pregnancy BMI (mean ± standard deviation, all such values) and total GWG were 25.8 ± 6.2 kg m−2 (45% overweight/obese) and 16.4 ± 7.9 kg (64% > IOM guidelines), respectively. Excessive GWG was associated with higher BMIZ {0.44 [95% confidence interval (CI): 0.2, 0.7], P < 0.001}, WC [β: 2.9 cm (95% CI: 1.1, 4.6), P = 0.002], %fat at 7 years [β: 2.2% (95% CI: 1.0, 3.5), P = 0.001)] and obesity [odds ratio: 2.93 (95% CI: 1.5, 5.8), P = 0.002]. Pre-pregnancy BMI was positively associated with child size, adiposity and obesity (all P < 0.05). Excessive GWG was highly prevalent and was associated with child obesity, greater percentage body fat and abdominal adiposity. Strategies to support healthy GWG are warranted to promote healthy growth and prevent childhood obesity.

Original languageEnglish (US)
Pages (from-to)918-928
Number of pages11
JournalMaternal and Child Nutrition
Volume12
Issue number4
DOIs
StatePublished - Oct 1 2016

Keywords

  • body composition
  • childhood adiposity
  • childhood obesity
  • life course
  • pregnancy
  • weight gain

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

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    Widen, E. M., Whyatt, R. M., Hoepner, L. A., Mueller, N. T., Ramirez-Carvey, J., Oberfield, S. E., Hassoun, A., Perera, F. P., Gallagher, D., & Rundle, A. G. (2016). Gestational weight gain and obesity, adiposity and body size in African–American and Dominican children in the Bronx and Northern Manhattan. Maternal and Child Nutrition, 12(4), 918-928. https://doi.org/10.1111/mcn.12174