Investigation of optimal weight gain during pregnancy for Japanese Women

Abstract This study aims to compare the US Institute of Medicine (IOM) and Japanese guidelines proposed by the Ministry and the Japan Society for the Study of Obesity on gestational weight gain (GWG), and to explore the optimal GWG range in Japanese women. We investigated 8,152 Japanese women who ha...

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Autores principales:	Kyoko Nomura, Michiko Kido, Ayumi Tanabe, Kengo Nagashima, Shinichi Takenoshita, Kazumichi Ando
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cc530fe8a449424fba190ee34249a1c6
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spelling	oai:doaj.org-article:cc530fe8a449424fba190ee34249a1c62021-12-02T15:05:29ZInvestigation of optimal weight gain during pregnancy for Japanese Women10.1038/s41598-017-02863-12045-2322https://doaj.org/article/cc530fe8a449424fba190ee34249a1c62017-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-02863-1https://doaj.org/toc/2045-2322Abstract This study aims to compare the US Institute of Medicine (IOM) and Japanese guidelines proposed by the Ministry and the Japan Society for the Study of Obesity on gestational weight gain (GWG), and to explore the optimal GWG range in Japanese women. We investigated 8,152 Japanese women who had full-term singleton babies between 2010 and 2013 at a single center in Tokyo. Logistic regression models showed that GWG below the recommendation of the IOM and Japanese guidelines was similarly associated with an increased risk of light-for-date (LFD), whereas GWG above these guidelines was similarly associated with an increased risk of heavy-for-date (HFD) in pre-pregnancy body mass index categories of underweight (<18.5 kg/m2, n = 1559), normal-weight (18.5–24.9 kg/m2, n = 4998), overweight (25.0–29.9 kg/m2, n = 270), and obese (30 ≤ kg/m2, n = 60). The receiver-operating characteristic curve demonstrated that the optimal cutoffs for LFD and HFD were 9.7 and 10.4 kg, respectively in normal-weight mothers. The IOM and Japanese guidelines identified the risk of LFD or HFD equally well. The optimal GWG range in normal-weight women observed in this study was more close to Japanese guideline (i.e., 7–12 kg) compared to the IOM guideline (i.e., 11.5–16 kg).Kyoko NomuraMichiko KidoAyumi TanabeKengo NagashimaShinichi TakenoshitaKazumichi AndoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-7 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kyoko Nomura Michiko Kido Ayumi Tanabe Kengo Nagashima Shinichi Takenoshita Kazumichi Ando Investigation of optimal weight gain during pregnancy for Japanese Women
description	Abstract This study aims to compare the US Institute of Medicine (IOM) and Japanese guidelines proposed by the Ministry and the Japan Society for the Study of Obesity on gestational weight gain (GWG), and to explore the optimal GWG range in Japanese women. We investigated 8,152 Japanese women who had full-term singleton babies between 2010 and 2013 at a single center in Tokyo. Logistic regression models showed that GWG below the recommendation of the IOM and Japanese guidelines was similarly associated with an increased risk of light-for-date (LFD), whereas GWG above these guidelines was similarly associated with an increased risk of heavy-for-date (HFD) in pre-pregnancy body mass index categories of underweight (<18.5 kg/m2, n = 1559), normal-weight (18.5–24.9 kg/m2, n = 4998), overweight (25.0–29.9 kg/m2, n = 270), and obese (30 ≤ kg/m2, n = 60). The receiver-operating characteristic curve demonstrated that the optimal cutoffs for LFD and HFD were 9.7 and 10.4 kg, respectively in normal-weight mothers. The IOM and Japanese guidelines identified the risk of LFD or HFD equally well. The optimal GWG range in normal-weight women observed in this study was more close to Japanese guideline (i.e., 7–12 kg) compared to the IOM guideline (i.e., 11.5–16 kg).
format	article
author	Kyoko Nomura Michiko Kido Ayumi Tanabe Kengo Nagashima Shinichi Takenoshita Kazumichi Ando
author_facet	Kyoko Nomura Michiko Kido Ayumi Tanabe Kengo Nagashima Shinichi Takenoshita Kazumichi Ando
author_sort	Kyoko Nomura
title	Investigation of optimal weight gain during pregnancy for Japanese Women
title_short	Investigation of optimal weight gain during pregnancy for Japanese Women
title_full	Investigation of optimal weight gain during pregnancy for Japanese Women
title_fullStr	Investigation of optimal weight gain during pregnancy for Japanese Women
title_full_unstemmed	Investigation of optimal weight gain during pregnancy for Japanese Women
title_sort	investigation of optimal weight gain during pregnancy for japanese women
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/cc530fe8a449424fba190ee34249a1c6
work_keys_str_mv	AT kyokonomura investigationofoptimalweightgainduringpregnancyforjapanesewomen AT michikokido investigationofoptimalweightgainduringpregnancyforjapanesewomen AT ayumitanabe investigationofoptimalweightgainduringpregnancyforjapanesewomen AT kengonagashima investigationofoptimalweightgainduringpregnancyforjapanesewomen AT shinichitakenoshita investigationofoptimalweightgainduringpregnancyforjapanesewomen AT kazumichiando investigationofoptimalweightgainduringpregnancyforjapanesewomen
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Investigation of optimal weight gain during pregnancy for Japanese Women

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