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Weight Loss Instead of Weight Gain within the Guidelines in Obese Women during Pregnancy: A Systematic Review and Meta-Analyses of Maternal and Infant Outcomes

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  • Mufiza Zia Kapadia
  • Christina K Park
  • Joseph Beyene
  • Lucy Giglia
  • Cindy Maxwell
  • Sarah D McDonald

Abstract

Background: Controversy exists about how much, if any, weight obese pregnant women should gain. While the revised Institute of Medicine guidelines on gestational weight gain (GWG) in 2009 recommended a weight gain of 5–9 kg for obese pregnant women, many studies suggested even gestational weight loss (GWL) for obese women. Objectives: A systematic review was conducted to summarize pregnancy outcomes in obese women with GWL compared to GWG within the 2009 Institute of Medicine guidelines (5–9 kg). Design: Five databases were searched from 1 January 2009 to 31 July 2014. The Cochrane Handbook for Systematic Reviews of Interventions and the PRISMA Statement were followed. A modified version of the Newcastle-Ottawa scale was used to assess individual study quality. Small for gestational age (SGA), large for gestational age (LGA) and preterm birth were our primary outcomes. Results: Six cohort studies were included, none of which assessed preterm birth. Compared to GWG within the guidelines, women with GWL had higher odds of SGA 90th percentile (AOR 0.57; 95% CI 0.52–0.62). There was a trend towards a graded relationship between SGA

Suggested Citation

  • Mufiza Zia Kapadia & Christina K Park & Joseph Beyene & Lucy Giglia & Cindy Maxwell & Sarah D McDonald, 2015. "Weight Loss Instead of Weight Gain within the Guidelines in Obese Women during Pregnancy: A Systematic Review and Meta-Analyses of Maternal and Infant Outcomes," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-22, July.
    • Handle: RePEc:plo:pone00:0132650
    DOI: 10.1371/journal.pone.0132650
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