The early COVID-19 pandemic period and associated gestational weight gain.
COVID-19
gestational weight gain
pandemic
pre-pregnancy BMI
Journal
Journal of perinatal medicine
ISSN: 1619-3997
Titre abrégé: J Perinat Med
Pays: Germany
ID NLM: 0361031
Informations de publication
Date de publication:
04 Nov 2024
04 Nov 2024
Historique:
received:
27
02
2024
accepted:
29
09
2024
medline:
1
11
2024
pubmed:
1
11
2024
entrez:
1
11
2024
Statut:
aheadofprint
Résumé
The aim of this study was to investigate if gestational weight gain was altered during the early COVID-19 pandemic period. This a retrospective cohort study evaluating gestational weight gain among individuals delivering during the early COVID-19 pandemic epoch (March 10-December 31, 2020) compared to temporally matched pre-pandemic (matched months in 2018 and 2019) controls using electronic medical record data from a large tertiary care hospital. The primary outcome was gestational weight gain defined as a categorical measure representing below, meeting, or above Institute of Medicine (IOM) criteria with further adjustment for gestational age at delivery. The early-pandemic exposure group was also categorized by gestational age at the start period (<14 weeks' and 14-20 weeks') to assess if duration of exposure affected gestational weight gain risks with the use of multinominal logistic regression. Among 5,377 individuals 3,619 (67.3 %) and 1,758 (32.7 %) were in the pre and early pandemic epochs respectively. Overall, 934 (17.4 %) individuals gained below recommended, 1,280 (23.8 %) met recommendations, and 3,163 (58.8 %) gained above IOM recommended gestational weight gain. Compared to the pre-pandemic epoch, the early pandemic period was not associated with weight gain below (OR 1.06, 95 % Cl 0.89-1.27) or above (OR 1.03, 95 % Cl 0.89-1.19) IOM recommendations. This was also true when the early pandemic group was stratified based on gestational age at the start of the early pandemic period (<14 weeks' and 14-20 weeks'). This study demonstrated no significant difference in maternal weight gain between pre and early COVID-19 pandemic periods.
Identifiants
pubmed: 39485230
pii: jpm-2024-0088
doi: 10.1515/jpm-2024-0088
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 Walter de Gruyter GmbH, Berlin/Boston.
Références
Teede, HJ, Bailey, C, Moran, LJ, Bahri Khomami, M, Enticott, J, Ranasinha, S, et al.. Association of antenatal diet and physical activity-based interventions with gestational weight gain and pregnancy outcomes: a systematic review and meta-analysis. JAMA Intern Med 2022;182:106–14.
Driscoll, AK, Gregory, ECW. Increases in prepregnancy obesity: United States, 2016–2019. NCHS Data Brief No. 392 . Hyattsville, MD: National Center for Health Statistics; 2020.
Rasmussen, KM, Catalano, PM, Yaktine, AL. New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know. Curr Opin Obstet Gynecol 2009;21:521–6.
Santos Monteiro, S, Santos, TS, Fonseca, L, Saraiva, M, Pichel, F, Pinto, C, et al.. Inappropriate gestational weight gain impact on maternofetal outcomes in gestational diabetes. Ann Med 2023;55:207–14.
Restall, A, Taylor, RS, Thompson, JM, Flower, D, Dekker, GA, Kenny, LC, et al.. Risk factors for excessive gestational weight gain in a healthy, nulliparous cohort. J Obes 2014;2014:148391.
Zhang, J, Zhao, A, Ke, Y, Huo, S, Ma, Y, Zhang, Y, et al.. Dietary behaviors in the post-lockdown period and its effects on dietary diversity: the second stage of a nutrition survey in a longitudinal Chinese study in the COVID-19 era. Nutrients 2020;12:3269.
Zhang, J, Zhang, Y, Huo, S, Ma, Y, Ke, Y, Wang, P, et al.. Emotional eating in pregnant women during the COVID-19 pandemic and its association with dietary intake and gestational weight gain. Nutrients 2020;12:2250.
La Verde, M, Torella, M, Riemma, G, Narciso, G, Iavarone, I, Gliubizzi, L, et al.. Incidence of gestational diabetes mellitus before and after the Covid-19 lockdown: a retrospective cohort study. J Obstet Gynaecol Res 2022;48:1126–31.
Kirchengast, S, Hartmann, B. Pregnancy outcome during the first COVID 19 lockdown in Vienna, Austria. Int J Environ Res Publ Health 2021;18:3782.
Abdelwahab, M, Voest, JA, Metz, TD, Hughes, BL, Grobman, WA, Saade, GR, et al.. Gestational weight gain and neonatal biometry during the COVID-19 pandemic: a multicenter observational cohort. Am J Perinatol 2024. https://doi.org/10.1055/a-2335-2480 .
doi: 10.1055/a-2335-2480
Nethery, E, Hutcheon, JA, Kotaska, A, Law, MR, Janssen, P. Weight gain in pregnancy and infant birthweight after the onset of the COVID-19 pandemic: an interrupted time series analysis. Am J Clin Nutr 2023;117:364–72.
Harville, EW, Kracht, CL, Cohen, NL, Sutton, EF, Kebbe, M, Redman, LM. Trends in gestational weight gain in Louisiana, March 2019 to March 2022. JAMA Netw Open 2023;6:e2331277.
Cao, W, Sun, S, Danilack, VA. Analysis of gestational weight gain during the COVID-19 pandemic in the US. JAMA Netw Open 2022;5:e2230954.
Collins-Smith, A, Prasannan, L, Shan, W, Dori, E, Katzow, M, Blitz, MJ. Effect of lockdown period of COVID-19 pandemic on maternal weight gain, gestational diabetes, and newborn birth weight. Am J Perinatol 2022.
McPhail, A, Hare, ME, Talcott, GW, Little, MA, Bursac, Z, Krukowski, RA. Gestational weight gain during the COVID-19 pandemic. Matern Child Health J 2023;27:1454–9.
Tori, ME, Gosdin, L, Shih, Y, Hung, P, Li, X, Liu, J. Association of COVID-19 pandemic societal closures with gestational weight gain among women in South Carolina, 2018–2021. Ann Epidemiol 2024;91:51–7.
Mirsky, EL, Mastronardi, AM, Paudel, A, Young, ML, Zite, NB, Maples, JM. The COVID-19 pandemic and prevalence of gestational diabetes: does gestational weight gain matter? Am J Obstet Gynecol MFM 2023;5:100899.
Mullin, AM, Handley, SC, Lundsberg, L, Elovitz, MA, Lorch, SA, McComb, EJ, et al.. Changes in preterm birth during the COVID-19 pandemic by duration of exposure and race and ethnicity. J Perinatol 2022;42:1346–52.
WHO . Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000;894:1–253.
ADA . Classification and diagnosis of diabetes. J Clin Appl Res Edu 2017;40:S11–24.
ACOG . Gestational hypertension and preeclampsia. ACOG practice bulletin No. 222. Obstet Gynecol 2020;135:e237–260.
Woolfolk, CL, Harper, LM, Flick, L, Mathews, K, Chang, JJ. Gestational weight gain and preterm birth: disparities in adolescent pregnancies. J Perinatol 2016;36:1055–60.
Zhang, X, Warner, ME. COVID-19 policy differences across US states: shutdowns, reopening, and mask mandates. Int J Environ Res Publ Health . 2020;17:9520.
DeNicola, N, Grossman, D, Marko, K, Sonalkar, S, Butler Tobah, YS, Ganju, N, et al.. Telehealth interventions to improve obstetric and gynecologic health outcomes: a systematic review. Obstet Gynecol 2020;135:371–82.
Molina, RL, Tsai, TC, Dai, D, Soto, M, Rosenthal, N, Orav, EJ, et al.. Comparison of pregnancy and birth outcomes before vs during the COVID-19 pandemic. JAMA Netw Open 2022;5:e2226531.
Rao, MG, Toner, LE, Stone, J, Iwelumo, CA, Goldberger, C, Roser, BJ, et al.. Pregnancy during a pandemic: a cohort study comparing adverse outcomes during and before the COVID-19 pandemic. Am J Perinatol 2023;40:445–52.
Baracy, MJr, Afzal, F, Szpunar, SM, Tremp, M, Grace, K, Liovas, M, et al.. Coronavirus disease 2019 (COVID-19) and the risk of hypertensive disorders of pregnancy: a retrospective cohort study. Hypertens Pregnancy 2021;40:226–35.
Jeong, Y, Kim, MA. The coronavirus disease 2019 infection in pregnancy and adverse pregnancy outcomes: a systematic review and meta-analysis. Obstet Gynecol Sci 2023;66:587.
MMWR . Gestational weight gain among women with full-term, singleton births, compared with recommendations- 48 states and the District of Columbia. MMWR Morb Mortal Wkly Rep 2016. 2015;65:1121.