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Cited by 32Gestational Diabetes Research and ManagementMaternal and Neonatal HealthcarePregnancy and preeclampsia studies

Inadequate Weight Gain According to the Institute of Medicine 2009 Guidelines in Women with Gestational Diabetes: Frequency, Clinical Predictors, and the Association with Pregnancy Outcomes

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Xie, Xinglei, Liu, Jiaming, Pujol, Isabel, López, Alicia, Martínez, María José, García-Patterson, Apolonia, Adelantado, Juan M., Ginovart, Gemma +1 more·2020·Journal of Clinical Medicine
DOI 10.3390/jcm9103343PMC PMC7603144
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Abstract

Background: In the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight gain (GWG). We aimed to evaluate the rate of inadequate GWG in women with GDM, its clinical predictors and the association with pregnancy outcomes. Methods: Cohort retrospective analysis. Outcome variables: GWG according to Institute of Medicine 2009 and 18 pregnancy outcomes. Clinical characteristics were considered both as GWG predictors and as covariates in outcome prediction. Statistics: descriptive, multinomial and logistic regression. Results: We assessed 2842 women diagnosed with GDM in the 1985–2011 period. GWG was insufficient (iGWG) in 50.3%, adequate in 31.6% and excessive (eGWG) in 18.1%; length of follow-up for GDM was positively associated with iGWG. Overall pregnancy outcomes were satisfactory. GWG was associated with pregnancy-induced hypertension, preeclampsia, cesarean delivery and birthweight-related outcomes. Essentially, the direction of the association was towards a higher risk with eGWG and lower risk with iGWG (i.e., with Cesarean delivery and excessive growth). Conclusions: In this cohort of women with GDM, inadequate GWG was very common at the expense of iGWG. The associations with pregnancy outcomes were mainly towards a higher risk with eGWG and lower risk with iGWG.

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  • Lower GWG in women with GDM is associated with reduced risks of pregnancy-induced hypertension, pre-eclampsia, caesarean section, and macrosomia without increasing small-for-gestational-age risks.

    “Lower GWG in women with GDM [44,45,46,47,48,49] is associated with reduced risks of pregnancy-induced hypertension, pre-eclampsia [49,50,51], caesarean section [47], and macrosomia [43,49] without increasing small-for-gestational-age (SGA) risks [43,49].”

    From Medical Nutrition Therapy for Women with Gestational Diabetes: Current Practice and Future Perspectives (2025) · cites this paper as [49]

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Cited by

Sorted by citations

Authors
Xie, X., Liu, J., Pujol, I., López, A., Martínez, M. J., García-Patterson, A., Adelantado, J. M., Ginovart, G., & Corcoy, R.
Affiliations
  • Universitat Autònoma de Barcelona (ES)
  • Hospital de Sant Pau (ES)
  • Institut de Recerca, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain
Corresponding author
Corcoy, Rosa
ORCID
Venue
Journal of Clinical Medicine
Publisher
MDPI AG
Published
2020-10-18
Volume
9
Issue
10
Pages
3343
ISSN
2077-0383 (ISSN-L)
DOI
10.3390/jcm9103343
PMC
PMC7603144
OpenAlex
W3093120754
Cited by
32
References
5
Citations by year
2026: 2 · 2025: 5 · 2024: 3 · 2023: 6 · 2022: 11 · 2021: 5
FWCI
3.36
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Clinical Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Keywords
gestational diabetes mellitus, gestational weight gain, inadequate weight gain, excessive weight gain, pregnancy outcomes, preeclampsia, gestational hypertension, cesarean section, birth weight, predictors of weight gain

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