Weight gain in different periods of pregnancy and offspring's body mass index at 7 years of age. 2011

Camilla Schou Andersen, and Michael Gamborg, and Thorkild I A Sørensen, and Ellen Aagaard Nohr
Institute of Preventive Medicine, Copenhagen University Hospital, Copenhagen, Denmark. csl@ipm.regionh.dk

OBJECTIVE We investigated how average weekly gestational weight gain rates during three periods of pregnancy were related to the offspring's body mass index (BMI) at 7 years of age. METHODS We used data from the Danish National Birth Cohort. Information from pregnancy interviews conducted between week 12-20 (Interview 1) and week 25-32 (Interview 2) was used to calculate maternal weight gain in the following periods: up until Interview 1; between Interview 1 and 2; from Interview 2 until delivery. Life Course Path Analyses were used to obtain effect estimates of the rates of gain on the offspring's BMI. RESULTS Average weekly gestational weight gain rates in first and second period of pregnancy were significantly associated with the child's BMI (ß-coefficient (95% CI): 0.049 z-score/z-score (0.030, 0.067), and 0.059 z-score/z-score (0.041, 0.077), respectively). No significant association between weight gain in the third period and the child's BMI was found (ß-coefficient (95% CI): 0.016 z-score/z-score (-0.002, 0.034)). The total effect estimate from the third period was furthermore significantly lower than the effect estimates from the first and second period (p < 0.03 and p < 0.002, respectively). CONCLUSIONS Gestational weight gain in first and second, but not in the last period of pregnancy were positively associated with the offspring's BMI at 7 years of age, even though the estimates were small. Fetal environmental factors may influence the unborn child differently depending on timing of exposure. Therefore, it may be important to consider the different fetal developmental stages when linking early life experiences with later health.

UI MeSH Term Description Entries
D007407 Interviews as Topic Works about conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes works about school admission or job interviews. Group Interviews,Interviewers,Interviews, Telephone,Oral History as Topic,Group Interview,Interview, Group,Interview, Telephone,Interviewer,Interviews, Group,Telephone Interview,Telephone Interviews
D008297 Male Males
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011264 Pregnancy Trimesters The three approximately equal periods of a normal human PREGNANCY. Each trimester is about three months or 13 to 14 weeks in duration depending on the designation of the first day of gestation. Trimesters, Pregnancy,Pregnancy Trimester,Trimester, Pregnancy
D011297 Prenatal Exposure Delayed Effects The consequences of exposing the FETUS in utero to certain factors, such as NUTRITION PHYSIOLOGICAL PHENOMENA; PHYSIOLOGICAL STRESS; DRUGS; RADIATION; and other physical or chemical factors. These consequences are observed later in the offspring after BIRTH. Delayed Effects, Prenatal Exposure,Late Effects, Prenatal Exposure
D012044 Regression Analysis Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable. Regression Diagnostics,Statistical Regression,Analysis, Regression,Analyses, Regression,Diagnostics, Regression,Regression Analyses,Regression, Statistical,Regressions, Statistical,Statistical Regressions
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D005865 Gestational Age The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated from the onset of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization. It is also estimated to begin from fertilization, estrus, coitus, or artificial insemination. Embryologic Age,Fetal Maturity, Chronologic,Chronologic Fetal Maturity,Fetal Age,Maturity, Chronologic Fetal,Age, Embryologic,Age, Fetal,Age, Gestational,Ages, Embryologic,Ages, Fetal,Ages, Gestational,Embryologic Ages,Fetal Ages,Gestational Ages
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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