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Racial/ethnic variations in gestational weight gain: a population-based study in Ontario
Objective To explore inadequate and excessive gestational weight gain (GWG) among pregnant women of different racial/ethnic backgrounds in Ontario, Canada. Methods A population-based retrospective cohort study was conducted among women who had prenatal screening and had a singleton birth in an Ontar...
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| Published in: | Canadian journal of public health 2019-10, Vol.110 (5), p.657-667 |
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| container_end_page | 667 |
| container_issue | 5 |
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| container_title | Canadian journal of public health |
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| creator | Guo, Yanfang Miao, Qun Huang, Tianhua Fell, Deshayne B. Harvey, Alysha L. J. Wen, Shi Wu Walker, Mark Gaudet, Laura |
| description | Objective
To explore inadequate and excessive gestational weight gain (GWG) among pregnant women of different racial/ethnic backgrounds in Ontario, Canada.
Methods
A population-based retrospective cohort study was conducted among women who had prenatal screening and had a singleton birth in an Ontario hospital between April 2016 and March 2017. We estimated adjusted risk ratios (aRR) of racial/ethnic differences for inadequate or excessive GWG using multinomial logistic regression models. Interaction effects were examined to determine whether racial/ethnic difference in GWG varied by pre-pregnancy body mass index (BMI).
Results
Among 74,424 women, the prevalence of inadequate GWG in White, Asian, and Black women was 15.7%, 25.8%, and 25.0%, and excessive GWG was 62.8%, 45.5%, and 54.7%, respectively. There were significant interaction effects between race/ethnicity and pre-pregnancy BMI for inadequate GWG (Wald
p
|
| doi_str_mv | 10.17269/s41997-019-00250-z |
| format | article |
| fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6825031</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>27173868</jstor_id><sourcerecordid>27173868</sourcerecordid><originalsourceid>FETCH-LOGICAL-c566t-b541686155d94945ab674f08905b33ed85921d01c03dfd25925d7e84e913facb3</originalsourceid><addsrcrecordid>eNp9kUtr3DAUhUVoSCaPX1BaDN1k40RXV89NoYQ-AoFASNZCtmWPBo-dSp6U5tdXjNNJk0VX4nC_c6SrQ8h7oOegmDQXiYMxqqRgSkqZoOXTHlmAYbRUXMl3ZEEp1SVnEg_JUUqrLBEVHpBDBC4YAFsQvHV1cP2Fn5ZDqItHF4ObwjikIgxF59O0Va4vfvnQLaeic2E4Ifut65M_fT6Pyf23r3eXP8rrm-9Xl1-uy1pIOZWV4CC1BCEaww0XrpKKt1QbKipE32hhGDQUaopN27CsRKO85t4Atq6u8Jh8nnMfNtXaN7Ufpuh6-xDD2sXfdnTBvp4MYWm78dFKnX8DIQecPQfE8ecmL2PXIdW-793gx02yjGkAqoVUGf30Bl2Nm5gX31KUMUTGM4UzVccxpejb3WOA2m0pdi7F5lLsthT7lF0f_91j5_nbQgb4DKQ8GjofXy7_f-6H2bZK0xh3sUyBQi01_gF1IKEi</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2280223324</pqid></control><display><type>article</type><title>Racial/ethnic variations in gestational weight gain: a population-based study in Ontario</title><source>Open Access: PubMed Central</source><source>JSTOR Archival Journals and Primary Sources Collection</source><source>Politics Collection</source><source>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</source><source>Springer Link</source><creator>Guo, Yanfang ; Miao, Qun ; Huang, Tianhua ; Fell, Deshayne B. ; Harvey, Alysha L. J. ; Wen, Shi Wu ; Walker, Mark ; Gaudet, Laura</creator><creatorcontrib>Guo, Yanfang ; Miao, Qun ; Huang, Tianhua ; Fell, Deshayne B. ; Harvey, Alysha L. J. ; Wen, Shi Wu ; Walker, Mark ; Gaudet, Laura</creatorcontrib><description>Objective
To explore inadequate and excessive gestational weight gain (GWG) among pregnant women of different racial/ethnic backgrounds in Ontario, Canada.
Methods
A population-based retrospective cohort study was conducted among women who had prenatal screening and had a singleton birth in an Ontario hospital between April 2016 and March 2017. We estimated adjusted risk ratios (aRR) of racial/ethnic differences for inadequate or excessive GWG using multinomial logistic regression models. Interaction effects were examined to determine whether racial/ethnic difference in GWG varied by pre-pregnancy body mass index (BMI).
Results
Among 74,424 women, the prevalence of inadequate GWG in White, Asian, and Black women was 15.7%, 25.8%, and 25.0%, and excessive GWG was 62.8%, 45.5%, and 54.7%, respectively. There were significant interaction effects between race/ethnicity and pre-pregnancy BMI for inadequate GWG (Wald
p
< 0.01) and excessive GWG (Wald
p
< 0.01). Compared with White women, Asian women had higher risk of inadequate GWG and lower risk of excessive GWG in all weight classes, and Black women had higher risk of inadequate GWG and lower risk of excessive GWG if their BMI was normal, overweight, or obese.
Conclusion
Variations in unhealthy GWG by pre-pregnancy weight classes among Ontario White, Asian and Black women were observed. Individualized counseling regarding appropriate GWG is universally recommended. Additional consideration of racial/ethnic variations by maternal weight classes may help to promote healthy GWG in Canada.</description><identifier>ISSN: 0008-4263</identifier><identifier>EISSN: 1920-7476</identifier><identifier>DOI: 10.17269/s41997-019-00250-z</identifier><identifier>PMID: 31452112</identifier><language>eng</language><publisher>Cham: Springer Science + Business Media</publisher><subject>Adult ; African Continental Ancestry Group - statistics & numerical data ; Asian Continental Ancestry Group - statistics & numerical data ; Body mass ; Body mass index ; Body size ; Body weight ; Cohort analysis ; Cultural differences ; European Continental Ancestry Group - statistics & numerical data ; Female ; Gestational Weight Gain - ethnology ; Health Status Disparities ; Humans ; Medicine ; Medicine & Public Health ; Minority & ethnic groups ; Ontario ; Overweight ; Population studies ; Population-based studies ; Pregnancy ; Public Health ; QUANTITATIVE RESEARCH ; Race ; Regression analysis ; Regression models ; Risk ; Variation ; Women ; Young Adult</subject><ispartof>Canadian journal of public health, 2019-10, Vol.110 (5), p.657-667</ispartof><rights>The Author(s) 2019</rights><rights>Canadian Journal of Public Health is a copyright of Springer, (2019). All Rights Reserved. © 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c566t-b541686155d94945ab674f08905b33ed85921d01c03dfd25925d7e84e913facb3</citedby><cites>FETCH-LOGICAL-c566t-b541686155d94945ab674f08905b33ed85921d01c03dfd25925d7e84e913facb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2280223324/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2280223324?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,21387,21394,27924,27925,33611,33612,33985,33986,43733,43948,53791,53793,58238,58471,74221,74468</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31452112$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guo, Yanfang</creatorcontrib><creatorcontrib>Miao, Qun</creatorcontrib><creatorcontrib>Huang, Tianhua</creatorcontrib><creatorcontrib>Fell, Deshayne B.</creatorcontrib><creatorcontrib>Harvey, Alysha L. J.</creatorcontrib><creatorcontrib>Wen, Shi Wu</creatorcontrib><creatorcontrib>Walker, Mark</creatorcontrib><creatorcontrib>Gaudet, Laura</creatorcontrib><title>Racial/ethnic variations in gestational weight gain: a population-based study in Ontario</title><title>Canadian journal of public health</title><addtitle>Can J Public Health</addtitle><addtitle>Can J Public Health</addtitle><description>Objective
To explore inadequate and excessive gestational weight gain (GWG) among pregnant women of different racial/ethnic backgrounds in Ontario, Canada.
Methods
A population-based retrospective cohort study was conducted among women who had prenatal screening and had a singleton birth in an Ontario hospital between April 2016 and March 2017. We estimated adjusted risk ratios (aRR) of racial/ethnic differences for inadequate or excessive GWG using multinomial logistic regression models. Interaction effects were examined to determine whether racial/ethnic difference in GWG varied by pre-pregnancy body mass index (BMI).
Results
Among 74,424 women, the prevalence of inadequate GWG in White, Asian, and Black women was 15.7%, 25.8%, and 25.0%, and excessive GWG was 62.8%, 45.5%, and 54.7%, respectively. There were significant interaction effects between race/ethnicity and pre-pregnancy BMI for inadequate GWG (Wald
p
< 0.01) and excessive GWG (Wald
p
< 0.01). Compared with White women, Asian women had higher risk of inadequate GWG and lower risk of excessive GWG in all weight classes, and Black women had higher risk of inadequate GWG and lower risk of excessive GWG if their BMI was normal, overweight, or obese.
Conclusion
Variations in unhealthy GWG by pre-pregnancy weight classes among Ontario White, Asian and Black women were observed. Individualized counseling regarding appropriate GWG is universally recommended. Additional consideration of racial/ethnic variations by maternal weight classes may help to promote healthy GWG in Canada.</description><subject>Adult</subject><subject>African Continental Ancestry Group - statistics & numerical data</subject><subject>Asian Continental Ancestry Group - statistics & numerical data</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Cohort analysis</subject><subject>Cultural differences</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Gestational Weight Gain - ethnology</subject><subject>Health Status Disparities</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minority & ethnic groups</subject><subject>Ontario</subject><subject>Overweight</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Pregnancy</subject><subject>Public Health</subject><subject>QUANTITATIVE RESEARCH</subject><subject>Race</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Variation</subject><subject>Women</subject><subject>Young Adult</subject><issn>0008-4263</issn><issn>1920-7476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>DPSOV</sourceid><sourceid>M2L</sourceid><sourceid>M2R</sourceid><recordid>eNp9kUtr3DAUhUVoSCaPX1BaDN1k40RXV89NoYQ-AoFASNZCtmWPBo-dSp6U5tdXjNNJk0VX4nC_c6SrQ8h7oOegmDQXiYMxqqRgSkqZoOXTHlmAYbRUXMl3ZEEp1SVnEg_JUUqrLBEVHpBDBC4YAFsQvHV1cP2Fn5ZDqItHF4ObwjikIgxF59O0Va4vfvnQLaeic2E4Ifut65M_fT6Pyf23r3eXP8rrm-9Xl1-uy1pIOZWV4CC1BCEaww0XrpKKt1QbKipE32hhGDQUaopN27CsRKO85t4Atq6u8Jh8nnMfNtXaN7Ufpuh6-xDD2sXfdnTBvp4MYWm78dFKnX8DIQecPQfE8ecmL2PXIdW-793gx02yjGkAqoVUGf30Bl2Nm5gX31KUMUTGM4UzVccxpejb3WOA2m0pdi7F5lLsthT7lF0f_91j5_nbQgb4DKQ8GjofXy7_f-6H2bZK0xh3sUyBQi01_gF1IKEi</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Guo, Yanfang</creator><creator>Miao, Qun</creator><creator>Huang, Tianhua</creator><creator>Fell, Deshayne B.</creator><creator>Harvey, Alysha L. J.</creator><creator>Wen, Shi Wu</creator><creator>Walker, Mark</creator><creator>Gaudet, Laura</creator><general>Springer Science + Business Media</general><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4S-</scope><scope>4U-</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7T2</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88J</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2O</scope><scope>M2R</scope><scope>M3G</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20191001</creationdate><title>Racial/ethnic variations in gestational weight gain</title><author>Guo, Yanfang ; Miao, Qun ; Huang, Tianhua ; Fell, Deshayne B. ; Harvey, Alysha L. J. ; Wen, Shi Wu ; Walker, Mark ; Gaudet, Laura</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c566t-b541686155d94945ab674f08905b33ed85921d01c03dfd25925d7e84e913facb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>African Continental Ancestry Group - statistics & numerical data</topic><topic>Asian Continental Ancestry Group - statistics & numerical data</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Body weight</topic><topic>Cohort analysis</topic><topic>Cultural differences</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Gestational Weight Gain - ethnology</topic><topic>Health Status Disparities</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minority & ethnic groups</topic><topic>Ontario</topic><topic>Overweight</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Pregnancy</topic><topic>Public Health</topic><topic>QUANTITATIVE RESEARCH</topic><topic>Race</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Variation</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guo, Yanfang</creatorcontrib><creatorcontrib>Miao, Qun</creatorcontrib><creatorcontrib>Huang, Tianhua</creatorcontrib><creatorcontrib>Fell, Deshayne B.</creatorcontrib><creatorcontrib>Harvey, Alysha L. 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J.</au><au>Wen, Shi Wu</au><au>Walker, Mark</au><au>Gaudet, Laura</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial/ethnic variations in gestational weight gain: a population-based study in Ontario</atitle><jtitle>Canadian journal of public health</jtitle><stitle>Can J Public Health</stitle><addtitle>Can J Public Health</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>110</volume><issue>5</issue><spage>657</spage><epage>667</epage><pages>657-667</pages><issn>0008-4263</issn><eissn>1920-7476</eissn><abstract>Objective
To explore inadequate and excessive gestational weight gain (GWG) among pregnant women of different racial/ethnic backgrounds in Ontario, Canada.
Methods
A population-based retrospective cohort study was conducted among women who had prenatal screening and had a singleton birth in an Ontario hospital between April 2016 and March 2017. We estimated adjusted risk ratios (aRR) of racial/ethnic differences for inadequate or excessive GWG using multinomial logistic regression models. Interaction effects were examined to determine whether racial/ethnic difference in GWG varied by pre-pregnancy body mass index (BMI).
Results
Among 74,424 women, the prevalence of inadequate GWG in White, Asian, and Black women was 15.7%, 25.8%, and 25.0%, and excessive GWG was 62.8%, 45.5%, and 54.7%, respectively. There were significant interaction effects between race/ethnicity and pre-pregnancy BMI for inadequate GWG (Wald
p
< 0.01) and excessive GWG (Wald
p
< 0.01). Compared with White women, Asian women had higher risk of inadequate GWG and lower risk of excessive GWG in all weight classes, and Black women had higher risk of inadequate GWG and lower risk of excessive GWG if their BMI was normal, overweight, or obese.
Conclusion
Variations in unhealthy GWG by pre-pregnancy weight classes among Ontario White, Asian and Black women were observed. Individualized counseling regarding appropriate GWG is universally recommended. Additional consideration of racial/ethnic variations by maternal weight classes may help to promote healthy GWG in Canada.</abstract><cop>Cham</cop><pub>Springer Science + Business Media</pub><pmid>31452112</pmid><doi>10.17269/s41997-019-00250-z</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Canadian journal of public health, 2019-10, Vol.110 (5), p.657-667 |
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| source | Open Access: PubMed Central; JSTOR Archival Journals and Primary Sources Collection; Politics Collection; Social Science Premium Collection (Proquest) (PQ_SDU_P3); Springer Link |
| subjects | Adult African Continental Ancestry Group - statistics & numerical data Asian Continental Ancestry Group - statistics & numerical data Body mass Body mass index Body size Body weight Cohort analysis Cultural differences European Continental Ancestry Group - statistics & numerical data Female Gestational Weight Gain - ethnology Health Status Disparities Humans Medicine Medicine & Public Health Minority & ethnic groups Ontario Overweight Population studies Population-based studies Pregnancy Public Health QUANTITATIVE RESEARCH Race Regression analysis Regression models Risk Variation Women Young Adult |
| title | Racial/ethnic variations in gestational weight gain: a population-based study in Ontario |
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