Abstract
The study aims to describe overall gestational weight gain among Canadian women and to assess demographic, socio-economic, maternal, and pregnancy-related characteristics of gestational weight gain including uncovering the predictors above or below the range recommended by Health Canada. This study proceeds as a secondary data analysis of the Maternity Experiences Survey targeting women aged ≥15 years who had singleton live births in the Canadian provinces and territories in 2005/2006. The outcome variable considered was gestational weight gain within and outside the recommended guidelines. Various factors including demographic, socio-economic, maternal, and pregnancy-related characteristics were considered using multivariate statistical techniques. Bootstrapping was performed to account for the complex sampling design. One-third of women gained within the recommended guideline (32.6%), 18.7% gained below, and 48.7% gained above the recommended guideline. More than half of overweight (67.6%) or obese women (60.0%) gained above the guideline, and women with lower socio-economic status were more likely to gain above the recommended range. Conversely, being an immigrant, multiparous, and having health problems during pregnancy were associated with less weight gain during pregnancy as well as higher odds of gaining insufficient weight to meet the minimal weight gain guideline. In Canada, almost half of the women gain above the recommended guideline for weight gain in pregnancy. The findings may be useful to design interventions that target those at risk of gaining outside of the recommended guidelines and to reduce outcomes associated with inadequate or excessive gestational weight gain.
Similar content being viewed by others
References
Siega-Riz, A. M., Viswanathan, M., Moos, M., Deierlein, A., Mumford, S., Knaack, J., et al. (2009). A systematic review of outcomes of maternal weight gain according to the institute of medicine recommendations: Birthweight, fetal growth, and postpartum weight retention. American Journal of Obstetrics and Gynecology, 201, 339.
Hickey, C. A., Cliver, S. P., McNeal, S. F., Hoffman, H. J., & Goldenberg, R. L. (1996). Prenatal weight gain patterns and birth weight among nonobese black and white women. Obstetrics and Gynecology, 88, 490.
Luke, B., Hediger, M. L., & Scholl, T. O. (1996). Point of diminishing returns: When does gestational weight gain cease benefitting birthweight and begin adding to maternal obesity? Journal of Maternal-Fetal Medicine, 5(4), 168.
Li, R., Jewell, S., & Grummer-Strawn, L. M. (2003). Maternal obesity and breastfeeding practices. American Journal of Clinical Nutrition, 77, 931.
Crane, J. M. G., White, J., Murphy, P., Burrage, L., & Hutchens, D. (2009). The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. JOGC 28.
Olsen, C. M., & Strawderman, M. S. (2003). Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. American Dietetic Association, 103(1), 48.
Oken, E., Taveras, E. M., Kleinman, K. P., Rich-Edwards, J. W., & Gillman, M. W. (2007). Gestational weight gain and child adiposity at age 3 years. AJOG, 196(4), 322.
Robinson, S. M., & Godfrey, K. M. (2008). Feeding practices in pregnancy and infancy: Relationship with the development of overweight and obesity in childhood. International Journal of Obesity, 32, 54.
National Research Council and Institute of Medicine. (2007). Influence of pregnancy weight on maternal and child health. Washington, DC: The National Academies Press.
Rasmussen, K. M., Yaktine, A. L., Institute of Medicine (U.S.) Committee to Reexamine IOM Pregnancy Weight Guidelines. (2009). Weight gain during pregnancy: Reexamining the guidelines. The National Academies Press.
Metropolitan LIC. (1983). Metropolitan height and weight tables. Stat Bull, 64, 2.
Health Canada. (2010). Canadian gestational weight gain recommendations. Retrieved February 28, 2010 from http://www.hc-sc.gc.ca.ezproxy.library.yorku.ca/fn-an/nutrition/prenatal/qa-gest-gros-qr-eng.php.
Lowell, H., & Miller, D. C. (2010). Weight gain during pregnancy: Adherence to health Canada’s guidelines. Statistics Canada, Health Reports 21(2): 82-003-XPE.
Brawarsky, P., Stotland, N. E., Jackson, R. A., Fuentes-Afflick, E., Escobar, G. J., Rubashkin, N., et al. (2005). Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain. International Journal of Gynecology and Obstetrics, 91, 125.
Chasan-Taber, L., Schmidt, M. D., Pekow, P., Sternfeld, B., Solomon, C. G., & Markenson, G. (2008). Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity, 17(7), 1657.
Hickey, C. A. (2000). Sociocultural and behavioural influences on weight gain during pregnancy. American Journal of Clinical Nutrition, 71, 1364S.
Mumford, S. L., Siega-Riz, A. M., Herring, A., & Evenson, K. R. (2008). Dietary restraint and gestational weight gain. Journal of the American Dietetic Association, 108, 1646.
Chu, S. Y., Callaghan, W. M., Bish, C. L., & D’Angelo, D. (2009). Gestational weight gain by body mass index among US women delivering live births, 2004–2005: Fueling future obesity. American Journal of Obstetrics and Gynecology, 3, 271.
Dzakpasu, S., Kaczorowski, J., Chalmers, B., Heaman, M., Duggan, J., & Neusy, E. (2008). The Canadian maternity experiences survey: Design and methods. JOGC, 30(3), 207.
Chalmers, B., Dzakpasu, S., Heaman, M., & Kaczorowski, J. (2008). The Canadian maternity experiences survey: An overview of findings. JOGC, 30(3), 217.
Tjepkema, M. (2005). Adult obesity in Canada: Measured height and weight. Statistics Canada: Nutrition: Findings from the Canadian Community Health Survey, (1).
Newton, R. W., & Hunt, L. P. (1984). Psycosocial stress in pregnancy and its relation to low birth weight. BMJ, 288, 1191.
SPSS., SPSS for Windows, Rel. 11.0.1. 2001. Chicago: SPSS Inc.
StataCorp. (2007). Stata statistical software: Release 10. College station, TX: StataCorp LP.
Caulfield, L. E., Witter, F. R., & Stoltzfus, R. J. (1996). Determinants of gestational weight gain outside the recommended ranges among black and white women. Obstetrics and Gynecology, 87(5), 760.
Schieve, L. A., Cogswell, M. E., & Scanlon, K. S. (1998). Trends in pregnancy weight gain within and outside ranges recommended by the institute of medicine in a WIC population. Maternal and Child Health Journal, 2(2), 111.
Weisman, C. S., Hillemeier, M. M., Symons Downs, D., Chuang, C. H., & Dyer, A. (2010). Preconception predictors of weight gain during pregnancy. Women’s Health Issues, 20, 126.
Lynch, J. W., Kaplan, G. A., & Salonen, J. T. (1997). Why do poor people behave poorly? Variation in adult behaviours and psychosocial characteristics by stages of the socioeconomic life course. Social Science and Medicine, 44, 809.
Statistics Canada. (2000). Women in Canada 2000: A gender-based statistical report. Cat. No. 89–503–XPE.
Maclean, H., Glynn, K., Cao, Z., & Ansara, D. (2004). Women’s health surveillance report: Personal health practices. BMC Women's Health, 4 (Suppl 1), S4.
Raatikainen, K., Heiskanen, N., & Heinonen, S. (2006). Transition from overweight to obesity worsens pregnancy outcome in a BMI-dependent manner. Obesity (Silver Spring), 14, 165.
Chen, Z., Du, J., Shao, L., Zheng, L., Wu, M., Ai, M., et al. (2010). Prepregnancy body mass index, gestational weight gain, and pregnancy outcomes in China. International Journal of Obstetrics and Gynecology, 109, 41.
Brunner Huber, L. R. (2007). Validity of self-reported height and weight in women of reproductive age. Maternal and Child Health Journal, 11, 137.
Herring, S. J., Oken, E., Haines, J., Rich-Edwards, J. W., Rifas-Shiman, S. L., & Kleinman, K. P., et al. (2008). Misperceived pre-pregnancy body weight status predicts excessive gestational weight gain: Findings from a US cohort study. BMC Pregnancy and Childbirth, 8(54).
Stevens-Simon, C., Roghmann, K. J., & McAnarney, E. R. (1992). Relationship of self-reported prepregnancy weight and weight gain during pregnancy to maternal body habitus and age. Journal of the American Dietetic Association, 92, 85.
Lederman, S. A., & Paxton, A. (1998). Maternal reporting of prepregnancy weight and birth outcome: Consistency and completeness compared with the clinical record. Maternal and Child Health Journal, 2, 123.
Acknowledgments
While the research and analysis are based on data from Statistics Canada, the opinions expressed do not represent the views of Statistics Canada. The authors would like to thank the Maternity Experiences Study Group of the Canadian Perinatal Surveillance System, Public Health Agency of Canada and the staff at the Toronto and York Statistics Canada Research Data Centres for their valuable help and support.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kowal, C., Kuk, J. & Tamim, H. Characteristics of Weight Gain in Pregnancy Among Canadian Women. Matern Child Health J 16, 668–676 (2012). https://doi.org/10.1007/s10995-011-0771-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-011-0771-3