The Impact of Excluding Adverse Neonatal Outcomes on the Creation of Gestational Weight Gain Charts Among Women from Low- and Middle-income Countries with Normal and Overweight BMI

Thais Rangel bousquet carrilho; Dongqing Wang; Jennifer a Hutcheon; Molin Wang; Wafaie w Fawzi; Gilberto Kac; Manfred Accrombessi; Seth Adu-Afarwuah; João guilherme Alves; Carla adriane Leal de araújo; Shams Arifeen; Rinaldo Artes; Per Ashorn; Ulla Ashorn; Nega Assefa; Omolola olukemi Ayoola; Fereidoun Azizi; Ahmed tijani Bawah; Samira Behboudi-Gandevani; Yemane Berhane; Robin Bernstein; Zulfiqar Bhutta; Valérie Briand; Elvira beatriz Calvo; Marly augusto Cardoso; Yue Cheng; Gabriela Chico-Barba; Peter ellis Clayton; Shalean m Collins; Anthony m Costello; John Kennedy Cruickshank; Delanjathan Devakumar; Kathryn g Dewey; Pratibha Dwarkanath; Guadalupe Estrada-Gutierrez; Frankie j Fair; Dayana rodrigues Farias; Henrik Friis; Shibani Ghosh; Amy webb Girard; Exnevia Gomo; Austrida Gondwe; Lotta Hallamaa; K michael Hambidge; Hawawu Hussein; Lieven Huybregts; Romaina Iqbal; Joanne Katz; Subarna k Khatry; Patrick Kolsteren; Nancy f Krebs; Teija Kulmala; Pratap Kumar; Anura v Kurpad; Carl Lachat; Anna Lartey; Jacqueline m Lauer; Qian Li; Nur indrawaty Lipoeto; Laura beatriz López; See ling Loy; G arun Maiya; Kenneth Maleta; Maíra barreto Malta; Dharma s Manandhar; Charles Mangani; Hugo Martínez-Rojano; Yves Martin-Prevel; Reynaldo Martorell; Susana l Matias; Elizabeth m Mcclure; Alida Melse-Boonstra; Joshua d Miller; Marhazlina Mohamad; Hamid jan Jan mohamed; Sophie Moore; Paola soledad Mosquera; Malay kanti Mridha; Shama Munim; Cinthya Muñoz-Manrique; Barnabas k Natamba; Maria Ome-Kaius; David Osrin; Otilia Perichart-Perera; Andrew m Prentice; Preetha Ramachandra; Usha Ramakrishnan; Juan Rivera; Dominique Roberfroid; Patricia lima Rodrigues; Ameyalli Rodríguez-Cano; Stephen j Rogerson; Patricia hc Rondó; Reyna Sámano; Naomi m Saville; Siddharudha Shivalli; Bhim p Shrestha; Robin Shrestha; José Roberto da silva júnior; Hora Soltani; Sajid Soofi; Fahimeh ramezani Tehrani; Tinku Thomas; James m Tielsch; Holger w Unger; Juliana dos santos Vaz; Alemayehu Worku; Nianhong Yang; Sera l Young; Adam bawa Yussif; Lingxia Zeng; Chunrong Zhong; Zhonghai Zhu

doi:10.1016/j.ajcnut.2024.03.016

The Impact of Excluding Adverse Neonatal Outcomes on the Creation of Gestational Weight Gain Charts Among Women from Low- and Middle-income Countries with Normal and Overweight BMI

Thais Rangel bousquet carrilho, Dongqing Wang, Jennifer a Hutcheon, Molin Wang, Wafaie w Fawzi, Gilberto Kac, Manfred Accrombessi, Seth Adu-Afarwuah, João guilherme Alves, Carla adriane Leal de araújo, Shams Arifeen, Rinaldo Artes, Per Ashorn, Ulla Ashorn, Nega Assefa, Omolola olukemi Ayoola, Fereidoun Azizi, Ahmed tijani Bawah, Samira Behboudi-Gandevani, Yemane BerhaneRobin Bernstein, Zulfiqar Bhutta, Valérie Briand, Elvira beatriz Calvo, Marly augusto Cardoso, Yue Cheng, Gabriela Chico-Barba, Peter ellis Clayton, Shalean m Collins, Anthony m Costello, John Kennedy Cruickshank, Delanjathan Devakumar, Kathryn g Dewey, Pratibha Dwarkanath, Guadalupe Estrada-Gutierrez, Frankie j Fair, Dayana rodrigues Farias, Henrik Friis, Shibani Ghosh, Amy webb Girard, Exnevia Gomo, Austrida Gondwe, Lotta Hallamaa, K michael Hambidge, Hawawu Hussein, Lieven Huybregts, Romaina Iqbal, Joanne Katz, Subarna k Khatry, Patrick Kolsteren, Nancy f Krebs, Teija Kulmala, Pratap Kumar, Anura v Kurpad, Carl Lachat, Anna Lartey, Jacqueline m Lauer, Qian Li, Nur indrawaty Lipoeto, Laura beatriz López, See ling Loy, G arun Maiya, Kenneth Maleta, Maíra barreto Malta, Dharma s Manandhar, Charles Mangani, Hugo Martínez-Rojano, Yves Martin-Prevel, Reynaldo Martorell, Susana l Matias, Elizabeth m Mcclure, Alida Melse-Boonstra, Joshua d Miller, Marhazlina Mohamad, Hamid jan Jan mohamed, Sophie Moore, Paola soledad Mosquera, Malay kanti Mridha, Shama Munim, Cinthya Muñoz-Manrique, Barnabas k Natamba, Maria Ome-Kaius, David Osrin, Otilia Perichart-Perera, Andrew m Prentice, Preetha Ramachandra, Usha Ramakrishnan, Juan Rivera, Dominique Roberfroid, Patricia lima Rodrigues, Ameyalli Rodríguez-Cano, Stephen j Rogerson, Patricia hc Rondó, Reyna Sámano, Naomi m Saville, Siddharudha Shivalli, Bhim p Shrestha, Robin Shrestha, José Roberto da silva júnior, Hora Soltani, Sajid Soofi, Fahimeh ramezani Tehrani, Tinku Thomas, James m Tielsch, Holger w Unger, Juliana dos santos Vaz, Alemayehu Worku, Nianhong Yang, Sera l Young, Adam bawa Yussif, Lingxia Zeng, Chunrong Zhong, Zhonghai Zhu

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Background: Existing gestational weight gain (GWG) charts vary considerably in their choice of exclusion/inclusion criteria, and it is unclear to what extent these criteria create differences in the charts’ percentile values. Objectives: We aimed to establish the impact of including/excluding pregnancies with adverse neonatal outcomes when constructing GWG charts. Methods: This is an individual participant data analysis from 31 studies from low- and middle-income countries. We created a dataset that included all participants and a dataset restricted to those with no adverse neonatal outcomes: preterm < 37 wk, small or large for gestational age, low birth weight < 2500 g, or macrosomia > 4000 g. Quantile regression models were used to create GWG curves from 9 to 40 wk, stratified by prepregnancy BMI, in each dataset. Results: The dataset without the exclusion criteria applied included 14,685 individuals with normal weight and 4831 with overweight. After removing adverse neonatal outcomes, 10,479 individuals with normal weight and 3466 individuals with overweight remained. GWG distributions at 13, 27, and 40 wk were virtually identical between the datasets with and without the exclusion criteria, except at 40 wk for normal weight and 27 wk for overweight. For the 10th and 90th percentiles, the differences between the estimated GWG were larger for overweight (∼1.5 kg) compared with normal weight (<1 kg). Removal of adverse neonatal outcomes had minimal impact on GWG trajectories of normal weight. For overweight, the percentiles estimated in the dataset without the criteria were slightly higher than those in the dataset with the criteria applied. Nevertheless, differences were <1 kg and virtually nonexistent at the end of pregnancy. Conclusions: Removing pregnancies with adverse neonatal outcomes has little or no influence on the GWG trajectories of individuals with normal and overweight.

Original language	English
Pages (from-to)	1465-1474
Number of pages	10
Journal	The American journal of clinical nutrition
Volume	119
Issue number	6
DOIs	https://doi.org/10.1016/j.ajcnut.2024.03.016
Publication status	Published - 1 Jun 2024

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10.1016/j.ajcnut.2024.03.016

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Rangel bousquet carrilho, T., Wang, D., Hutcheon, J. A., Wang, M., Fawzi, W. W., Kac, G., Accrombessi, M., Adu-Afarwuah, S., Alves, J. G., Leal de araújo, C. A., Arifeen, S., Artes, R., Ashorn, P., Ashorn, U., Assefa, N., Ayoola, O. O., Azizi, F., Bawah, A. T., Behboudi-Gandevani, S., ... Zhu, Z. (2024). The Impact of Excluding Adverse Neonatal Outcomes on the Creation of Gestational Weight Gain Charts Among Women from Low- and Middle-income Countries with Normal and Overweight BMI. The American journal of clinical nutrition, 119(6), 1465-1474. https://doi.org/10.1016/j.ajcnut.2024.03.016

@article{f7ef42471a9b4ecdbf10f3623445c99d,

title = "The Impact of Excluding Adverse Neonatal Outcomes on the Creation of Gestational Weight Gain Charts Among Women from Low- and Middle-income Countries with Normal and Overweight BMI",

abstract = "Background: Existing gestational weight gain (GWG) charts vary considerably in their choice of exclusion/inclusion criteria, and it is unclear to what extent these criteria create differences in the charts{\textquoteright} percentile values. Objectives: We aimed to establish the impact of including/excluding pregnancies with adverse neonatal outcomes when constructing GWG charts. Methods: This is an individual participant data analysis from 31 studies from low- and middle-income countries. We created a dataset that included all participants and a dataset restricted to those with no adverse neonatal outcomes: preterm < 37 wk, small or large for gestational age, low birth weight < 2500 g, or macrosomia > 4000 g. Quantile regression models were used to create GWG curves from 9 to 40 wk, stratified by prepregnancy BMI, in each dataset. Results: The dataset without the exclusion criteria applied included 14,685 individuals with normal weight and 4831 with overweight. After removing adverse neonatal outcomes, 10,479 individuals with normal weight and 3466 individuals with overweight remained. GWG distributions at 13, 27, and 40 wk were virtually identical between the datasets with and without the exclusion criteria, except at 40 wk for normal weight and 27 wk for overweight. For the 10th and 90th percentiles, the differences between the estimated GWG were larger for overweight (∼1.5 kg) compared with normal weight (<1 kg). Removal of adverse neonatal outcomes had minimal impact on GWG trajectories of normal weight. For overweight, the percentiles estimated in the dataset without the criteria were slightly higher than those in the dataset with the criteria applied. Nevertheless, differences were <1 kg and virtually nonexistent at the end of pregnancy. Conclusions: Removing pregnancies with adverse neonatal outcomes has little or no influence on the GWG trajectories of individuals with normal and overweight.",

author = "{Rangel bousquet carrilho}, Thais and Dongqing Wang and Hutcheon, {Jennifer a} and Molin Wang and Fawzi, {Wafaie w} and Gilberto Kac and Manfred Accrombessi and Seth Adu-Afarwuah and Alves, {Jo{\~a}o guilherme} and {Leal de ara{\'u}jo}, {Carla adriane} and Shams Arifeen and Rinaldo Artes and Per Ashorn and Ulla Ashorn and Nega Assefa and Ayoola, {Omolola olukemi} and Fereidoun Azizi and Bawah, {Ahmed tijani} and Samira Behboudi-Gandevani and Yemane Berhane and Robin Bernstein and Zulfiqar Bhutta and Val{\'e}rie Briand and Calvo, {Elvira beatriz} and Cardoso, {Marly augusto} and Yue Cheng and Gabriela Chico-Barba and Clayton, {Peter ellis} and Collins, {Shalean m} and Costello, {Anthony m} and Cruickshank, {John Kennedy} and Delanjathan Devakumar and Dewey, {Kathryn g} and Pratibha Dwarkanath and Guadalupe Estrada-Gutierrez and Fair, {Frankie j} and Farias, {Dayana rodrigues} and Henrik Friis and Shibani Ghosh and Girard, {Amy webb} and Exnevia Gomo and Austrida Gondwe and Lotta Hallamaa and Hambidge, {K michael} and Hawawu Hussein and Lieven Huybregts and Romaina Iqbal and Joanne Katz and Khatry, {Subarna k} and Patrick Kolsteren and Krebs, {Nancy f} and Teija Kulmala and Pratap Kumar and Kurpad, {Anura v} and Carl Lachat and Anna Lartey and Lauer, {Jacqueline m} and Qian Li and Lipoeto, {Nur indrawaty} and L{\'o}pez, {Laura beatriz} and Loy, {See ling} and Maiya, {G arun} and Kenneth Maleta and Malta, {Ma{\'i}ra barreto} and Manandhar, {Dharma s} and Charles Mangani and Hugo Mart{\'i}nez-Rojano and Yves Martin-Prevel and Reynaldo Martorell and Matias, {Susana l} and Mcclure, {Elizabeth m} and Alida Melse-Boonstra and Miller, {Joshua d} and Marhazlina Mohamad and {Jan mohamed}, {Hamid jan} and Sophie Moore and Mosquera, {Paola soledad} and Mridha, {Malay kanti} and Shama Munim and Cinthya Mu{\~n}oz-Manrique and Natamba, {Barnabas k} and Maria Ome-Kaius and David Osrin and Otilia Perichart-Perera and Prentice, {Andrew m} and Preetha Ramachandra and Usha Ramakrishnan and Juan Rivera and Dominique Roberfroid and Rodrigues, {Patricia lima} and Ameyalli Rodr{\'i}guez-Cano and Rogerson, {Stephen j} and Rond{\'o}, {Patricia hc} and Reyna S{\'a}mano and Saville, {Naomi m} and Siddharudha Shivalli and Shrestha, {Bhim p} and Robin Shrestha and {Roberto da silva j{\'u}nior}, Jos{\'e} and Hora Soltani and Sajid Soofi and Tehrani, {Fahimeh ramezani} and Tinku Thomas and Tielsch, {James m} and Unger, {Holger w} and Vaz, {Juliana dos santos} and Alemayehu Worku and Nianhong Yang and Young, {Sera l} and Yussif, {Adam bawa} and Lingxia Zeng and Chunrong Zhong and Zhonghai Zhu",

note = "Publisher Copyright: {\textcopyright} 2024 American Society for Nutrition",

year = "2024",

month = jun,

day = "1",

doi = "10.1016/j.ajcnut.2024.03.016",

language = "English",

volume = "119",

pages = "1465--1474",

journal = "The American journal of clinical nutrition",

issn = "0002-9165",

publisher = "American Society for Nutrition",

number = "6",

}

Rangel bousquet carrilho, T, Wang, D, Hutcheon, JA, Wang, M, Fawzi, WW, Kac, G, Accrombessi, M, Adu-Afarwuah, S, Alves, JG, Leal de araújo, CA, Arifeen, S, Artes, R, Ashorn, P, Ashorn, U, Assefa, N, Ayoola, OO, Azizi, F, Bawah, AT, Behboudi-Gandevani, S, Berhane, Y, Bernstein, R, Bhutta, Z, Briand, V, Calvo, EB, Cardoso, MA, Cheng, Y, Chico-Barba, G, Clayton, PE, Collins, SM, Costello, AM, Cruickshank, JK, Devakumar, D, Dewey, KG, Dwarkanath, P, Estrada-Gutierrez, G, Fair, FJ, Farias, DR, Friis, H, Ghosh, S, Girard, AW, Gomo, E, Gondwe, A, Hallamaa, L, Hambidge, KM, Hussein, H, Huybregts, L, Iqbal, R, Katz, J, Khatry, SK, Kolsteren, P, Krebs, NF, Kulmala, T, Kumar, P, Kurpad, AV, Lachat, C, Lartey, A, Lauer, JM, Li, Q, Lipoeto, NI, López, LB, Loy, SL, Maiya, GA, Maleta, K, Malta, MB, Manandhar, DS, Mangani, C, Martínez-Rojano, H, Martin-Prevel, Y, Martorell, R, Matias, SL, Mcclure, EM, Melse-Boonstra, A, Miller, JD, Mohamad, M, Jan mohamed, HJ, Moore, S, Mosquera, PS, Mridha, MK, Munim, S, Muñoz-Manrique, C, Natamba, BK, Ome-Kaius, M, Osrin, D, Perichart-Perera, O, Prentice, AM, Ramachandra, P, Ramakrishnan, U, Rivera, J, Roberfroid, D, Rodrigues, PL, Rodríguez-Cano, A, Rogerson, SJ, Rondó, PH, Sámano, R, Saville, NM, Shivalli, S, Shrestha, BP, Shrestha, R, Roberto da silva júnior, J, Soltani, H, Soofi, S, Tehrani, FR, Thomas, T, Tielsch, JM, Unger, HW, Vaz, JDS, Worku, A, Yang, N, Young, SL, Yussif, AB, Zeng, L, Zhong, C & Zhu, Z 2024, 'The Impact of Excluding Adverse Neonatal Outcomes on the Creation of Gestational Weight Gain Charts Among Women from Low- and Middle-income Countries with Normal and Overweight BMI', The American journal of clinical nutrition, vol. 119, no. 6, pp. 1465-1474. https://doi.org/10.1016/j.ajcnut.2024.03.016

The Impact of Excluding Adverse Neonatal Outcomes on the Creation of Gestational Weight Gain Charts Among Women from Low- and Middle-income Countries with Normal and Overweight BMI. / Rangel bousquet carrilho, Thais; Wang, Dongqing; Hutcheon, Jennifer a et al.
In: The American journal of clinical nutrition, Vol. 119, No. 6, 01.06.2024, p. 1465-1474.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - The Impact of Excluding Adverse Neonatal Outcomes on the Creation of Gestational Weight Gain Charts Among Women from Low- and Middle-income Countries with Normal and Overweight BMI

AU - Rangel bousquet carrilho, Thais

AU - Wang, Dongqing

AU - Hutcheon, Jennifer a

AU - Wang, Molin

AU - Fawzi, Wafaie w

AU - Kac, Gilberto

AU - Accrombessi, Manfred

AU - Adu-Afarwuah, Seth

AU - Alves, João guilherme

AU - Leal de araújo, Carla adriane

AU - Arifeen, Shams

AU - Artes, Rinaldo

AU - Ashorn, Per

AU - Ashorn, Ulla

AU - Assefa, Nega

AU - Ayoola, Omolola olukemi

AU - Azizi, Fereidoun

AU - Bawah, Ahmed tijani

AU - Behboudi-Gandevani, Samira

AU - Berhane, Yemane

AU - Bernstein, Robin

AU - Bhutta, Zulfiqar

AU - Briand, Valérie

AU - Calvo, Elvira beatriz

AU - Cardoso, Marly augusto

AU - Cheng, Yue

AU - Chico-Barba, Gabriela

AU - Clayton, Peter ellis

AU - Collins, Shalean m

AU - Costello, Anthony m

AU - Cruickshank, John Kennedy

AU - Devakumar, Delanjathan

AU - Dewey, Kathryn g

AU - Dwarkanath, Pratibha

AU - Estrada-Gutierrez, Guadalupe

AU - Fair, Frankie j

AU - Farias, Dayana rodrigues

AU - Friis, Henrik

AU - Ghosh, Shibani

AU - Girard, Amy webb

AU - Gomo, Exnevia

AU - Gondwe, Austrida

AU - Hallamaa, Lotta

AU - Hambidge, K michael

AU - Hussein, Hawawu

AU - Huybregts, Lieven

AU - Iqbal, Romaina

AU - Katz, Joanne

AU - Khatry, Subarna k

AU - Kolsteren, Patrick

AU - Krebs, Nancy f

AU - Kulmala, Teija

AU - Kumar, Pratap

AU - Kurpad, Anura v

AU - Lachat, Carl

AU - Lartey, Anna

AU - Lauer, Jacqueline m

AU - Li, Qian

AU - Lipoeto, Nur indrawaty

AU - López, Laura beatriz

AU - Loy, See ling

AU - Maiya, G arun

AU - Maleta, Kenneth

AU - Malta, Maíra barreto

AU - Manandhar, Dharma s

AU - Mangani, Charles

AU - Martínez-Rojano, Hugo

AU - Martin-Prevel, Yves

AU - Martorell, Reynaldo

AU - Matias, Susana l

AU - Mcclure, Elizabeth m

AU - Melse-Boonstra, Alida

AU - Miller, Joshua d

AU - Mohamad, Marhazlina

AU - Jan mohamed, Hamid jan

AU - Moore, Sophie

AU - Mosquera, Paola soledad

AU - Mridha, Malay kanti

AU - Munim, Shama

AU - Muñoz-Manrique, Cinthya

AU - Natamba, Barnabas k

AU - Ome-Kaius, Maria

AU - Osrin, David

AU - Perichart-Perera, Otilia

AU - Prentice, Andrew m

AU - Ramachandra, Preetha

AU - Ramakrishnan, Usha

AU - Rivera, Juan

AU - Roberfroid, Dominique

AU - Rodrigues, Patricia lima

AU - Rodríguez-Cano, Ameyalli

AU - Rogerson, Stephen j

AU - Rondó, Patricia hc

AU - Sámano, Reyna

AU - Saville, Naomi m

AU - Shivalli, Siddharudha

AU - Shrestha, Bhim p

AU - Shrestha, Robin

AU - Roberto da silva júnior, José

AU - Soltani, Hora

AU - Soofi, Sajid

AU - Tehrani, Fahimeh ramezani

AU - Thomas, Tinku

AU - Tielsch, James m

AU - Unger, Holger w

AU - Vaz, Juliana dos santos

AU - Worku, Alemayehu

AU - Yang, Nianhong

AU - Young, Sera l

AU - Yussif, Adam bawa

AU - Zeng, Lingxia

AU - Zhong, Chunrong

AU - Zhu, Zhonghai

PY - 2024/6/1

Y1 - 2024/6/1

N2 - Background: Existing gestational weight gain (GWG) charts vary considerably in their choice of exclusion/inclusion criteria, and it is unclear to what extent these criteria create differences in the charts’ percentile values. Objectives: We aimed to establish the impact of including/excluding pregnancies with adverse neonatal outcomes when constructing GWG charts. Methods: This is an individual participant data analysis from 31 studies from low- and middle-income countries. We created a dataset that included all participants and a dataset restricted to those with no adverse neonatal outcomes: preterm < 37 wk, small or large for gestational age, low birth weight < 2500 g, or macrosomia > 4000 g. Quantile regression models were used to create GWG curves from 9 to 40 wk, stratified by prepregnancy BMI, in each dataset. Results: The dataset without the exclusion criteria applied included 14,685 individuals with normal weight and 4831 with overweight. After removing adverse neonatal outcomes, 10,479 individuals with normal weight and 3466 individuals with overweight remained. GWG distributions at 13, 27, and 40 wk were virtually identical between the datasets with and without the exclusion criteria, except at 40 wk for normal weight and 27 wk for overweight. For the 10th and 90th percentiles, the differences between the estimated GWG were larger for overweight (∼1.5 kg) compared with normal weight (<1 kg). Removal of adverse neonatal outcomes had minimal impact on GWG trajectories of normal weight. For overweight, the percentiles estimated in the dataset without the criteria were slightly higher than those in the dataset with the criteria applied. Nevertheless, differences were <1 kg and virtually nonexistent at the end of pregnancy. Conclusions: Removing pregnancies with adverse neonatal outcomes has little or no influence on the GWG trajectories of individuals with normal and overweight.

AB - Background: Existing gestational weight gain (GWG) charts vary considerably in their choice of exclusion/inclusion criteria, and it is unclear to what extent these criteria create differences in the charts’ percentile values. Objectives: We aimed to establish the impact of including/excluding pregnancies with adverse neonatal outcomes when constructing GWG charts. Methods: This is an individual participant data analysis from 31 studies from low- and middle-income countries. We created a dataset that included all participants and a dataset restricted to those with no adverse neonatal outcomes: preterm < 37 wk, small or large for gestational age, low birth weight < 2500 g, or macrosomia > 4000 g. Quantile regression models were used to create GWG curves from 9 to 40 wk, stratified by prepregnancy BMI, in each dataset. Results: The dataset without the exclusion criteria applied included 14,685 individuals with normal weight and 4831 with overweight. After removing adverse neonatal outcomes, 10,479 individuals with normal weight and 3466 individuals with overweight remained. GWG distributions at 13, 27, and 40 wk were virtually identical between the datasets with and without the exclusion criteria, except at 40 wk for normal weight and 27 wk for overweight. For the 10th and 90th percentiles, the differences between the estimated GWG were larger for overweight (∼1.5 kg) compared with normal weight (<1 kg). Removal of adverse neonatal outcomes had minimal impact on GWG trajectories of normal weight. For overweight, the percentiles estimated in the dataset without the criteria were slightly higher than those in the dataset with the criteria applied. Nevertheless, differences were <1 kg and virtually nonexistent at the end of pregnancy. Conclusions: Removing pregnancies with adverse neonatal outcomes has little or no influence on the GWG trajectories of individuals with normal and overweight.

UR - http://www.scopus.com/inward/record.url?scp=85190540150&partnerID=8YFLogxK

U2 - 10.1016/j.ajcnut.2024.03.016

DO - 10.1016/j.ajcnut.2024.03.016

M3 - Article

SN - 0002-9165

VL - 119

SP - 1465

EP - 1474

JO - The American journal of clinical nutrition

JF - The American journal of clinical nutrition

IS - 6

ER -

The Impact of Excluding Adverse Neonatal Outcomes on the Creation of Gestational Weight Gain Charts Among Women from Low- and Middle-income Countries with Normal and Overweight BMI

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