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Application of Japanese guidelines for gestational weight gain to multiple pregnancy outcomes and its optimal range in 101,336 Japanese women

机译：在101,336名日本女性中将日本妊娠期重量增益的应用及其最佳范围应用

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This study was performed to investigate whether the Japanese guidelines for gestational weight gain (GWG) can be used to determine the risks of multiple pregnancy outcomes and estimate optimal GWG in 101,336 women with singleton pregnancies in 2013. Multivariable logistic regression analyses indicated that the risks associated with low birth weight, small for gestational age, and preterm birth increased significantly with weight gain below the Japanese guidelines, and the risks of macrosomia and large for gestational age increased with weight gain above the guidelines regardless of Asian-specific pre-pregnancy body mass index (BMI). The GWG cutoff points estimated from the adjusted area under the receiver operating characteristics curve 0.6 corresponded to 10-13.8?kg in underweight women with pre-pregnancy BMI??18.5?kg/msup2/sup; 10-13.7?kg in normal weight women with pre-pregnancy BMI 18.5-22.9?kg/msup2/sup; 8.5-11.4?kg in overweight women with pre-pregnancy BMI 23-24.9?kg/msup2/sup, 5-13.3?kg in obese women with pre-pregnancy BMI 25-29.9?kg/msup2/sup; and 4.7?kg in obese women with pre-pregnancy BMI?≥?30?kg/msup2/sup. The optimal GWG ranges proposed by the present study are slightly higher than those recommended by the current Japanese guidelines.
机译：进行了该研究以研究日本的妊娠重量增益（GWG）指南是否可用于确定2013年唯一妊娠成果的风险和估计101,336名妇女的最佳GWG。多变量的逻辑回归分析表明存在相关的风险出生体重低，孕龄小，早产比日本指南低于重量增长，麦克皮癣和大型胎龄的风险增加，无论亚洲特异性妊娠体重如何，重量增加索引（BMI）。从接收器操作特性曲线下的调节区域估计的GWG截止点曲线> 0.6对应于怀孕前女性的10-13.8 kg，患有预先怀孕BMI？<？18.5？kg / m 2 ; 10-13.7 kg在妊娠前的正常重量女性BMI 18.5-22.9？kg / m 2 ; 8.5-11.4？kg妊娠前的超重女性BMI 23-24.9？kg / m 2 ，5-13.3 kg ob obese女性，患有妊娠预期bmi 25-29.9？kg / m < sup> 2 ;和4.7？kg患有妊娠前BMI的肥胖女性？≥？30？kg / m 2 。本研究提出的最佳GWG范围略高于当前日本指南推荐的范围。

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