干旱区生态环境知识资源中心(Arid): Influence of Gestational Weight Gain on the Risk of Preterm Birth for Underweight Women Living in Food Deserts

Arid

DOI	10.1055/s-0040-1705168
	Influence of Gestational Weight Gain on the Risk of Preterm Birth for Underweight Women Living in Food Deserts
	Madzia, Juliana; McKinney, David; Kelly, Elizabeth; DeFranco, Emily
通讯作者	Madzia, J (corresponding author), Univ Cincinnati, Coll Med, Dept Obstet & Gynecol, Med Sci Bldg,Room 4407,231 Albert Sabin Way, Cincinnati, OH 45267 USA.
来源期刊	AMERICAN JOURNAL OF PERINATOLOGY
ISSN	0735-1631
EISSN	1098-8785
出版年	2021
卷号	38 页码:E77-E83
英文摘要	Objective Preterm birth (PTB) and food insecurity are two of the most significant public health crises in the United States. Effects of being underweight among populations with low food security are not well understood. We assess whether the protective effect of gestational weight gain (GWG) for women with low prepregnancy body mass index (BMI) differs by accessibility to sources of healthy food. Study Design Population-based retrospective cohort study using Ohio birth records analyzing all live births, 2006 to 2015. Analyses were stratified by maternal BMI (underweight, normal, overweight, and obese), Institute of Medicine (IOM) recommended GWG (under vs. met), and whether the U.S. Department of Agriculture (USDA) classified the residential census tract for each birth as a food desert. Food access data were retrieved from the USDA's 2018 Food Access Research Atlas. Covariates were selected using least absolute shrinkage and selection operator regression. Logistic regression models estimated the risk ratio (RR) of PTB for each group based on under or exceeded recommended GWG (reference = met), adjusting for coexisting risk factors. Results Analysis was performed on 1,124,299 births. PTB risk was highest for underweight women below GWG recommendations (no food desert: 21.3%, RR = 2.15, 95% confidence interval [CI]: 1.81-2.57; food desert: 21.0%, RR = 1.46, 95% CI: 0.96-2.21). Underweight women living in food deserts who exceeded GWG recommendations had lower PTB risk than those who met GWG recommendations (13.5 vs. 14.3%, RR = 0.85, 95% CI: 0.51-1.41). Factors other than GWG significantly associated with PTB included in the adjusted analysis include maternal age and race, education, marital status, interpregnancy interval, and presence of prepregnancy diabetes or hypertension. Conclusion Underweight women who do not meet GWG recommendations are at high risk for PTB. Increasing pregnancy weight gain to a level that exceeds IOM recommendations was not associated with a reduction in PTB risk for underweight women who reside in food deserts compared with women who met GWG recommendations.
英文关键词	preterm birth gestational weight gain food insecurity food desert
类型	Article
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000690384400011
WOS关键词	INFANT-MORTALITY ; PREGNANCY ; HEALTH ; TRANSPORTATION ; ASSOCIATION ; INDEX ; RATES ; RACE
WOS类目	Obstetrics & Gynecology ; Pediatrics
WOS研究方向	Obstetrics & Gynecology ; Pediatrics
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/362437
作者单位	[Madzia, Juliana; McKinney, David; Kelly, Elizabeth; DeFranco, Emily] Univ Cincinnati, Coll Med, Dept Obstet & Gynecol, Med Sci Bldg,Room 4407,231 Albert Sabin Way, Cincinnati, OH 45267 USA; [Kelly, Elizabeth; DeFranco, Emily] Cincinnati Childrens Hosp Med Ctr, Perinatal Inst, Ctr Prevent Preterm Birth, Cincinnati, OH 45229 USA
推荐引用方式 GB/T 7714	Madzia, Juliana,McKinney, David,Kelly, Elizabeth,et al. Influence of Gestational Weight Gain on the Risk of Preterm Birth for Underweight Women Living in Food Deserts[J],2021,38:E77-E83.
APA	Madzia, Juliana,McKinney, David,Kelly, Elizabeth,&DeFranco, Emily.(2021).Influence of Gestational Weight Gain on the Risk of Preterm Birth for Underweight Women Living in Food Deserts.AMERICAN JOURNAL OF PERINATOLOGY,38,E77-E83.
MLA	Madzia, Juliana,et al."Influence of Gestational Weight Gain on the Risk of Preterm Birth for Underweight Women Living in Food Deserts".AMERICAN JOURNAL OF PERINATOLOGY 38(2021):E77-E83.