Department of Obstetrics and Gynecology, Maternal-Fetal Care Center, NYU Langone Medical Center, 150 East 32nd St., Suite 101, New York, NY, 10016, USA,
Matern Child Health J. 2013 Dec;17(10):1931-9. doi: 10.1007/s10995-013-1219-8.
To examine the association between actual and perceived overweight/obese status and excess gestational weight gain (GWG). As part of an infant feeding trial, multi-ethnic lower and moderate income women-completed a checklist of current health conditions, including "overweight/obesity," "asthma," and "hypertension" while pregnant. Odds of excessive GWG per the Institute of Medicine guidelines in 'accurate' versus 'inaccurate' reporters, by overweight status were analyzed with multivariate logistic regression for women with pre-or early pregnancy BMIs of ≥18.5. 775 women met study criteria. Just 21 % (n = 107) of overweight/obese women accurately identified their weight status, compared to >90 % accurate report of documented hypertension or asthma. Compared to normal-weight accurate reporters, the adjusted odds of excessive GWG in overweight/obese women was 2.3 (95 % CI 1.4, 3.7) in accurate reporters, and 2.5 (95 % CI 1.7, 3.4) in inaccurate reporters. Overweight/obesity is associated with excessive GWG, but this risk is not modified by inaccurate reporting/perception of weight-status.
为了研究实际超重/肥胖状况和超重体重增加（GWG）之间的关联。作为婴儿喂养试验的一部分，多民族、低和中等收入的女性在怀孕期间完成了一份当前健康状况检查表，其中包括“超重/肥胖”、“哮喘”和“高血压”。采用多元逻辑回归分析了根据《医学研究所指南》中“准确”与“不准确”报告者的超重状况，分析了孕前或孕早期 BMI≥18.5 的女性中过多 GWG 的几率。775 名女性符合研究标准。只有 21%（n=107）的超重/肥胖女性准确地识别了自己的体重状况，而准确报告高血压或哮喘的比例超过 90%。与正常体重的准确报告者相比，超重/肥胖的准确报告者发生过多 GWG 的调整比值比为 2.3（95%CI 1.4, 3.7），不准确报告者为 2.5（95%CI 1.7, 3.4）。超重/肥胖与过多 GWG 相关，但这种风险不受体重状况报告/感知不准确的影响。
