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Prenatal weights were used to calculate total GWG and 2<jats:sup>nd<\/jats:sup> and 3<jats:sup>rd<\/jats:sup> trimester GWG rates (kg\/week) and categorized as inadequate, adequate, and excessive according to the 2009 Institute of Medicine recommendations. Multivariable linear and modified Poisson regressions estimated associations of infant anthropometric outcomes (birthweight, small\u2010for\u2010gestational age [SGA], large\u2010for\u2010gestational age [LGA], rapid weight gain, and weight\u2010for\u2010age, length\u2010for\u2010age, and weight\u2010for\u2010length z\u2010scores at 6\u00a0months) with GWG categories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For total GWG, 39% and 27% of women had inadequate and excessive GWG, respectively. 57% and 46% had excessive GWG rates in the 2<jats:sup>nd<\/jats:sup> and 3<jats:sup>rd<\/jats:sup> trimesters, respectively, with 29% having excessive rates in both trimesters. Inadequate total GWG was associated with lower infant weight and length outcomes (\u00df range for z\u2010scores\u00a0=\u00a0\u22120.21 to \u22120.46, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05) and lower risk of LGA (adjusted Relative Risk, aRR\u00a0=\u00a00.38; 95% confidence intervals, CI: 0.16, 0.95) and rapid weight gain (aRR\u00a0=\u00a00.72; 95%CI: 0.51, 1.00). GWG rates above recommendations in the 2<jats:sup>nd<\/jats:sup> trimester or 2<jats:sup>nd<\/jats:sup>\/3<jats:sup>rd<\/jats:sup> trimesters were associated with greater weight outcomes at birth and 6\u00a0months (\u00df range for z\u2010scores\u00a0=\u00a00.24 to 0.35, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Counseling women about health behaviors and closely monitoring GWG beginning in early pregnancy is necessary, particularly among populations at high\u2010risk of obesity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12589","type":"journal-article","created":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T02:08:57Z","timestamp":1573092537000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Total and trimester\u2010specific gestational weight gain and infant anthropometric outcomes at birth and 6\u00a0months in low\u2010income Hispanic families"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2731-4080","authenticated-orcid":false,"given":"Andrea L.","family":"Deierlein","sequence":"first","affiliation":[{"name":"Department of Epidemiology New York University College of Global Public Health  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Jo","family":"Messito","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics, Department of Pediatrics New York University School of Medicine  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Katzow","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics, Department of Pediatrics New York University School of Medicine  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren Thomas","family":"Berube","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Studies New York University Steinhardt  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara D.","family":"Dolin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Pennsylvania Perelman School of Medicine Philadelphia  Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel S.","family":"Gross","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics, Department of Pediatrics New York University School of Medicine  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.3635"},{"key":"e_1_2_10_3_1","volume-title":"Weight Gain During Pregnancy: Reexamining the Guidelines","author":"IOM (Institute of Medicine) and NRC (National Research Council)","year":"2009"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2003.69"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2009.206"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00118-B"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159500"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.05.013"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2015.12.014"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.145"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/129.5.988"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.20088"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(96)00262-1"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-015-1747-5"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.114.094946"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/17477166.2010.521560"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21511"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-011-0846-1"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.906081"},{"issue":"288","key":"e_1_2_10_20_1","first-page":"1","article-title":"Ogden CL. 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