{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T19:28:33Z","timestamp":1785526113230,"version":"3.56.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:00:00Z","timestamp":1663027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Gestational weight management in obese women is critical in clinical work. Adverse pregnancy outcomes are associated with improper gestational weight gain (GWG). However, the pattern of GWG (PGWG) and its correlation with hypertensive disorders of pregnancy (HDP) in obesity are still unclear in China. This retrospective cohort study evaluates clinical data from 799 women through multivariate analyses and trajectory analyses. All the participants are stratified per first\u00a0trimester weight gain category into three groups (Inadequate\u20101st, &lt;0.5\u2009kg; Adequate\u20101st, 0.5\u20132.0\u2009kg; Excessive\u20101st, &gt;2.0\u2009kg) and PGWG refers to the weekly weight gain during each gestational period. GWG is positively associated with first\u00a0trimester weight gain. 78.4% of the Excessive\u20101st participants have excessive total GWG, in contrast to Inadequate\u20101st (32.7%) and Adequate\u20101st (48.2%). After 20 weeks, the weekly weight gain rapidly accelerates, and 77.3% have a weekly weight gain exceeding the Institute of Medicine\u00a0recommendations. Trajectory analysis of weekly weight gain based on HDP shows two separate weight gain curves after 20 weeks in women with and without a high risk of HDP. Especially in Excessive\u20101st participants, weekly weight gain after 20 weeks over 0.32\u2009kg\/w is positively related to the risk of HDP (&lt;0.32\u2009kg\/w vs. 0.32\u20130.61\u2009kg\/w, adjusted odds ratios\u00a0[aOR]: 2.999, 95% confidence interval [CI]: 1.054\u20138.537; &lt;0.32\u2009kg\/w vs. &gt;0.61\u2009kg\/w, aOR: 5.362, 95%\u00a0CI: 1.719\u201316.729). In summary, the first\u00a0trimester is critical for gestational weight management in obesity. Excessive weight gain during the first\u00a0trimester and after 20 weeks predicts a high risk of HDP, which should be noted in clinical practice.<\/jats:p>","DOI":"10.1111\/mcn.13416","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T11:22:21Z","timestamp":1663068141000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Patterns of gestational weight gain among women with obesity and its correlation with hypertensive disorders of pregnancy in Chinese women"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7625-7596","authenticated-orcid":false,"given":"Wei","family":"Song","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Cangzhou People's Hospital  Cangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengnan","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongmei","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuimei","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanghui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"e_1_2_11_2_1","article-title":"Clinical risk factors for pre\u2010eclampsia determined in early pregnancy: Systematic review and meta\u2010analysis of large cohort studies","volume":"353","author":"Bartsch E.","year":"2016","journal-title":"BMJ\u2014British Medical 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