{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T05:40:05Z","timestamp":1756532405395,"version":"3.44.0"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp;amp; Child Nutrition"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>The influence of early pregnancy weight and gestational weight gain (GWG) on neonatal outcomes among Indian slum\u2010dwellers remains understudied. A prospective cohort study summarised maternal weight trajectories using the longitudinal clustering technique and explored associations between these clusters and neonatal outcomes (low birthweight, small for gestational age [SGA] and preterm births) among 423 pregnant slum\u2010dwelling women in Pune, India. Sociodemographic data, height and weight were measured at enrolment (&lt;\u200912 weeks, \u2018early pregnancy\u2019). Weight was additionally measured at 23\u2009\u00b1\u20091 (\u2018mid\u2010pregnancy\u2019), 33\u2009\u00b1\u20091 (\u2018late pregnancy\u2019), 36\u201337 and 39\u201340 weeks. The mean age was 24.7 (95% CI, 23.3, 25.1) years and the mean BMI at enrolment was 22.3 (95% CI, 21.9, 22.7) kg\/m<jats:sup>2<\/jats:sup>. Underweight women had the highest GWG rates and total GWG, while obese women had the lowest. Four clusters were identified: Cluster 1 (<jats:italic>n<\/jats:italic>\u2009=\u2009124, 97% normal and overweight women, GWG rate: 0.27 (95% CI, 0.24, 0.30) kg\/week early\u2010late pregnancy) was the reference group. Women in Cluster 2 (<jats:italic>n<\/jats:italic>\u2009=\u2009146, 93% underweight and normal weight women, GWG rate: 0.31 (95% CI, 0.28, 0.34) kg\/week early\u2010late pregnancy) had a higher risk of having SGA and preterm newborns and women in Cluster 3 (<jats:italic>n<\/jats:italic>\u2009=\u200968, 100% overweight and obese women, GWG rate: 0.17, 95% CI, 0.12, 0.22\u2009kg\/week early\u2010late pregnancy) had a higher risk of having preterm newborns than Cluster 1. The women in Cluster 4 (<jats:italic>n<\/jats:italic>\u2009=\u200985, 100% underweight and normal weight, mean early\u2010late pregnancy GWG rate of 0.47, 95% CI, 0.44, 0.50 kg\/week) showed no higher risk of adverse neonatal outcomes. This study highlights the need to monitor both pre\u2010pregnancy BMI and weight throughout pregnancy to enhance the possibility of favourable neonatal outcomes.<\/jats:p>","DOI":"10.1111\/mcn.13805","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T01:40:39Z","timestamp":1745890839000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Gestational Weight Trajectories With Neonatal Outcomes Among Pregnant Slum\u2010Dwelling Women, India"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0788-2831","authenticated-orcid":false,"given":"Swapna","family":"Deshpande","sequence":"first","affiliation":[{"name":"Unit of Health Sciences, Faculty of Social Sciences Tampere University Tampere Finland"},{"name":"Growth and Paediatric Endocrine Department Hirabai Cowasji Jehangir Medical Research Institute Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7386-2993","authenticated-orcid":false,"given":"Tarja I.","family":"Kinnunen","sequence":"additional","affiliation":[{"name":"Unit of Health Sciences, Faculty of Social Sciences Tampere University Tampere Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4660-3013","authenticated-orcid":false,"given":"Rubina","family":"Mandlik","sequence":"additional","affiliation":[{"name":"Growth and Paediatric Endocrine Department Hirabai Cowasji Jehangir Medical Research Institute Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anuradha","family":"Khadilkar","sequence":"additional","affiliation":[{"name":"Growth and Paediatric Endocrine Department Hirabai Cowasji Jehangir Medical Research Institute Pune India"},{"name":"Interdisciplinary School of Health Sciences Savitribai Phule Pune University Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhas","family":"Otiv","sequence":"additional","affiliation":[{"name":"Obstetrics &amp; Gynaecology Department KEM Hospital Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sangita","family":"Kulathinal","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics University of Helsinki Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04815-8"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)00354-9"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqab086"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijem.IJEM_557_16"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v106.i07"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt109"},{"issue":"1","key":"e_1_2_10_8_1","first-page":"210","volume":"121","author":"Committee on Obstetric Practice","year":"2013","journal-title":"Weight Gain During Pregnancy"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-023-03230-w"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.1022990"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1004236"},{"key":"e_1_2_10_12_1","unstructured":"Den Teuling N. 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