{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:42:21Z","timestamp":1793295741090,"version":"4.5.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"23","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2010,6,15]]},"abstract":"<jats:p>\n            <jats:bold>\n              <jats:italic>Background\u2014<\/jats:italic>\n            <\/jats:bold>\n            We sought to examine the association of gestational weight gain (GWG) and prepregnancy weight with offspring adiposity and cardiovascular risk factors.\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Methods and Results\u2014<\/jats:italic>\n            <\/jats:bold>\n            Data from 5154 (for adiposity and blood pressure) and 3457 (for blood assays) mother-offspring pairs from a UK prospective pregnancy cohort were used. Random-effects multilevel models were used to assess incremental GWG (median and range of repeat weight measures per woman: 10 [1, 17]). Women who exceeded the 2009 Institute of Medicine\u2013recommended GWG were more likely to have offspring with greater body mass index, waist, fat mass, leptin, systolic blood pressure, C-reactive protein, and interleukin-6 levels and lower high-density lipoprotein cholesterol and apolipoprotein A1 levels. Children of women who gained less than the recommended amounts had lower levels of adiposity, but other cardiovascular risk factors tended to be similar in this group to those of offspring of women gaining recommended amounts. When examined in more detail, greater prepregnancy weight was associated with greater offspring adiposity and more adverse cardiovascular risk factors at age 9 years. GWG in early pregnancy (0 to 14 weeks) was positively associated with offspring adiposity across the entire distribution but strengthened in women gaining &gt;500 g\/wk. By contrast, between 14 and 36 weeks, GWG was only associated with offspring adiposity in women gaining &gt;500 g\/wk. GWG between 14 and 36 weeks was positively and linearly associated with adverse lipid and inflammatory profiles, with these associations largely mediated by the associations with offspring adiposity.\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Conclusions\u2014<\/jats:italic>\n            <\/jats:bold>\n            Greater maternal prepregnancy weight and GWG up to 36 weeks of gestation are associated with greater offspring adiposity and adverse cardiovascular risk factors. Before any GWG recommendations are implemented, the balance of risks and benefits of attempts to control GWG for short- and long-term outcomes in mother and child should be ascertained.\n          <\/jats:p>","DOI":"10.1161\/circulationaha.109.906081","type":"journal-article","created":{"date-parts":[[2010,6,2]],"date-time":"2010-06-02T01:41:40Z","timestamp":1275442900000},"page":"2557-2564","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":428,"title":["Association of Maternal Weight Gain in Pregnancy With Offspring Obesity and Metabolic and Vascular Traits in Childhood"],"prefix":"10.1161","volume":"121","author":[{"given":"Abigail","family":"Fraser","sequence":"first","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Tilling","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrie","family":"Macdonald-Wallis","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveed","family":"Sattar","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Jo","family":"Brion","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Benfield","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy","family":"Ness","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Deanfield","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aroon","family":"Hingorani","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott M.","family":"Nelson","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George Davey","family":"Smith","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie A.","family":"Lawlor","sequence":"additional","affiliation":[{"name":"From the Medical Research Council Centre for Causal Analyses in Translational Epidemiology, Department of Social Medicine, University of Bristol, Bristol, UK (A.F., K.T., C.M.-W., M.B., L.B., G.D.S., D.A.L.); Faculty of Medicine, University of Glasgow, Glasgow, Scotland (N.S., S.M.N.); Department of Oral and Dental Science, University of Bristol, Bristol, UK (A.N.); Vascular Physiology Unit, University College London, London, UK (J.D.); and Centre for Clinical Pharmacology, University College London..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","unstructured":"Viswanthan M Siega-Riz AM Moos M-K Deierlein A Mumford S Knaack J Thieda P Lux LJ Lohr KN. Outcomes of Maternal Weight Gain Evidence Report\/Technology Assessment No. 168. Rockville Md: Agency for Healthcare Research and Quality; 2008. AHRQ publication 08-E009."},{"key":"e_1_3_2_2_2","unstructured":"Rasmussen KM Yaktine AL eds. Weight gain during pregnancy: reexamining the guidelines. Committee to Reexamine IOM Pregnancy Weight Guidelines; Institute of Medicine; National Research Council. 2009. Prepublication uncorrected proofs available at http:\/\/www.nap.edu\/catalog\/12584.html. 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