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Also worth mentioning is our finding that overweight/obese women who accurately assess their weight status are at a 3-fold increased odds of gaining excessively during pregnancy.
(Clare) Likewise, many of those who had difficulties losing weight after their second pregnancy expressed that they would be more conscious of not gaining excessively, if they were pregnant again.
Compared with normal weight women who accurately assessed their pre-pregnancy weight status, the odds of gaining excessively during pregnancy were increased seven-fold among overweight/obese women who underassessed their pre-pregnancy body weight status.
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Rates of excessive weight gain varied across exposure categories: 57% of normal weight overassessors, 62% of overweight/obese accurate assessors, and 81% of overweight/obese underassessors had excessive gestational weight gain, while only 47% of normal weight accurate assessors gained excessively (p < 0.05 for all comparisons to normal weight accurate assessors, Figure 1).
By the end of pregnancy, 823 women (54%) gained excessively.
Compared with women who gain within recommended ranges, women who gain excessively are more likely to be overweight or obese 10 or more years later [ 24, 28].
Participants gained a mean of 15.6 kg (range -7.3 to 40.9) in pregnancy (mean gestation length 39.5 weeks, SD 1.9), and 823 (54%) gained excessively according to Institute of Medicine criteria [ 4].
It is likely that the tendency to gain weight excessively and its significance for later obesity risk is not constant throughout the life span (2).
Moreover, normal weight groups in our study population who gained BMI excessively were at risk for elevated HbA1c, albeit via their attained BMI, suggesting that weight gain across the full distribution should be a focus for preventive strategies for type 2 diabetes.
Depression ensued, and Ballard began to drink excessively, gaining weight until she could no longer comfortably wear many of her stage outfits.
Thus, children born SGA should not be allowed to gain weight too rapidly or excessively in an effort circumvent the development of metabolic disturbances.
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