( ciated with higher postpartum weight re...)Weight Gain in Pregnancy Linked to Overweight in Kids,Health

ciated with higher postpartum weight retention and later risk of maternal obesity.

In this study, 51 percent of women gained excessive weight, 35 percent gained adequate weight, and 14 percent gained inadequate weight, according to the IOM guidelines. Women with adequate or excessive gain were approximately four times more likely than those with inadequate gain to have an overweight child, as measured at age 3. The authors defined overweight as a BMI greater than the 95th percentile for the child's age and sex.

"Our study shows that excessive weight gain during pregnancy was directly associated with having an overweight child," says Oken. "Just like adults, children who are overweight are at higher risk for a number of health conditions such as high blood pressure, diabetes, and high cholesterol."

The likelihood of having a baby that was heavy for gestational age was greater in women with excessive gain. Children of mothers who gained more weight also had somewhat higher systolic blood pressure, a cardiovascular risk factor related to weight even in young children.

The authors calculated total gestational weight gain as the difference between the last weight recorded before delivery and self-reported prepregnancy weight. The authors categorized women as having gained inadequate, adequate, or excessive weight according to the IOM guidelines. These guidelines recommend that women with a prepregnancy BMI between 19.8 and 26 kg/m2, (considered normal by the IOM guidelines) should gain 11.5 to 16kg (25 to 35 pounds); that women with a BMI of less than 19.8 kg/m2 (considered underweight by the IOM guidelines) should gain 7 to 11.5 kg (15 to 25 pounds); and that women with a BMI of more than 29 kg/m2 (considered obese by the IOM guidelines) should gain at least 6 kg (13 pounds).

Gestational weight gain may be linked to child overweight through several potential pathways. Mothers who gain weight readily because
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