( of genetic dietary or other behavior...)Weight Gain in Pregnancy Linked to Overweight in Kids,Health

of genetic, dietary, or other behavioral factors may have children who are more likely to gain weight. Also, the amount of weight gained during pregnancy may alter the intrauterine environment, not only influencing fetal growth but also possibly resulting in persistent programming of child weight.

"Because childhood obesity is increasing in prevalence and effective treatment remains elusive, preventing childhood obesity remains critical," says Oken. "The IOM may need to reevaluate its recommendations for gestational weight gain, considering not only birth outcomes but also risk of obesity for both mother and child. While our study signals the potential need to adjust guidelines, further studies will need to occur to determine just what the appropriate weights should be."

Like the United States population as whole, many mothers and their children in this study were overweight. Even mothers with adequate gain according to the IOM guidelines had a substantially higher risk than mothers with inadequate weight gain of having overweight children, with no difference in risk of undesirable birth outcomes, such as small or large size for gestational age or birth by cesarean section.

"It has been 17 years since the IOM came out with its last set of recommendations, before the obesity epidemic hit with full force," says Matthew Gillman, MD, associate professor in the Department of Ambulatory Care and Prevention and senior author of the study. "Now, women are coming into pregnancy at higher weights and likely gaining excessively more than they used to. We need to find out how to counter this trend--but not go too far back in the other direction when women were gaining too little weight."

Source-Eurekalert
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