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Review
. 2021 Oct 13:9:744760.
doi: 10.3389/fped.2021.744760. eCollection 2021.

Comparison of Three Gestational Weight Gain Guidelines Under Use in Latin America

Francisco Mardones  1 , Pedro Rosso  2 , Álvaro Erazo  1 , Marcelo Farías  3
Affiliations
Review

Comparison of Three Gestational Weight Gain Guidelines Under Use in Latin America

Francisco Mardones et al. Front Pediatr. .

Abstract

Presently, three guidelines are used in Latin America to assess adequacy of maternal body mass index (BMI) during pregnancy: (1) the chart proposed by the Institute of Medicine of the United States (IOM), (2) the Rosso-Mardones Chart (RM), and (3) a modified RM chart proposed by Atalah et al. (AEA). The aim of the present review was to explore available information on the sensitivity, specificity, and both positive (PPV) and negative predictive values (NPV) of these charts to detect women at risk of delivering babies with the following signs of abnormal fetal growth: (a) length at birth (BL) <50 cm; (b) birth weight (BW) <3,000 g; and (c) BW ≥ 4,000 or 4,250 g. Data from studies conducted in large samples of Chilean and Uruguayan women indicate that the RM chart has the greatest sensitivity to identify at risk cases. However, predictive values were similar for the three charts. Thus, the use of the RM chart should be preferred. The main limitation for using the IOM weight gain recommendations in Latin American women stems from the fact that their average height is approximately 20 cm lower than US women.

Keywords: Latin America; gain; gestational; guidelines; weight.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Rosso-Mardones chart.
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References

    1. Gluckman P, Hanson M, Seng CY, Bardsley A. Pre-conception maternal body composition and gestational weight gain. In: Gluckman P, Hanson M, Seng CY. editors. Nutrition and Lifestyle for Pregnancy and Breastfeeding. Oxford: Oxford University Press; (2014). p.216–20.
    1. Albala C, Vio F, Kain J, Uauy R. Nutrition transition in Chile: determinants and consequences. Public Health Nutr. (2002) 5:123–8. 10.1079/PHN2001283 - DOI - PubMed
    1. Ministerio de Salud [Ministry of Health], Chile . Encuesta Nacional de Salud 2016-17 [National Health Survey 2016-2017]. (2017). Available online at: https://www.minsal.cl/wp-content/uploads/2017/11/ENS-2016-17_PRIMEROS-RE... (accessed August 30, 2021).
    1. Rasmussen KM, Abrams B, Bodnar LM, Butte NF, Catalano PM, Maria Siega-Riz A. Recommendations for weight gain during pregnancy in the context of the obesity epidemic. Obstet Gynecol. (2010) 116:1191on. 10.1097/AOG.0b013e3181f60da7 - DOI - PMC - PubMed
    1. Organization for Economic Co-operation and Development (OECD) . Obesity Update. (2014). Available online at: www.oecd.org/health/Obesity-Update-2014.pdf (accessed August 30, 2021).

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