Predictors of poor maternal weight gain from baseline anthropometric, psychosocial, and demographic information in a Hispanic population.
OBJECTIVE
To identify which baseline factors best predict poor maternal weight gain among Hispanics.


METHODS
Pregnancy and outcome data collected prospectively from 4,791 Hispanic women attending public prenatal clinics in West Los Angeles, Calif, from 1983 through 1986.


METHODS
Prepregnancy weight was categorized into weight status groups using body mass index (BMI). Poor total weight gain (based on a mean gestational age at last measurement, which was at 35 weeks) was defined as less than 21 lb for women with BMI less than 26 and less than 10 lb for women with BMI of 26 or greater. Analyses used Student's t test, chi 2, and multivariate regression techniques (linear and logistic).


RESULTS
Poor total weight gain was identified in 29% of the women. For women who were underweight or normal weight before pregnancy, the only factor associated with increasing the risk of poor total weight gain was short stature (adjusted odds ratio [AOR] = 1.5, 95% confidence interval [CI] = 1.24, 1.84). The following factors decreased the risk: being US born (AOR = 0.61, 95% CI = 0.37, 1.00); being primiparous and under 29 years old (for < 20 years AOR = 0.69, 95% CI = 0.51, 0.92 and for 20 to 29 years AOR = 0.63, 95% CI = 0.49, 0.81); planning the pregnancy (AOR = 0.82, 95% CI = 0.67, 1.00); and having a close relative die during the pregnancy (AOR = 0.65, 95% CI = 0.44, 0.95). For obese and overweight women, physical abuse by the baby's father increased the risk (AOR = 3.19, 95% CI = 1.27, 8.01) of poor total weight gain, whereas receiving financial support from the baby's father decreased the risk (AOR = 0.59, 95% CI = 0.37, 0.95).


CONCLUSIONS
These baseline factors could aid in targeting nutrition and other social services earlier to pregnant Hispanic women. By strategically targeting pregnant women in greatest need of services, improvements in birth outcomes may be enhanced.
Siega-Riz
A M
AM
Department of Nutrition, University of North Carolina, Chapel Hill, USA.
Hobel
C J
CJ
D000328:Adult; D000886:Anthropometry; D001827:Body Height; D015992:Body Mass Index; D002140:California; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D017533:Marital Status; D010298:Parity; D011237:Predictive Value of Tests; D011247:Pregnancy / Q000208:ethnology* / Q000502:physiology; D011446:Prospective Studies; D011610:Psychosocial Deprivation; D012307:Risk Factors; D015430:Weight Gain