title: Gestational weight gain and child adiposity at age 3 years.
abstract: OBJECTIVE
  The purpose of this study was to examine the associations of gestational weight gain with child adiposity.
  
  
  METHODS
  Using multivariable regression, we studied associations of total gestational weight gain and weight gain according to 1990 Institute of Medicine guidelines with child outcomes among 1044 mother-child pairs in Project Viva.
  
  
  RESULTS
  Greater weight gain was associated with higher child body mass index z-score (0.13 units per 5 kg [95% CI, 0.08, 0.19]), sum of subscapular and triceps skinfold thicknesses (0.26 mm [95% CI, 0.02, 0.51]), and systolic blood pressure (0.60 mm Hg [95% CI, 0.06, 1.13]). Compared with inadequate weight gain (0.17 units [95% CI, 0.01, 0.33]), women with adequate or excessive weight gain had children with higher body mass index z-scores (0.47 [95% CI, 0.37, 0.57] and 0.52 [95% CI, 0.44, 0.61], respectively) and risk of overweight (odds ratios, 3.77 [95% CI: 1.38, 10.27] and 4.35 [95% CI: 1.69, 11.24]).
  
  
  CONCLUSIONS
  New recommendations for gestational weight gain may be required in this era of epidemic obesity.
authors.affiliation: Obesity Prevention Program, Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA. emily_oken@hphc.org
authors.forename: Emily
authors.initials: E
authors.lastname: Oken
authors.forename: Elsie M
authors.initials: EM
authors.lastname: Taveras
authors.forename: Ken P
authors.initials: KP
authors.lastname: Kleinman
authors.forename: Janet W
authors.initials: JW
authors.lastname: Rich-Edwards
authors.forename: Matthew W
authors.initials: MW
authors.lastname: Gillman
mesh_terms: D050154:Adiposity / Q000502:physiology*; D000886:Anthropometry; D015992:Body Mass Index; D001835:Body Weight; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D008429:Maternal Welfare; D015999:Multivariate Analysis; D009765:Obesity / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D018570:Risk Assessment; D015430:Weight Gain