Obesity

Racial disparities in gestational weight gain and adverse pregnancy outcomes among Black and White pregnant people with obesity

Obesity (Silver Spring)Published Retrospective chart review

Authors' conclusion

Black individuals with obesity started pregnancy with higher weight and more preexisting conditions but had lower GWG compared to White individuals. Exacerbated disparities in preexisting conditions demonstrate higher health risks for Black individuals during pregnancy.

Study context

Population
Pregnant people with obesity delivering at a large women's specialty hospital in Louisiana, 2018–2022, across early-, peak- and late-pandemic periods
Participants
7,431 deliveries
Exposure
Black vs White pregnant people with obesity
Outcome
GWG and prepregnancy weight
Follow-up
All periods
Methodological detailssingle-centre, Log-linear regression and robust Poisson models
  • Single-centre
  • Log-linear regression and robust Poisson models

Main finding

As reported in the abstract

all periods
  • Black individuals had higher prepregnancy weight and lower gestational weight gain (GWG) vs White individuals across all periods
  • GWG differences not significant in peak- and late-pandemic periods

Observational data: associations, not effects.

Further findings

Preexisting conditions and adverse pregnancy outcomes · all periods

Black pregnant people had higher rates of preexisting T2D and chronic hypertension but lower rates of GDM and preeclampsia vs White

Original publication

Racial disparities in gestational weight gain and adverse pregnancy outcomes among Black and White pregnant people with obesity. Obesity (Silver Spring). Published 25 December 2024. doi:10.1002/oby.24206

Composed by AI from the published abstract and checked against it. How Briefs are made →

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