Obesity

Risk related to gestational weight loss among individuals with obesity: a population‐based cohort study

Obesity (Silver Spring)Published Population-based retrospective cohort study

Main finding · Composite of adverse perinatal outcomesResult — go to the resultAdjusted risk ratio 1.31 95% CI 1.22–1.39

Authors' conclusion

Our findings suggest that GWL may increase the risk of adverse perinatal outcomes across all obesity classes.

Study context

Population
Individuals with prepregnancy BMI ≥ 30 kg/m² and a singleton pregnancy, Ontario, Canada, birth registry 2012–20206.1% with gestational weight loss (GWL)
Participants
157,205 individuals
Exposure
GWL vs adequate gestational weight gain
Outcome
Composite of:
  • Adverse outcomes
  • Including perinatal death
  • Neonatal morbidity
Methodological detailsbirth registry data, stratified by obesity class
  • Birth registry data
  • Stratified by obesity class

Main finding

Composite of adverse perinatal outcomes

Adjusted risk ratio

1.31

95% CI 1.22–1.39

GWLvs Adequate gestational weight gain
adjusted risk ratio 1.31 (95% CI 1.22–1.39)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Composite of adverse perinatal outcomes, stratified by obesity class

Similar results were observed in the stratified analysis

Average weekly gestational weight change (restricted cubic spline)

Nonlinear U-shaped association, with higher risk of composite adverse perinatal outcomes at the extremities, particularly toward GWL and excessive weight gain

Original publication

Risk related to gestational weight loss among individuals with obesity: a population‐based cohort study. Obesity (Silver Spring). Published 5 November 2024. doi:10.1002/oby.24143

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