Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational weight gain: a systematic review and meta-analysis

PeerJ

article

Kathryn M. Denize¹  Nina Acharya¹  Stephanie A. Prince²  Danilo Fernandes da Silva³  Alysha L.J. Harvey¹  Zachary M. Ferraro⁴  Kristi B. Adamo¹ 

[1] School of Human Kinetics, Faculty of Health Science, University of Ottawa;Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute;Department of Physical Education, State University of Midwest/Parana;Faculty of Medicine, University of Ottawa

关键词: Culture;    Ethnicity;    Gestational weight gain;    Institute of medicine;    Meta-analysis;    Pregnancy;    Race;    Systematic review;   

DOI  :  10.7717/peerj.5407

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

ObjectiveTo systematically review the literature and describe the discrepancies in achieving the 2009 Institute of Medicine (IOM) gestational weight gain (GWG) guidelines across cultures.MethodsTen databases were searched from inception to April 2018. Observational cohort studies were included that examined adult women; reported on a measure of culture; compared cultural groups, and reported on GWG. Articles were broken down into papers that used the current 2009 IOM GWG guidelines and those that used others. A meta-analysis was conducted for studies using the 2009 guidelines examining the prevalence of discordant GWG across cultural groups.ResultsThe review included 86 studies. Overall, 69% of women experienced discordant GWG irrespective of culture. White women experienced excessive GWG most often, and significantly more than Asian and Hispanic women; Black women had a higher prevalence of excessive GWG than Hispanic and Asian women; however, this difference was not significant.ConclusionsThe majority of women experience excessive GWG, with White women experiencing this most often. Culturally diverse GWG guidelines are needed to individualize antenatal care and promote optimal maternal-fetal health outcomes across cultural groups.

【 授权许可】

CC BY