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Project Title:
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Reexamination of IOM Pregnancy Weight Guidelines
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PIN:
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FNBX-H-07-04-A
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Major Unit:
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Division of Behavioral and Social Sciences and Education Institute of Medicine
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Sub Unit:
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Board on Children, Youth, and Families Food and Nutrition Board
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RSO:
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Yaktine, Ann
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Subject/Focus Area:
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Project Scope
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An ad hoc committee will review and update the 1990 Institute of Medicine recommendations for weight gain during pregnancy and recommend ways to encourage their adoption through consumer education, strategies to assist practitioners, and public health strategies. Specifically, the committee will:
(1)Review evidence on the relationship between weight gain patterns before, during, and after pregnancy and maternal and child health outcomes, with particular attention to the prevalence of maternal obesity racial/ethnic and age differences, components of gestational weight gain, and implications of weight during pregnancy on postpartum weight retention and maternal and child obesity and later child health.
(2)Within a life-stage framework consider factors in relation to weight gain during pregnancy that are associated with maternal health outcomes such as lactation performance, postpartum weight retention, cardiovascular disease, metabolic processes including glucose and insulin-related issues, and risk of other chronic diseases; for infants and children, in addition to low birth weight, consider early developmental impacts and obesity related consequences (e.g., mental health, diabetes).
(3)Recommend revisions to the existing guidelines, where necessary, including the need for specific pregnancy weight guidelines for underweight, normal weight, and overweight and obese women and adolescents and women carrying twins or higher-order multiples.
(4) Consider a range of approaches to promote appropriate weight gain, including:
--Individual (behavior), psychosocial, community, health care, and health systems
--Timing and components of interventions
--Ways to enhance awareness and adoption of the guidelines, including interdisciplinary approaches, consumer education to men and women, strategies to assist practitioners to use the guidelines, and public health strategies.
(5) Identify gaps in knowledge and recommend research priorities.
This project is sponsored by Department of Health and Human Services Health Resources and Services Administration, Centers for Disease Control and Prevention (DNPAO), National Institutes of Health (NICHD, NIDDK, DNRC); Office on Women’s Health, and Office on Disease Prevention and Health Promotion; the March of Dimes; and the HHS Office of Minority Health through the National Minority AIDS Council.
The approximate start date of the project was September 1, 2007.
A report will be issued at the end of the project in approximately 22 months.
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Project Duration:
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22 months
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Provide FEEDBACK on this project.
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