Journal article
One size does not fit all: Examining ethnicity in gestational weight gain guidelines
Health care for women international, v 40(4), pp 365-385
03 Apr 2019
PMID: 30742558
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Pregnancy-related metrics vary by race/ethnicity, yet most gestational weight gain (GWG) guidelines are ethnicity-blind. We estimated small-for-gestational age (SGA) risk in a Japanese population, examining GWG adequacy categorized by Institute of Medicine (IOM) and Japanese guidelines in male (N = 192) and female (N = 191) full-term singleton infants. For predicting SGA, IOM guidelines had high sensitivity ( >= 0.75), but low specificity ( <= 0.25); Japanese guidelines had high specificity ( >= 0.80) but low sensitivity ( <= 0.50). GWG guidelines' implicit notions of Caucasian-Americans as optimal may lead to 'One Size Fits All' recommendations that can obscure important biocultural factors contributing to maternal child health outcomes.
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Details
- Title
- One size does not fit all: Examining ethnicity in gestational weight gain guidelines
- Creators
- Melissa K. Melby - University of DelawareGoro Yamada - Johns Hopkins UniversityDavid A. Schwartz - Augusta UniversityPamela J. Surkan - Johns Hopkins University
- Publication Details
- Health care for women international, v 40(4), pp 365-385
- Publisher
- Taylor & Francis
- Number of pages
- 21
- Grant note
- 12A00454 / University of Delaware General University Research Fund National Institute of Health and Nutrition (Tokyo, Japan) R24HD042854 / Johns Hopkins Population Center 7902 / Wenner-Gren Foundation for Anthropological Research
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000465902400001
- Scopus ID
- 2-s2.0-85061427768
- Other Identifier
- 991021875474904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health
- Women's Studies