Evidence map›Paper›PMID 40789395›Full record

ArticleAnnals of epidemiology2025

Gestational weight change patterns in pregnant people with obesity class I, II, and III receiving care from community-based health care centers.

Sarah-Truclinh T Tran, Anna Booman, Miguel Marino, Jean O'Malley, Amy Palma, Teresa Schmidt, Kristin Lyon-Scott, Jonathan M Snowden, Rachel Springer, Kalera Stratton and 2 more

Erratum issuedAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Sarah-Truclinh T TranOHSU-PSU School of Public Health, Oregon Health & Science University, 1810 SW 5th Ave, Portland, OR, USA.
Anna BoomanOHSU-PSU School of Public Health, Oregon Health & Science University, 1810 SW 5th Ave, Portland, OR, USA.
Miguel MarinoOHSU-PSU School of Public Health, Oregon Health & Science University, 1810 SW 5th Ave, Portland, OR, USA; Department of Family Medicine, School of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, USA.
Jean O'MalleyOCHIN, Inc., P.O. Box 5426, Portland, OR, USA.
Amy PalmaOHSU-PSU School of Public Health, Oregon Health & Science University, 1810 SW 5th Ave, Portland, OR, USA.
Teresa SchmidtOCHIN, Inc., P.O. Box 5426, Portland, OR, USA.
Kristin Lyon-ScottOCHIN, Inc., P.O. Box 5426, Portland, OR, USA.
Jonathan M SnowdenOHSU-PSU School of Public Health, Oregon Health & Science University, 1810 SW 5th Ave, Portland, OR, USA; Department of Family Medicine, School of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, USA.
Rachel SpringerDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, USA.
Kalera StrattonOHSU-PSU School of Public Health, Oregon Health & Science University, 1810 SW 5th Ave, Portland, OR, USA.
Kimberly K VescoKaiser Permanente Center for Health Research, 3800 N Interstate Ave, Portland, OR, USA.
Janne Boone-HeinonenOHSU-PSU School of Public Health, Oregon Health & Science University, 1810 SW 5th Ave, Portland, OR, USA; University of California San Francisco, 490 Illinois St, San Francisco, CA, USA. Electronic address: janne.boone-heinonen@ucsf.edu.

Funding

PROMISE: PReventing Obesity through healthy Maternal gestational weight gain In the Safety nEtR01DK118484 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI BOONE-HEINONEN, JANNE, SNOWDEN, JONATHAN M · 2020 to 2024
$3.1M
NIDDK NIH HHS R01 DK118484
6 · The paper itself

Abstract

purposeTo identify pregnancy weight patterns among people with obesity class I, II, and III, and how they lead to total gestational weight change (GWC) relative to Institute of Medicine (IOM) recommendations.

methodsWe examined clinically measured pregnancy weights from 7196 individuals with pre-pregnancy obesity receiving care from a national network of community-based health care organizations (2004-2020). We conducted obesity class-stratified, group-based trajectory modeling, then characterized identified GWC patterns with respect to sociodemographic and clinical characteristics.

resultsGWC trajectories included two patterns exhibiting early weight loss that was later regained (n = 4113), two with consistent weight gain (n = 3026), and, among individuals with class III obesity, a fifth pattern (n = 57) exhibiting weight loss that was not regained by delivery. Trajectories that met the total GWC IOM recommendations exhibited 1st trimester weight loss followed by at/above-IOM recommended 2nd and 3rd trimester GWC. Trajectories with 1st trimester weight gain exceeded the total GWC recommendation. Public health insurance, tobacco use, and Black race were generally more common in trajectories with the highest rates of weight loss or gain.

conclusionsObesity class-specific GWC recommendations should address safe levels of 1st trimester weight loss and dissonance between recommended total GWC and 2nd and 3rd trimester gain rates.

Indexed as

Community Health CentersGestational Weight GainObesityPregnancy ComplicationsWeight LossAdultBody Mass IndexFemaleHumansPregnancyUnited StatesWeight GainElectronic health recordsGestational weight gainGrowth trajectoryPregnancyUnderstudied populations

Identifiers

PMID40789395
PMCPMC13375219

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.