Evidence map›Paper›PMID 40830410›Full record

ArticlePediatric research2026

Early gestational weight gain and birth weight outcome: a Chinese population-based cohort.

Shuang Zhang, Lingyan Feng, Weiqin Li, Nan Li, Leishen Wang, Jia Guo, Jinnan Liu, Junhong Leng, Peng Wang, Huikun Liu

Abstract read
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Shuang Zhang *Tianjin Women and Children's Health Center, Tianjin, China.
Lingyan Feng *Tianjin Women and Children's Health Center, Tianjin, China.
Weiqin LiTianjin Women and Children's Health Center, Tianjin, China.
Nan LiTianjin Women and Children's Health Center, Tianjin, China.
Leishen WangTianjin Women and Children's Health Center, Tianjin, China.
Jia GuoTianjin Women and Children's Health Center, Tianjin, China.
Jinnan LiuTianjin Women and Children's Health Center, Tianjin, China.
Junhong LengTianjin Women and Children's Health Center, Tianjin, China.
Peng WangTianjin Women and Children's Health Center, Tianjin, China.
Huikun LiuTianjin Women and Children's Health Center, Tianjin, China. huikun_liu@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly gestational weight gain (E-GWG) plays a crucial role in fetal development. Its timing and sex-specific impacts have not been thoroughly investigated, especially in Asian populations.

methodsIn this retrospective cohort study, 66,291 mother-infant pairs from the Tianjin Women and Children's Health Care System were analyzed. Linear and logistic regression models were applied to examine the association between E-GWG and birth weight outcomes across BMI groups. We also analyzed the effects of E-GWG on the birth weight of infants born to pregnant women carrying male and female fetuses, respectively.

resultsE-GWG had a stronger impact on birth weight z-scores than late GWG (β 0.038 vs. 0.016, P < 0.001). In each BMI subgroup, E-GWG was positively correlated with the risk of LGA and negatively correlated with the risk of SGA (all P < 0.001). The lower the prepregnancy BMI, the more sensitive the birth weight outcomes were to the variation in E-GWG and full-term GWG. The equivalent increase of E-GWG has different effects on the birth weight of male or female newborns. A female newborn has a higher risk of LGA at birth than a male in the underweight, overweight, and obesity group (P < 0.05). Girls' mothers with low pre-pregnancy weight combined with E-GWG less than 10.7 kg had a particularly high risk of SGA. Male newborns have a higher risk of SGA than females with the same insufficient E-GWG in the normal weight and overweight groups. When the E-GWG of mothers with obesity was less than 3.0 kg, the SGA risk was increased for both male (OR 1.764, 95% CI 1.003-3.104) and female newborns (OR 2.540, 95% CI 1.364-4.729) compared with E-GWG more than 8.0 kg.

conclusionsInsufficient E-GWG of women with underweight highlights the risk of female SGA. Pregnant women with excessive E-GWG should be aware of the risk of LGA, especially those carrying female fetuses. IMPACT: Early GWG showed stronger impacts on birth weight outcomes (LGA/SGA) than late GWG, with BMI/sex effects. Female fetuses showed higher LGA odds with excessive E-GWG in moms with overweight/obesity; insufficient E-GWG in moms with underweight strongly correlated with female-specific SGA vulnerability. Findings warrant BMI/sex-tailored GWG guidelines to optimize Asian perinatal health and reduce long-term metabolic risks.

Indexed as

Birth WeightGestational Weight GainAdultBody Mass IndexChinaEast Asian PeopleFemaleHumansInfant, NewbornMalePregnancyPregnancy OutcomeRetrospective StudiesRisk FactorsSex Factors

Identifiers

PMID40830410
PMCPMC13021518

What Socratic holds

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LicenceCC BY
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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.