Bulletin of the World Health Organization

Maternal body mass index and gestational weight gain and their association with perinatal outcomes in Viet Nam

Erika Ota, Megumi Haruna, Motoi Suzuki, Dang Duc Anh, Le Huu Tho, Nguyen Thi Thanh Tam, Vu Dinh Thiem, Nguyen Thi Hien Anh, Mitsuhiro Isozaki, Kenji Shibuya, Koya Ariyoshi, Sachiyo Murashima, Hiroyuki Moriuchi & Hideki Yanai

Volume 89, Number 2, February 2011, 127-136

Table 1. Maternal and infant characteristics for different categories of maternal body mass index (BMI), Nha Trang, Viet Nam, 2007–2008

Characteristica BMI categoryb
All Low BMI Normal BMI High BMI
n = 2 989 (100%) n = 780 (26.1%) n = 1955 (65.4%) n = 254 (8.5%)
Mean age (years) 27.9 ± 5.3 26.2 ± 5.0 28.2 ± 5.3 30.7 ± 5.1
Parity
Primipara 1496 (50.1) 484 (62.1) 935 (47.8) 77 (30.3)
Multipara 1493 (49.9) 296 (37.9) 1020 (52.2) 177 (69.7)
Mean height (cm) 154.2 ± 4.8 154.6 ± 4.7 154.0 ± 4.8 154.0 ± 5.2
Mean BMI 20.0 ± 2.2 17.4 ± 0.8 20.3 ± 1.2 24.7 ± 1.7
Mean gestational weight gain (kg) 12.2 ± 3.9 12.5 ± 3.6 12.2 ± 3.8 11.5 ± 4.7
< 10.0 776 (25.9) 177 (22.7) 509 (26.0) 90 (35.3)
≥ 10.0 but < 15.0 1546 (51.8) 414 (53.1) 1028 (52.6) 104 (41.2)
≥ 15.0 but < 20.0 587 (19.6) 174 (22.3) 362 (18.5) 51 (20.0)
≥ 20 80 (2.7) 15 (1.9) 56 (2.9) 9 (3.5)
Gestational weight gain (kg) recommended by medical staff 11.6 ± 0.9 11.6 ± 0.9 11.6 ± 0.8 11.6 ± 0.9
Smoking
During pregnancy 1 (0.03) 0 1 (0.03) 0
Passive indoor smoking 1053 (35.2) 306 (39.2) 653 (33.4) 94 (37.0)
Drinking during pregnancy 9 (0.3) 3 (0.4) 5 (0.3) 1 (0.4)
Marital status
Single 21 (0.7) 4 (0.5) 15 (0.8) 2 (0.8)
Married 2934 (98.1) 765 (98.1) 1918 (98.0) 251 (98.8)
Divorced/separated 9 (0.3) 3 (0.4) 6 (0.3) 0
Widowed 10 (0.4) 3 (0.4) 7 (0.4) 0
Others 15 (0.5) 5 (0.6) 9 (0.5) 1 (0.4)
Years of schooling
< 12 1645 (55.0) 397 (50.9) 1093 (55.9) 155 (61.0)
12 791 (26.5) 218 (27.9) 512 (26.2) 61 (24.0)
> 12 553 (18.5) 165 (21.2) 350 (17.9) 38 (15.0)
Household income ( × 1 000 Vietnamese dong)
< 1 500 273 (9.1) 77 (9.9) 177 (9.0) 19 (7.5)
≥ 1 500 but < 2 500 1082 (36.2) 274 (35.1) 707 (36.2) 101 (39.8)
≥ 2 500 but < 3 500 873 (29.2) 235 (30.1) 566 (28.9) 72 (28.3)
≥ 3 500 761 (25.5) 194 (24.9) 505 (25.8) 62 (24.4)
No. of previous gestational care visits 5.3 ± 2.6 5.4 ± 2.5 5.2 ± 2.5 5.1 ± 2.8
Morning sickness 1522 (50.9) 410 (52.6) 993 (50.8) 119 (46.9)
Occupation
Yes 1842 (61.6) 481 (61.7) 1209 (61.8) 151 (59.4)
No 1147 (38.4) 298 (38.3) 745 (38.2) 103 (40.6)
Physical activity during pregnancy (MET h/wk)
Total in the 3rd trimester 127.2 ± 76.1 124.1 ± 75.8 127.8 ± 75.2 132.1 ± 83.5
Sedentary (< 1.5) 42.6 ± 34.9 42.0 ± 35.0 43.1 ± 34.8 40.3 ± 34.6
Light (≥ 1.5 but < 3.0) 63.6 ± 40.3 62.9 ± 40.0 63.6 ± 40.2 66.1 ± 42.5
Moderate (3.0–6.0) 19.2 ± 32.2 17.3 ± 32.4 19.3 ± 31.1 24.2 ± 39.2
Vigorous (> 6.0) 1.7 ± 7.1 1.8 ± 6.7 1.8 ± 7.4 1.4 ± 6.5
Duration of pregnancy (weeks)
< 37 41 (1.3) 14 (1.8) 25 (1.3) 2 (0.8)
37–39 1374 (46.0) 388 (49.7) 877 (44.9) 109 (42.9)
40–42 1565 (52.4) 376 (48.2) 1046 (53.5) 143 (56.3)
≥ 43 9 (0.3) 2 (0.3) 7 (0.3) 0
Infant sex
Male 1592 (53.3) 408 (52.3) 1044 (53.4) 140 (55.1)
Female 1397 (46.7) 372 (47.7) 911 (46.6) 114 (44.9)
Infant birth weight (g) 3227 ± 423 3105 ± 396 3258 ± 415 3365 ± 490
Infant birth height (cm) 50.4 ± 1.8 50.2 ± 1.8 50.5 ± 1.8 50.7 ± 1.7

MET h/wk, metabolic equivalent hours per week.

a All values are either the mean ± the standard deviation or the number and percentage of women or infants with the characteristic.

b BMI represents body weight in kilograms divided by body surface area in square metres. Categories: low BMI: < 18.5; normal BMI, ≥ 18.5 but < 23.0; high BMI, ≥ 23.0.