Development of Thai-Specific Gestational Weight Gain Targets Using Asian BMI Cut-Points: Implications for Nursing and Midwifery Practice in Preventing Gestational Diabetes Mellitus.
Background: Thai obstetric nurses follow WHO gestational weight gain (GWG) guidelines to prevent gestational diabetes mellitus (GDM). However, these Western-derived guidelines misclassify approximately 16% of Thai pregnant women, who carry excess metabolic risk at lower BMI values than Western popul...
| Publicado en: | Nursing Reports Vol. 16; no. 8; pp. 274 - 294 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196616844&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196616844 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Aug2026 vid: 16 iid: 8 pid: 97109 pub: MDPI artinfo: ui: 196616844 196616844 196616844 10.3390/nursrep16080274 196616844 ppf: 274 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Development of Thai-Specific Gestational Weight Gain Targets Using Asian BMI Cut-Points: Implications for Nursing and Midwifery Practice in Preventing Gestational Diabetes Mellitus. aug: au: Xuto, Piyanut Bressington, Daniel Khiaokham, Lawitra Khaw-on, Patompong Matayaboon, Nantarat Sangsawang, Suraphan Janta, Nantawan Sungplipan, Pradab Wiangsuwan, Suratsawadee Chaiwatthanakorn, Sujitra Phiwon, Ampaporn Khetwang, Kamonchanok Charuloedphong, Ratchaneewan affil: Faculty of Nursing, Chiang Mai University, 110/406 Intawaroros rd. Suthep, Muang, Chiang Mai 50200, Thailand sug: subj: Gestational Weight Gain Prevention and Control Body Mass Index Classification Perinatal Nursing Diabetes Mellitus, Gestational Prevention and Control Thailand Human Retrospective Design Odds Ratio Confidence Intervals Electronic Health Records Kruskal-Wallis Test Chi Square Test Multiple Logistic Regression Data Analysis Software Funding Source Validation Studies Maternal Health Services Asians ab: Background: Thai obstetric nurses follow WHO gestational weight gain (GWG) guidelines to prevent gestational diabetes mellitus (GDM). However, these Western-derived guidelines misclassify approximately 16% of Thai pregnant women, who carry excess metabolic risk at lower BMI values than Western populations. Objectives: To derive and validate Thai-specific GWG targets using Thai BMI cut-points across five BMI subgroups and assess implications for nursing practice in GDM prevention. Methods: Retrospective cohort study of 1396 Thai singleton pregnancies at a maternal and child hospital (2023–2025). GWG targets were derived as interquartile ranges (P25–P75) from a healthy-outcomes subgroup (n = 706), with validity confirmed by multivariable logistic regression and a 70:30 derivation/validation split. Results: GDM prevalence was 15.8%, with a rising crude trend that was attenuated after accounting for a mid-study change in screening protocol. Provisional Thai-specific GWG targets were underweight/normal weight 11.5–18.0 kg, overweight 9.7–18.0 kg, obesity class I 9.1–16.0 kg, and obesity class II+ 5.8–12.1 kg. Inadequate GWG in obesity class I was associated with a 3.92-fold GDM risk increase (aOR 3.92, 95% CI 2.12–7.24, p < 0.001). Adherence improved from 34.7% (IOM 2009) to 50.2% with Thai-specific targets. Conclusions: These Thai-specific GWG targets are provisional, single-centre pilot estimates. They appear clinically safe and are substantially more achievable than IOM 2009 criteria and are offered to inform BMI-appropriate antenatal counselling and to justify a multi-centre validation study, rather than as ranges that are ready for immediate national adoption. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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