Anthropometric and Body Compositional Measurements and Pregnancy Outcomes

임신부의 체위와 체조성 및 임신의 결과

  • 이종임 (전남대학교 가정대학 식품영양학과) ;
  • 임현숙 (전남대학교 가정대학 식품영양학과) ;
  • 조영숙 (순천대학교 자연과학대학 식품영양학과)
  • Published : 1998.07.01


Anthropometric and body compositional changes and the outcomes of the pregnancies of 90 healthy Korean women were investigated in a longitudinal study. Their weight increased from 51.3$\pm$5.9kg to 65.1$\pm$7.8kg during their pregnancies. The total weight gain was 13.8$\pm$4.5kg, and therefore, weekly weight gain was 340$\pm$110g during the entire period of the pregnancy. The weight gain was composed of approximately 50-60% fat mass and 40-50% fat-free mass. Skinfold thicknesses, both of triceps and subscapular, increased during the pregnancies. The fat mass calculated from skinfold thickness and that measured with bioelectrical impedance analysis went on increasing during the pregnancies. Although there was a considerable difference with respect to the fat mass observed using the three methods, fat mass gain was 5.0-6.1kg and fat-free mass gain was 4.0-5.3kg from the first trimester to the third trimester of pregnancies. There were significant correlations between maternal anthropometric parameters and indices of pregnancy outcomes. Especially, the infant's birth weight was associated with maternal pre-pregnancy weight and weight gains during the pregnancies. The infant's birth length was related to the maternal weight observed at term(p<0.05) and weight gain during the entire pregnancies (p<0.05) . Neither increase of fat mass nor fat-free mass affected the outcomes of pregnancy. These results show that maternal weight gain during pregnancy is led by increments of approximately above 50% fat mass. The fat mass increase seems to be larger in central areas than in subcutaneous areas. Maternal weight gain during pregnancy, especially during late pregnancy, is a factor affecting the birth weight and length of infant. On the basis of the body compositional changes, it can be predicted that the additional energy requirement for pregnancy in Korean women is more than 200-230 MJ (64,500-76,250kca1). (Korean J Nutrition 31(6) : 1057-1065, 1998)


  1. Am J Clin Nutr v.49 Body fat mass and basal metabolic rate in Dutch women before, during, and after pregnancy : A reappraisal of energy cost of pregnancy van Raaij,J.M.A.;Schonk,C.M.;Vermaat-Miedema,S.H.;Peek,M.E.M.;Hautvast,J.G.A.J.
  2. Am J Clin Nutr v.47 Resting metabolic rate and body composition of healthy swedish women during pregnancy Forsum,E.;Sadurskis,A.;Wager,J.
  3. Int J Gynecol Obstet v.22 Maternal weight and weight gain in pregnancy and obstetric outcome Varma,T.R.
  4. Prenatal care, William Obstetrics(Seventeenth ed.) Pritchard,J.A.;MacDonald,P.C.;Gant,N.F.
  5. Am J Clin Nutr v.36 Pregnancy outcome in North American women. 1. Effects of diet, cigarette smoking, and psychological stress on maternal weight gain Picon,T.A.;Allen,L.H.;Olsen,P.N.;Ferris,M.E.
  6. Am J Clin Nutr v.46 Increased birth weight after prenatal dietary supplementation of rural African women Prentice,A.M.;Cole,T.J.;Foord,F.A.;Lamb,W.H.;Whitehead,R.G.
  7. Am J Clin Nutr v.50 Nutrition during pregnancy : The effect of an educational intervention program in Greece Kafatos,A.G.;Vlachonikolis,I.G.;Codrington,C.A.
  8. Korean J Nutr v.22 no.6 Nutritional status of rural pregnant women in relation to physical condition of offspring at birth Song,Y.S.;Kim,S.H.
  9. BMJ v.298 Effect of smoking, alcohol, caffeine, socioeconomic factors and psychological stress on birth weight Brook,O.G.;Anderson,H.R.;Bland,J.M.;Peacoak,J.R.
  10. Am J Clin Nutr v.54 Determinants of pregnancy outcome and newborn behaviors of semirural Egyptian population Kirksey,A.;Rahmanifar,A.;Wachs,T.D.;McCabe,G.P.;Bassily,N.S.;Bishry,Z.;Galal,O.M.;Harrison,G.G.;Jerome,N.W.
  11. Korean J Obstet Gynecol v.36 no.7 Fetal growth in weight as estimated from normal single livebirths between 27 to 43 week's gestation Kim,S.Y.;Chung,T.H.;Lee,K.;Cho,D.J.;Lee,Y.H.
  12. Nutrition Throughout The Life Cycle(3rd ed.) Worthington-Roberts,B.S.;Williams,S.R.
  13. Clinical Physiology in Obstetrics. Part 2 : Nutrition and Metabolism Weight gain in pregnancy Hytten,F.E.;Hytten,F.E.(ed.);Chamberlain,G.(ed.)
  14. Lancet v.1 Do energy reserves limit fetal growth? Briend,A.
  15. Br J Obstet Gynaecol v.86 Changes in fat, fat-free mass and body water in human normal pregnancy Pipe,N.G.J.;Smith,T.;Halliday,D.;Edmonds,C.J.;Williams,C.;Coltart,T.M.
  16. Lancet v.1 Maternal energy reserves and birthweight Campbell-Brown,M.;McFadyen,I.R.
  17. Am J Phys Anthropol v.46 Influence of maternal nutritional status on prenatal growth in a Peruvian urban population Frisancho,A.R.;Klayman,J.E.;Matos,J.
  18. Br J Obstet Gynaecol v.94 Maternal fat stores and fat accretion during pregnancy in relation to infant birthweight Langhoff-Ross,J.;Lindmark,G.;Gebre-Medhin,M.
  19. Nutritional Needs and Assessment of Normal Growth Normal Fetal Growth Regulation : Nutritional aspects Briend,A.;Grasey,M.(ed.);Falkner,F.(ed.)
  20. J Obstet Gynaecol Br Commonw v.78 The relationship between baby weight and changes in maternal weight, total body water, plasma volume, electrolytes and proteins, and urinary oestriol excretion Duffus,G.M.;Mac Gillivary,I.;Dennis,K.J.
  21. Recommended Dietary Allowances(10th ed.) Food and Nutrition Board, Commission on Life Sciences Subcommittee on the tenth edition of the RDAs
  22. Am J Clin Nutr v.59 Energy metabolism during pregnancy : Influence of maternal energy status King,J.C.;Butte,N.F.;Bronstein,M.N.;Kopp,L.E.;Lindquist,S.A.
  23. Lancet v.2 Energy requirement of pregnancy in the Gambia Lawrence,M.F.;Lawrence,W.A.;Coward,W.A.;Cole,T.J.;Whitehead,R.G.
  24. J Nutr v.124 Dietary intakes, anthropometric measurements and pregnancy outcomes Johnson,A.A.;Knight.E.M.;Edwards,C.H.;Oyemade,U.J.;Jackson,C.O.;Westney,O.E.;Westney,L.S.;Haziel,L.;Sidney,J.
  25. Am J Clin Nutr v.55 Predicting body composition from anthropometry and bioimpedance in marginally undernourished adolescents and young adults Conlisk,E.A.;Haas,J.D.;Martinez,E.J.;Flores,R.;Rivera,J.D.;Martorell,R.
  26. Am J Obstet Gynecol v.167 Effect of fat and fat-free mass deposition during pregnancy on birth weight Villar,J.;Cogswell,M.;Kestler,E.;Castillo,P.;Menendez,R.;Repke,J.T.
  27. Guide for personal computer(Version 6.03) SAS/STAT
  28. Recommended dietary allowances for Koreans(6th revision) The Korean Nutrition Society
  29. Clinical Physiology in Obstetrics Weight gain in pregnancy Hytten,F.E.;Hytten,F.(ed.);Chamberlain,G.(ed.)
  30. Vital and Health Statistics, Series 21, No. 44. DHHS Puble. No.(PHS) 86-1992 Maternal weight gain and the outcome of pregnancy : United States, 1980 Taffel,S.M.
  31. J Am Diet Assoc v.86 Prenatal weight gains related to the birth of healthy-sized infants to low-income women Brown,J.E.;Berdan,K.W.;Splett,P.;Robinson,M.;Harris,L.J.
  32. Am J Clin Nutr v.59 Total body water in pregnancy : Assessment by using bioelectrical impedance Lukaski,H.C.;Siders,W.A.;Nielsen,E.J.;Hall,C.B.
  33. Am J Clin Nutr v.65 Body fat estimation in late pregnancy and early postpartum : Comparison of two-, three-, and four-component models Hopkinson,J.M.;Butte,N.F.;Ellis,K.J.;Wong,W.W.;Puyau,M.R.;Smith EO'B.
  34. Korean J Obstet Gynecol v.29 The relationship of maternal weight and hight to birth weight Jeon,Y.M.;Shin,H.K.;Lee,I.S.;Lee,K.H.;Cho,T.H.
  35. Korean J Nutrition v.27 no.3 Effect of maternal nutritional status on immunological substances in breast milk of Korean women Kim,W.Y.;Kim,Y.N.;Kim,S.M.
  36. Korean J Obstet Gynecol v.36 A study of the low maternal weight gain and risk of preterm delivery Kim,T.H.;Song,S.H.;Han,H.K.;Cho,S.J.
  37. Korean J Community Nutrition v.2 no.2 Dietary intakes and psychological stress of pregnant women in Taejon in relation to neonatal birth weight Hyun,W.J.;Lee,J.Y.;Kwak,C.S.
  38. J Chronic Dis v.35 The reliability and validity of self reported weight and height Stewart,A.
  39. Addict Behar v.4 Reliability and validity of self report and observer's estimates of relative weight Wing,R.;Epstein,L.H.;Ossip,D.J.
  40. Korean J Community Nutrition v.1 no.2 Ecological studies of maternal-infant nutrition and feeding in urban low income areas,-Ⅰ. Anthropometric measurements, dietary intakes and serum lipids content/fatty acids composition of the pregnants Ahn,H.S.;Park,Y.S.;Park,S.H.
  41. Nutrition during pregnancy. Part Ⅰ. Weight gain. Part Ⅱ. Nutrient supplements Institute of Medicine, Food and Nutrition Board;Committee on Nutritional Status During Pregnancy and Lactation
  42. Am J Clin Nutr v.67 Anthropometric equations for studying body fat in pregnant women Paxton,A.;Lederman,S.A.;Heymsfield,S.B.;Wang,J.;Thornton,J.C.;Pierson Jr R.N.
  43. Br J Nutr v.32 Body fat assessed from total body density and its estimation from skinfold thickness : Measurements on 481 men and women aged from 16 to 72 years Durnin,J.V.G.A.;Womersley,J.
  44. Lancet v.2 Energy requirements of pregnancy in Scotland Durnin,J.V.G.A.;Mckillo,F.M.;Grant,S.;Fitzgerald,G.
  45. Lancet v.2 Energy requirements of pregnancy in The Nethelands van Raaij,J.M.A.;Vermaat-Miedma,S.H.;Schonk,C.M.;Peck,M.E.M.;Hautvast,J.G.A.J.
  46. Eur J Clin Nutr v.50 no.suppl Energy requirements of pregnant and lactating women Prentice,A.M.;Spaaij,C.J.K.;Goldgerg,G.R.(et al.)
  47. Present Knowledge in Nutrition(7th Edition) International Life Science Institute;Nutrition Foundation
  48. Korean pediatric growth standards The Korean pediatric Society
  49. JNE v.24 Development of a prenatal weight gain intervention program using social marketing methods Brown,J.E.;Tharp,T.M.;Mckay,C.;Richardson,S.L.;Hall,N.J.;Finnegan,J.R.;Splett,P.L.