GWG (version 1.0)

overweight: Probabilities for inadequate or excessive gestational weight gain (GWG) for overweight women for different months in pregnancy

Description

The category of body mass index (BMI) for overweight woman, calculated by dividing weight in kilograms by squared height in meters was defined according to the IOM/NRC and WHO criterion (overweight: BMI 25-29.9 kg/m^2). According to the IOM/NRC guidelines adequate total GWG was classified as total weight gain of 7-11.5 kg for overweight women. In accordance with IOM inadequate GWG was defined as GWG below and excessive GWG as values above the recommended GWG.

Usage

overweight(prevalence, month, weight_gain, path = system.file("OW_above.RData",  "OW_below.RData", package = "GWG"))

Arguments

prevalence

Probability of disease (values between 0 and 1), in this case probability for excessive or inadequate GWG in the population where the mother comes from for overweight women (a priori risk) (examples can be obtainted from http://www.en.soziale-paediatrie.med.uni-muenchen.de/research/tools/index.html)

month

Month of pregnancy (values between 2 and 10). One month was defined as 4 weeks, e.g. month 2 was defined as pregnancy week 5 up to and including 9

weight_gain

Weight gain of woman in the specific month of pregnancy (values: "excessive" or "inadequate")

path

Path the data is located

Value

month

Month of pregnancy

prevalence

Prevalence for excessive or inadequate GWG in the population where the mother comes from (a priori risk)

PPVexcessive

The PPVexcessive gives information whether the total GWG at the end of pregnancy will be excessive in case of exceed the week specific cut-off value (test positive) for a special month for overweight women

NPVexcessive

The NPVexcessive gives information if the total GWG at the end of pregnancy will not be excessive (adequate or inadequate) in case of not having an excessive weight gain (test negative) for overweight women

PPVinadequate

The PPVinadequate gives information whether the total GWG at the end of pregnancy will be inadequate in case of fall below the week specific cut-off value for a special month for overweight women

NPVinadequate

The NPVinadequate gives information if the total GWG at the end of pregnancy will not be inadequate (adequate or excessive) in case of not having an inadequate weight gain for overweight women

References

Knabl J, Riedel C, Gmach J et al. (2013). Prediction of excessive or inadequate gestational weight gain from week-specific IOM/NRC cut-off values. submitted.

Rasmussen KM, Yaktine AL, eds. Institute of Medicine (2009). Weight Gain During Pregnancy: Reexamining the Guidelines. Committee to Reexamine IOM Pregnancy Weight Guidelines. Washington, DC: National Academy Press.

World Health Organisation (2003). Diet, nutrition and the prevention of chronic diseases. In: World Health Organisation, editor. WHO Technical Report Series. Geneva: World Health Organisation. 2003. p. 1-149.

Examples

options(digits=3)

overweight(0.65,5, "excessive")

#For an overweight woman in Germany whose weight gain is excessive in the
#5th month of pregnancy (a priori risk = 0.65) the probability of excessive
#total GWG at the end of pregnancy is 0.901

overweight(0.07,5, "inadequate")

#For an overweight woman in Germany whose weight gain is inadequate in the
#5th month of pregnancy (a priori risk = 0.07) the probability of inadequate
#total GWG at the end of pregnancy is 0.128