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DRAFT Australian Dietary Guidelines - Eat For Health

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Table 4.5 2010 Institute of Medicine recommendations for total and rate of weight gain during<br />

pregnancy, by pre-pregnancy BMI [832]<br />

Pre-pregnancy BMI Total weight<br />

gain in kg<br />

Rates of weight gain*<br />

2nd and 3rd<br />

trimester in<br />

kg/week<br />

Underweight (< 18.5 kg/m 2) 12.5 – 18.0 0.51 (0.44 – 0.58)<br />

Normal weight (18.5 – 24.9<br />

kg/m 2)<br />

Overweight (25.0 – 29.9<br />

kg/m 2)<br />

11.5 – 16.0 0.42 (0.35 – 0.50)<br />

7.0 – 11.5 0.28 (0.23 – 0.33)<br />

Obese (≥ 30.0 kg/m 2) 5.0 – 9.0 0.22 (0.17 – 0.27)<br />

* Calculations assume a 0.5-2kg weight gain in the first trimester [832]<br />

Table 4.6 Weight gain during pregnancy: recommendations for Asian women, by prepregnancy<br />

BMI *<br />

Pre-pregnancy BMI Total weight gain in<br />

kg (during<br />

pregnancy)<br />

27.5 ≤ 7.0<br />

Others<br />

Twin pregnancy 15.9 – 20.4 0.7<br />

Triplet pregnancy 22.7<br />

* Adapted from IOM guidelines and matched with Asian BMI cut-offs<br />

4.4.4 Infants, children and adolescents<br />

Weight gain per<br />

week in kg<br />

(after 12 weeks)<br />

Infants, children and adolescents need sufficient nutritious food to grow and develop normally. The<br />

focus should be on maintaining a rate of growth consistent with the norms for age, sex and stage<br />

of physiological maturity. Physical growth is best assessed by the conventional measures of weight,<br />

length or height, and head circumference (see Appendix 3). Maintenance of a positive energy<br />

balance and adequate nutrient intake is critical in achieving and sustaining normal growth and<br />

<strong>DRAFT</strong> <strong>Australian</strong> <strong>Dietary</strong> <strong>Guidelines</strong>- December 2011 125

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