APPENDIX Workshop Agenda and Participants

WORKSHOP AGENDA

The Impact of Pregnancy Weight on Maternal and Child Health

May 30–31, 2006

National Academy of Sciences Building

Washington, DC

Tuesday, May 30

Welcome, Introduction, and Overview

Moderator: Maxine Hayes, M.D., M.P.H., Committee Chair

8:30 am

Welcome, Introductions, Background, and Overview of Workshop

Maxine Hayes, M.D., M.P.H., Committee Chair

8:45 am

Overview: Trends in Maternal and Pregnancy Weight

Mary Cogswell, R.N., Dr. P.H., Division of Nutrition and Physical Activity, CDC

Patricia Dietz, Dr. P.H., Division of Reproductive Health, CDC

Panel 1: Gestational Weight Gain: Direct Predictors and Moderators and Maternal Health Consequences

Moderator: Kathleen Rasmussen, Sc.D., Committee Member

9:25 am

Biological and Metabolic Relationships

Janet King, Ph.D., Children’s Hospital Oakland Research Institute



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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report APPENDIX Workshop Agenda and Participants WORKSHOP AGENDA The Impact of Pregnancy Weight on Maternal and Child Health May 30–31, 2006 National Academy of Sciences Building Washington, DC Tuesday, May 30 Welcome, Introduction, and Overview Moderator: Maxine Hayes, M.D., M.P.H., Committee Chair 8:30 am Welcome, Introductions, Background, and Overview of Workshop Maxine Hayes, M.D., M.P.H., Committee Chair 8:45 am Overview: Trends in Maternal and Pregnancy Weight Mary Cogswell, R.N., Dr. P.H., Division of Nutrition and Physical Activity, CDC Patricia Dietz, Dr. P.H., Division of Reproductive Health, CDC Panel 1: Gestational Weight Gain: Direct Predictors and Moderators and Maternal Health Consequences Moderator: Kathleen Rasmussen, Sc.D., Committee Member 9:25 am Biological and Metabolic Relationships Janet King, Ph.D., Children’s Hospital Oakland Research Institute

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report 9:45 am Social Predictors or Relationships Naomi Stotland, M.D., San Francisco, University of California 10:05 am BREAK 10:20 am Short-Term Maternal Health Outcomes Kathleen Rasmussen, Sc.D., Cornell University 10:40 am Long-Term Maternal Health Outcomes Erica Gunderson, Ph.D., Division of Research, Kaiser Permanente Northern California 11:00 am Discussant Panel: Each discussant will have 5 minutes. Barbara Abrams, Dr. P.H., University of California, Berkeley Calvin Hobel, M.D., Cedars-Sinai Medical Center and University of California, Los Angeles Elizabeth McAnarney, M.D., University of Rochester, Medical Center Anna Marie Siega-Riz, Ph.D., University of North Carolina, Chapel Hill 12:00 pm LUNCH Panel 2: Maternal Weight and Gestational Weight Gain as Direct Predictors and Moderators of Infant and Child Growth and Health Moderator: Matthew Gillman, M.D., Committee Member 1:00 pm Short-Term Infant Health Outcomes Patrick Catalano, M.D., MetroHealth Medical Center, Case Western Reserve University 1:20 pm Long-Term Child Health Outcomes Emily Oken, M.D., Harvard Medical School, Harvard Pilgrim Health Care

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report 1:40 pm Discussant Panel: Each discussant will have 5 minutes. Mary Hediger, Ph.D., National Institute of Child Health and Human Development, National Institutes of Health Michael Kramer, M.D., McGill University Robert Whitaker, M.D., M.P.H., Mathematica Policy Research Institute, Inc. 2:40 pm BREAK Panel 3: Insights from Interventions to Promote Appropriate Weight During Pregnancy and Postpartum Moderator: Lillian Gelberg, M.D., Committee Member 3:00 pm Individual Approaches to Change Behaviors Related to Appropriate Weight During Pregnancy and Postpartum Rena Wing, Ph.D., Brown Medical School 3:20 pm Psychosocial-Related Factors That Affect Appropriate Weight During Pregnancy and Postpartum Lorraine Walker, Ph.D., University of Texas-Austin 3:40 pm Community Approaches to Promote Appropriate Weight During Pregnancy and Postpartum Christine Olson, Ph.D., R.D., Cornell University 4:00 pm Existing Practices and Policies for Clinicians and Health Systems Regarding Appropriate Weight During Pregnancy and Postpartum Laura Riley, M.D., Massachusetts General Hospital 4:20 pm Discussant Panel: Each discussant will have 5 minutes. Edith Kieffer, Ph.D., University of Michigan, Ann Arbor Carol Korenbrot, Ph.D., California Rural Indian Health Board William McCarthy, Ph.D., University of California, Los Angeles 5:20 pm End of the day

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report Wednesday, May 31 8:30 am Continental Breakfast Summary of Previous Day 9:00 am Moderator: Maxine Hayes (5–10 minute summary and then discussion) Review what is known about the distribution of maternal weight in different populations of women. 9:30 am Moderators: Kathleen Rasmussen and Matthew Gillman (5–10 minute summary and then discussion) Review what is known about the effects of different weight patterns during pregnancy on maternal and child health outcomes. Based on the evidence presented, what else can be done to further improve maternal and child health outcomes? What research is needed to move the field forward? What have we missed? 10:15 am Moderator: Lillian Gelberg (5–10 minute summary and then discussion) Review what we know about the individual, community, and health care system factors that (1) affect and (2) seek to improve maternal and child health outcomes through compliance with recommended gestational weight guidelines. To what extent are these policies and interventions based on scientific evidence presented around improving maternal and child health outcomes? Based on the evidence presented, what else can be done to further improve maternal and child health outcomes? Who needs to be involved to further improve maternal and child health outcomes? Is there a role for the media and public messaging? What research is needed to move the field forward? What have we missed? 12:00 pm End of Workshop

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report PARTICIPANTS Barbara Abrams,* School of Public Health, Universisy of California, Berkeley Tal Biron-Shental, Obstetrics and Gynecology, Washington University Jeanne Blankenship, Western Human Nutrition Research Center, Agriculture Research Service, U.S. Department of Agriculture, University of California, Davis Sarah Bonza, Department of Family Medicine, Ohio State University Amy Branum, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD Jacquelyn Campbell, Institute of Medicine, The National Academies, Washington, DC Amy Case, Birth Defects Epidemiology and Surveillance, Texas Department of State Health Services Amanda Cash, Health Sciences Center, University of Oklahoma, Oklahoma City Patrick M. Catalano, MetroHealth Medical Center, Cleveland, OH Rosemary Chalk, Board on Children, Youth, and Families, National Research Council, The National Academies, Washington, DC Diana Cheng, Women’s Health, Maryland Department of Health and Mental Hygiene, Baltimore Tae Chong, National Women, Infants, and Children Association, Washington, DC Najmul Chowdhury, North Carolina Department of Health and Human Services, Raleigh Cristina Churchill, National Research Center for Women and Families, Washington, DC Mary E. Cogswell, Maternal and Child Health, Centers for Disease Control and Prevention, Atlanta, GA Katsi Cook, Maternal and Child Health Coordinator, United South and Eastern Tribes, Inc., Tribal Epidemiology Center, Berkshire, NY Ezra C. Davidson, Jr.,* Department of Obstetrics and Gynecology, Charles R. Drew University of Medicine and Science, Los Angeles, CA Esa Davis, Family Medicine-Research Division, Case Western Reserve University, Cleveland, OH Justine Desmarais, Women’s Health, Association of Maternal and Child Health Programs, Washington, DC Patricia M. Dietz, Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA Cathy Fagen, Long Beach Memorial Medical Center, CA * Members of the program committee

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report Julie Farmer, Women, Infants, and Children, Omaha, NE Robin Fleschler, University of Texas Medical Branch at Galveston Frederic D. Frigoletto, Jr., Harvard Medical School, Boston, MA Lillian Gelberg,* Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles Corrine Giannini, North Carolina Department of Health and Human Services, Raleigh Matthew Gillman,* Department of Nutrition, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA Gilman Grave, Endocrinology, Nutrition and Growth Branch, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD Nancy Green, March of Dimes, White Plains, NY Erica P. Gunderson, Epidemiology and Prevention Section, Division of Research, Kaiser Permanente, Oakland, CA Heidi Haddada, Office of Science and Technology, Washington, DC Mary H. Hager, The American Dietetic Association, Washington, DC Michelle Hansen, Colorado Department of Public Health, Denver Maxine Hayes, (Chair),* State of Washington, Department of Health, Olympia Mary L. Hediger, Epidemiology Branch, Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD Calvin J. Hobel, Department of Obstetrics and Gynecology, Miriam Jacobs Chair in Maternal Fetal Medicine, David Geffen School of Medicine at University of California, Los Angeles Mary Horlick, National Institute of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD Kris Horning, Louis County Public Health, Lowville, NY Edith C. Kieffer, School of Social Work, University of Michigan, Ann Arbor Shin Kim, Centers for Disease Control and Prevention, Atlanta, GA Janet King,* University of California, Berkeley and Davis, Children’s Hospital Oakland Research Institute Lisa King, Women’s Health, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Rockville, MD Sharon Kirmeyer, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD * Members of the program committee

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report Harriet Kitzman, School of Nursing, University of Rochester, NY Luella Klein, Emory University, Gynecology and Obstetrics, Atlanta, GA Ronald E. Kleinman,* Harvard University, Pediatric Gastroenterology, Boston, MA Ann M. Koontz, Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD Carol Korenbrot, California Rural Indian Health Board, Sacramento Leslie Korenda, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD Michael S. Kramer, Pediatrics and Epidemiology and Biostatistics, McGill University, Quebec Debra Krummel, University of Cincinnati, Nutritional Sciences, OH Susan Landers, American Academy of Pediatrics, Austin, TX Michele Lawler, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Rockville, MD Stefanie Lee, Maternal, Child, and Adolescent Health, Office of Family Planning Branch, California Department of Health Services, Sacramento Monique Lin, University of Alabama at Birmingham, Obstetrics and Gynecology Jeanne Mahoney, American College of Obstetricians and Gynecologists, Department of Women’s Health, Washington, DC Sandra Mangum, Mississippi Department of Health, Jackson Elizabeth McAnarney, Golisano Children’s Hospital at Strong, University of Rochester Medical Center, NY William McCarthy, University of California, Los Angeles, Johnson’s Comprehensive Cancer Center Chan McDermott, Texas Department of State Health Services, Austin John McGrath, Information and Communication Branch, National Institute of Child Health and Human Development, Bethesda, MD Elizabeth McGuire, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Rockville, MD Michael Mennuti, American College of Obstetricians and Gynecologists, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia Linda Meyers, Food and Nutrition Board, Institute of Medicine, The National Academies, Washington, DC * Members of the program committee

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report Karen B. Mills, Capitol Area Human Services District, Nurse Family Partnership Healthy Start, Baton Rouge, LA Selina Mkandawire, Nutritionist (Private Practice), South Orange, NJ Danielle Munro, Howard University Hospital-Women, Infants, and Children, Washington, DC Mandisa Nkrumah, Howard University Hospital Comprehensive Areas of Resources, Entitlements and Services, Washington, DC Emily Oken, Harvard Medical School, Harvard Pilgrim Health Care Department of Ambulatory Care and Prevention, Boston, MA Toni Olasewere, Mount Sinai Hospital, Obstetrics, Gynecology and Reproductive Sciences, New York, NY Christine M. Olson, Division of Nutritional Sciences, Cornell University, Ithaca, NY Therese Panagis, Arlington Department of Health Services/Public Health Division, Family Health Services, VA Gregg Pane,* Washington DC Department of Health Estella Parrott, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD Kathleen Pellechia, Food and Nutrition Information Center, U.S. Department of Agriculture, National Agricultural Library, Beltsville, MD Laura Peppelman, Delaware Women, Infants, and Children Program, Dover Terry Phan, Whitney Young Health Center, Albany, NY Suzanne Phelan, Brown Medical School, Psychiatry and Behavioral Medicine, Providence, RI Maria Prince, Johns Hopkins Bloomberg School of Public Health, Odenton, MD Karlyn Probst, Virginia Healthy Start Initiative at Eastern Virginia Medical School, Norfolk Daniel Raiten, National Institute of Child Health and Human Development, National Institutes of Health, Endocrinology, Nutrition and Growth Branch, Bethesda, MD Tonse Raju, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD Geetha Raman, Eastern Virginia Medical School, Norfolk Leslie Randall, Northwest Portland Area Indian Health Board, Tribal Epidemiology Center/CDC assignee, OR Kathleen Rasmussen,* Division of Nutritional Sciences, Cornell University * Members of the program committee

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report Lauren Ratner, Association of State and Territorial Health Officials, Washington, DC Eileen Resnick, Society for Women’s Health Research, Scientific Programs, Washington, DC Michael Rhone, Family and Consumer Sciences, Langston University, Oklahoma City, OK Laura E. Riley, Vincent Obstetrics and Gynecology Service, Massachusetts General Hospital, Boston, MA Sarah Roholt, Nutrition Services Branch, North Carolina Department of Health and Human Services, Division of Public Health, Raleigh Vicki Lynn Rubio, Department of Human Services, State of California, Orange Anne Santa-Donato, Associate Director, Childbearing and Newborn Programs, Association of Women’s Health, Obstetric and Neonatal Nurses, Washington, DC Jacquelyn Shufford, Crater Health District, Maternal and Child Health, Petersburg, VA Anna Maria Siega-Riz, Department of Maternal and Child Health, School of Public Health, University of North Carolina, Chapel Hill Janice Simmons, The Quality Letter for Healthcare Leaders, Alexandria, VA Marcie Singleton, Knoxville County Health Department, Women, Infants, and Children Program, TN Sharon Sirling, Maternal and Child Health Bureau, Department of Health, Honolulu, HI Phillip Smith, Indian Health Service, Rockville, MD Scott Snyder, Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD Denise Sofka, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Rockville, MD Leilani Spence, Health Department, Memphis and Shelby County Health Department, Memphis, TN Catherine Spong, Pregnancy and Perinatology Branch, National Institute of Child Health and Human Development, Bethesda, MD Julie Stagg, Texas Department of State Health Services, Family Health Research and Surveillance, Austin Jamie Stang, University of Minnesota, Division of Epidemiology and Community Health, Minnetonka * Members of the program committee

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Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report Susanne Strickland, National Institute of Child Health and Human Development, Office of Science Policy, Bethesda, MD Naomi E. Stotland, Departments of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco General Hospital Laurie Tansman, Department of Clinical Nutrition, Mount Sinai Hospital, New York, NY Judith Thierry, Indian Health Service, Office of Clinical and Preventive Services, Rockville, MD Anjel Vahratian, University of Michigan, Obstetrics and Gynecology, Ann Arbor Lorraine O. Walker, University of Texas at Austin, School of Nursing Cindy Walton, Society for the Protection and Care of Children, Finger Lakes Women, Infants, and Children, Canadaigua, NY Jennifer Weber, American Dietetic Association, Washington, DC Gwendolyn West, Howard University Hospital, Washington, DC Robert Whitaker, Mathematica Policy Research, Inc., Princeton, NJ Rena Wing, Centers for Behavioral and Preventive Medicine, Weight Control and Diabetes Research Center, Miriam Hospital, Providence, RI Allison Winter, Texas Department of State Health Services, Austin Stella Yu, Research Branch, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Rockville, MD * Members of the program committee