Epidemiologic Trends and Maternal Risk Factors Predicting Postpartum Weight Retention

Author(s):  
Erica P. Gunderson
2013 ◽  
Vol 208 (1) ◽  
pp. S84 ◽  
Author(s):  
Loraine Endres ◽  
Heather Straub ◽  
Beth Plunkett ◽  
Elizabeth Clark-Kauffman ◽  
Kim Wagenaar ◽  
...  

2015 ◽  
Vol 125 (1) ◽  
pp. 144-152 ◽  
Author(s):  
Loraine K. Endres ◽  
Heather Straub ◽  
Chelsea McKinney ◽  
Beth Plunkett ◽  
Cynthia S. Minkovitz ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Meichen Wang ◽  
Ai Zhao ◽  
Wei Wu ◽  
Jian Zhang ◽  
Zhongxia Ren ◽  
...  

Abstract Objectives Excess postpartum weight retention (PPWR) is related to postpartum obesity. This study was aimed to investigate the prevalence of PPWR in urban Chinese women, and to identify its associated risk factors. Methods This cohort study recruited 240 women from 2 hospitals in Beijing, 1 hospital in Xuchang and 1 hospital in Suzhou. A questionnaire was used to obtain the sociodemographic characteristics, information of pre-pregnancy weight and prepartum weight within 5 days of delivery. Anthropometric indicators of height and weight were measured by trained nurses, and 1-month and 6-month postpartum weight were tracked. Results A total of 219 participants were included in present study. The pre-pregnancy BMI of all participants was 21.1 ± 3.2 kg/m2, while the mean gestational weight gain (GWG) was 15.8 ± 5.5 kg. 61.6% of women had PPWR over 5kg at 1 month, and decreased to 37.0% at 6 months. Meanwhile, the mean PPWR was 7.8 ± 4.2 kg at 1-month and 6.6 ± 4.4 kg at 6-month. Pre-pregnancy BMI and GWG were significantly correlated with 1-month PPWR, the odds ratios(ORs) were 0.67 (0.58, 0.77) and 1.31 (1.19, 1.45), respectively, after adjusted for maternal characteristics, gestational age, mode of delivery and exercise. In addition, pre-pregnancy BMI (adjusted OR: 0.61 (0.51, 0.72)) and GWG (adjusted OR:1.21 (1.11, 1.33)) were significantly associated with 6-month PPWR. Conclusions In urban china, PPWR is a serious nutritional problem. Control pre-pregnancy BMI and GWG were crucial to reducing PPWR, and a comprehensive nutritional education and intervention should be conducted. Funding Sources The National Science and Technology Pillar Program (2017YFD0400602).


2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Hayfaa A. Wahabi ◽  
Amel A. Fayed ◽  
Shabana Tharkar ◽  
Samia A. Esmaeil ◽  
Hanadi Bakhsh

Objectives. This papers aims to investigate the association between different levels of postpartum weight retention (PPWR) and cardiometabolic risk among the Saudi women 12 months postpartum. Methods. This study is a follow-up of subgroup of cohort from Riyadh mother and baby multicenter cohort study. Clinical data were collected from participants 12 months after delivery and included current Body Mass Index (BMI), waist circumference, hip circumference, and blood pressure. In addition the following blood tests done were fasting blood glucose (FBG), glycosylated haemoglobin (HbA1c) levels, and lipids profile to assess the participants’ cardiometabolic risks. The participants were categorized into three groups based on the level of PPWR: weight retention < 3kg; weight retention 3 to < 7kg; and weight retention ≥ 7kg. Subsequently, the prevalence of cardiometabolic risk factors was compared in the three groups to assess the association between different levels of PPWR and cardiometabolic risk factors. Logistic regression was used to test the effect of PPWR in the development of metabolic syndrome and Adjusted Odds Ratio (AOR) was calculated. Results. A total of 115 women participated in this study. Around 35% of the study population retained ≥ 7 kg of weight. The prevalence of cardiometabolic risk factors, including metabolic syndrome (MetS), increases with the increase of PPWR (p<0.01). The prevalence of MetS is 13% with highest frequency in the group with the highest weight retention. The determinants developing MetS were prepregnancy weight; AOR (95% CI); 1.08 (1.02-1.14), P< 0.01, current BMI, AOR (95% CI); 1.30 (1.12-1.51), P< 0.01, and FBG during pregnancy, AOR (95% CI); and 4.82 (1.72-13.48), P < 0.01. Conclusion. Increased weight retention after delivery augments the rate of occurrence of cardiometabolic risk factors. Determinants of the development of MetS in postpartum Saudi women are increased prepregnancy weight, current BMI, and FBG during pregnancy.


Obesity Facts ◽  
2018 ◽  
Vol 11 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Hsin-Hui Shao ◽  
Lee-Ching Hwang ◽  
Jian-Pei Huang ◽  
Hsin-Yin Hsu

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e034054
Author(s):  
Yoonjung Yoonie Joo ◽  
Jong Heon Park ◽  
Sangbum Choi ◽  
Geum Joon Cho

ObjectiveTo assess the secular trends in postpartum weight retention (PWR) over a decade with the population-based risk factors.DesignRetrospective cohort study.SettingA national health screening examination data provided by the National Health Insurance Service in South Korea.Participants130 551 women who delivered babies between 1 January 2003 and 31 December 2012 and who underwent a national health screening examination 1 to 2 years prior to delivery and within 1 year after delivery.MethodsTheir PWR were determined during the study period of 2003–2012. We fitted logistic regression and linear mixed models to assess the independent contribution of PWR to obesity after adjusting for potential confounders.Primary and secondary outcome measuresPrepregnancy and postpartum weight and body mass index (BMI).ResultsThe adjusted PWR increased from mean value of 2.02 kg in 2003 (95% CI 1.88 to 2.15) to 2.79 kg in 2012 (95% CI 2.73 to 2.84) (p value for trend <0.01), after adjusting potential confounders including age, prepregnancy time, postpartum time, prepregnancy BMI, income and smoking status. The risk for a PWR of more than 5 kg also increased over the study period.ConclusionsSecular increases in PWR have been significantly observed between 2003 and 2012 for childbearing women. It is necessary to identify risk factors contributing to the observed increase and develop effective strategies to address the heightened risk for PWR.


2021 ◽  
Author(s):  
Krista S. Leonard ◽  
Elizabeth L. Adams ◽  
Jennifer S. Savage ◽  
Ian M. Paul ◽  
Jennifer L. Kraschnewski ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 938 ◽  
Author(s):  
Muna J. Tahir ◽  
Jacob L. Haapala ◽  
Laurie P. Foster ◽  
Katy M. Duncan ◽  
April M. Teague ◽  
...  

Full breastfeeding (FBF) is promoted as effective for losing pregnancy weight during the postpartum period. This study evaluated whether longer FBF is associated with lower maternal postpartum weight retention (PPWR) as compared to a shorter FBF duration. The MILK (Mothers and Infants Linked for Healthy Growth) study is an ongoing prospective cohort of 370 mother–infant dyads, all of whom fully breastfed their infants for at least 1 month. Breastfeeding status was subsequently self-reported by mothers at 3 and 6 months postpartum. Maternal PPWR was calculated as maternal weight measured at 1, 3, and 6 months postpartum minus maternal prepregnancy weight. Using linear mixed effects models, by 6 months postpartum, adjusted means ± standard errors for weight retention among mothers who fully breastfed for 1–3 (3.40 ± 1.16 kg), 3–6 (1.41 ± 0.69 kg), and ≥6 months (0.97 ± 0.32 kg) were estimated. Compared to mothers who reported FBF for 1–3 months, those who reported FBF for 3–6 months and ≥6 months both had lower PPWR over the period from 1 to 6 months postpartum (p = 0.04 and p < 0.01, respectively). However, PPWR from 3 to 6 months was not significantly different among those who reported FBF for 3–6 versus ≥6 months (p > 0.05). Interventions to promote FBF past 3 months may increase the likelihood of postpartum return to prepregnancy weight.


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