Maternal Characteristics that Impact Postpartum Weight Retention: Results from the 2016 Los Angeles Mommy and Baby (LAMB) Follow-Up Study

Author(s):  
Jennifer Archuleta ◽  
Shin Margaret Chao
2003 ◽  
Vol 19 (suppl 1) ◽  
pp. S149-S161 ◽  
Author(s):  
Gilberto Kac ◽  
Maria Helena D'Aquino Benicio ◽  
Joaquim Gonçalves Valente ◽  
Gustavo Velásquez-Meléndez

This study presents follow-up results on trends in postpartum weight retention among women in the city of Rio de Janeiro, Brazil, at 0.5, 2, 6, and 9 months postpartum. The outcome variable, weight retention, was calculated by subtracting the reported pre-pregnancy weight from the observed weight at each interview. Statistical analyses used means and a 95% confidence interval for weight retention. Mean weight retention was 4.7, 4.1, 3.4, and 3.1kg at 0.5, 2, 6 and 9 months postpartum, respectively. At completion of the study, the largest weight retention was observed in women over 30 years of age (4.2kg) and with 30% or more of body fat (5.9kg). The rate of reduction in weight retention was 0.4kg/month, 0.2kg/month, and 0.1kg/ month for the periods 0.5-2, 2-6, and 6-9 months, respectively. The largest reductions were observed among young, single women and those with < 30% of body fat at baseline. The results suggest that variables such as age, parity, schooling, and body fat may be important predictors of postpartum weight retention.


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).


PLoS Medicine ◽  
2021 ◽  
Vol 18 (4) ◽  
pp. e1003486
Author(s):  
Helene Kirkegaard ◽  
Mette Bliddal ◽  
Henrik Støvring ◽  
Kathleen M. Rasmussen ◽  
Erica P. Gunderson ◽  
...  

Background One-fourth of women experience substantially higher weight years after childbirth. We examined weight change from prepregnancy to 18 months postpartum according to subsequent maternal risk of hypertension and cardiovascular disease (CVD). Methods and findings We conducted a cohort study of 47,966 women with a live-born singleton within the Danish National Birth Cohort (DNBC; 1997–2002). Interviews during pregnancy and 6 and 18 months postpartum provided information on height, gestational weight gain (GWG), postpartum weights, and maternal characteristics. Information on pregnancy complications, incident hypertension, and CVD was obtained from the National Patient Register. Using Cox regression, we estimated adjusted hazard ratios (HRs; 95% confidence interval [CI]) for hypertension and CVD through 16 years of follow-up. During this period, 2,011 women were diagnosed at the hospital with hypertension and 1,321 with CVD. The women were on average 32.3 years old (range 18.0–49.2) at start of follow-up, 73% had a prepregnancy BMI <25, and 27% a prepregnancy BMI ≥25. Compared with a stable weight (±1 BMI unit), weight gains from prepregnancy to 18 months postpartum of >1–2 and >2 BMI units were associated with 25% (10%–42%), P = 0.001 and 31% (14%–52%), P < 0.001 higher risks of hypertension, respectively. These risks were similar whether weight gain presented postpartum weight retention or a new gain from 6 months to 18 months postpartum and whether GWG was below, within, or above the recommendations. For CVD, findings differed according to prepregnancy BMI. In women with normal-/underweight, weight gain >2 BMI units and weight loss >1 BMI unit were associated with 48% (17%–87%), P = 0.001 and 28% (6%–55%), P = 0.01 higher risks of CVD, respectively. Further, weight loss >1 BMI unit combined with a GWG below recommended was associated with a 70% (24%–135%), P = 0.001 higher risk of CVD. No such increased risks were observed among women with overweight/obesity (interaction by prepregnancy BMI, P = 0.01, 0.03, and 0.03, respectively). The limitations of this observational study include potential confounding by prepregnancy metabolic health and self-reported maternal weights, which may lead to some misclassification. Conclusions Postpartum weight retention/new gain in all mothers and postpartum weight loss in mothers with normal-/underweight may be associated with later adverse cardiovascular health.


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.


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.


2008 ◽  
Vol 15 (4) ◽  
pp. A1-A1
Author(s):  
B Abrams ◽  
Kj Hoggatt ◽  
M Kang ◽  
S Selvin

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