scholarly journals Socioeconomic disparities in prepregnancy BMI and impact on maternal and neonatal outcomes and postpartum weight retention: the EFHL longitudinal birth cohort study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Shu-Kay Ng ◽  
Cate M Cameron ◽  
Andrew P Hills ◽  
Roderick J McClure ◽  
Paul A Scuffham
Keyword(s):  
Cohort Study ◽  
Birth Cohort ◽  
Neonatal Outcomes ◽  
Socioeconomic Disparities ◽  
Birth Cohort Study ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Prepregnancy Bmi ◽  
Postpartum Weight ◽  
Maternal And Neonatal Outcomes

scholarly journals Maternal weight change from prepregnancy to 18 months postpartum and subsequent risk of hypertension and cardiovascular disease in Danish women: A cohort study

PLoS Medicine ◽  
2021 ◽  
Vol 18 (4) ◽  
pp. e1003486
Author(s):  
Helene Kirkegaard ◽  
Mette Bliddal ◽  
Henrik Støvring ◽  
Kathleen M. Rasmussen ◽  
Erica P. Gunderson ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Weight Loss ◽  
Cohort Study ◽  
Weight Gain ◽  
Weight Change ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Prepregnancy Bmi ◽  
Postpartum Weight

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.

scholarly journals Postpartum Weight Retention Risk Factors in a Chinese Cohort Study (P11-043-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Meichen Wang ◽  
Ai Zhao ◽  
Wei Wu ◽  
Jian Zhang ◽  
Zhongxia Ren ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Chinese Women ◽  
Mode Of Delivery ◽  
Urban China ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Maternal Characteristics ◽  
Postpartum Weight ◽  
The Mean

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).

scholarly journals Ethnic differences in postpartum weight retention: a Norwegian cohort study

2015 ◽  
Vol 123 (5) ◽  
pp. 699-708 ◽  
Author(s):  
CW Waage ◽  
RS Falk ◽  
C Sommer ◽  
K Mørkrid ◽  
KR Richardsen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Ethnic Differences ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Postpartum Weight

scholarly journals Characterizing the Impact of Breastfeeding and Socioeconomic Status on Maternal Weight Change From Pregnancy to Ten Years Postpartum

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 746-746
Author(s):  
Saralyn Foster ◽  
Christian Vazquez ◽  
Catherine Cubbin ◽  
Amy Nichols ◽  
Rachel Rickman ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
The United States ◽  
Self Report ◽  
World Health ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Prepregnancy Bmi ◽  
Postpartum Weight ◽  
The Impact

Abstract Objectives Breastfeeding is a potentially modifiable factor associated with less postpartum weight retention; however, in the United States women with lower socioeconomic status (SES) are less likely to initiate breastfeeding and, therefore, may be at higher risk for long-term weight retention. We sought to describe associations between duration of breastfeeding with postpartum weight retention and later BMI, and to determine whether associations varied by SES. Methods Maternal and infant data (n = 2144 dyads) are from the Geographic Research on Wellbeing survey (GROW), a follow-up study of California's annual statewide-representative Maternal and Infant Health Assessment. Pre-pregnancy BMI was obtained from self-report; at 4–10y postpartum, breastfeeding history and self-reported body weight were collected. Multivariable linear regression was used to examine associations between breastfeeding and long-term maternal body size. SES was calculated as a composite score of % federal poverty threshold plus education and was dichotomized. Results Overall, mean prepregnancy BMI was 24.9 kg/m,2 while long-term weight retention 4–10 y postpartum was 4.0 kg. The sample average breastfeeding duration was 8.5 months with 61% meeting the World Health Organization (WHO) recommendations for 6 months of breastfeeding. In adjusted models, compared to women who did not meet recommendations, women who met WHO recommendations had slightly lower long-term postpartum weight retention (b = −1.06 kg, CI: −1.93, −0.25, p = 0.01) and a small reduction in BMI (b = −0.4 kg/m,2 95% CI −0.74, −0.08; p = 0.02). Compared to higher SES women, fewer lower SES women ever breastfed (89% vs 74%, p &lt; .0001) or met WHO recommendations (70% vs 51%, p &lt; .0001). Lower SES women had higher prepregnancy BMI (25.9kg/m2 vs 23.5, p &lt; .0001), and had greater long-term weight retention 4–10 y postpartum (5.68kg vs. 1.83, p &lt; .0001). In SES stratified adjusted models, there were no differences in associations between breastfeeding with long-term weight retention or BMI. Conclusions Breastfeeding was associated with long term maternal postpartum weight status. Six months of breastfeeding was associated with lower long-term postpartum weight retention and lower BMI at 4–10 years postpartum, and effects did not vary by socioeconomic status. Funding Sources CDPH, UCSF.

Predictors of postpartum weight retention among urban Malaysian mothers: A prospective cohort study

2018 ◽  
Vol 12 (6) ◽  
pp. 493-499 ◽  
Author(s):  
Fariza Fadzil ◽  
Khadijah Shamsuddin ◽  
Sharifa Ezat Wan Puteh ◽  
Azmi Mohd Tamil ◽  
Shuhaila Ahmad ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Postpartum Weight

Modeling the Impact of Prepregnancy BMI, Physical Activity, and Energy Intake on Gestational Weight Gain, Infant Birth Weight, and Postpartum Weight Retention

2012 ◽  
Vol 9 (7) ◽  
pp. 1020-1029 ◽  
Author(s):  
Amy E. Montpetit ◽  
Hugues Plourde ◽  
Tamara R. Cohen ◽  
Kristine G. Koski
Keyword(s):  
Physical Activity ◽  
Energy Intake ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Gestational Weight ◽  
Prepregnancy Bmi ◽  
Prepregnancy Weight ◽  
Postpartum Weight ◽  
Infant Birth ◽  
The Impact

Background:A “fit pregnancy” requires balancing energy expenditure with energy intake (EI) to achieve appropriate gestational weight gains (GWG), healthy infant birth weights (IBW), and minimal postpartum weight retention (PPWR). Our objective was to develop an integrated conceptual framework to assess the contribution of prepregnancy weight (PP-BMI), EI, and physical activity (PA) as determinants of GWG, IBW, and PPWR.Methods:Pregnant women (n = 59) were recruited from prenatal classes. Energy intake was estimated using 3 24-hr diet recalls and PA using a validated PA questionnaire and a pedometer. Telephone interviews at 6-weeks postpartum assessed self-reported GWG, IBW, and PPWR. Hierarchical multiple regression analyses were used to explore the potential predictors of GWG, IBW, and PPWR.Results:Prepregnancy BMI was associated with GWG, and EI was associated with IBW; each model captured only 6%–18% of the variability. In contrast, PPWR was predicted by PP-BMI, GWG, and EI, which together explained 61% of its variability, whereas GWG alone explained 51% of the variability in PPWR.Conclusions:Modeling the relationship using hierarchical models suggests that PP-BMI, prepartum PA, and EI differentially impact GWG, IBW, and PPWR.

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