scholarly journals Women’s perceived social support: associations with postpartum weight retention, health behaviors and depressive symptoms

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sabrina Faleschini ◽  
Lynne Millar ◽  
Sheryl L. Rifas-Shiman ◽  
Helen Skouteris ◽  
Marie-France Hivert ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Depressive Symptoms ◽  
Health Behaviors ◽  
Television Viewing ◽  
Vigorous Physical Activity ◽  
Depression Scale ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Postpartum Weight

Abstract Background Social support may promote healthful behaviors that prevent excess weight at critical periods in women’s life. Our objective was to investigate associations of social support at 6 months postpartum with women’s health behaviors that have previously been shown to predict weight retention at 1 year postpartum. Methods At 6 months postpartum in Project Viva, a pre-birth prospective cohort in Massachusetts, women reported social support using the Turner Support Scale, depressive symptoms using the Edinburgh Postnatal Depression Scale, diet using PrimeScreen, average number of hours walking, light/moderate and vigorous physical activity, television viewing, and sleeping each day. Results Among 1356 women, greater partner support was associated with higher levels of walking (OR 1.36, 95% CI [1.01, 1.82]) and intake of fiber (OR 1.43, 95% CI [1.06, 1.91]) and lower intake of trans-fat (OR 1.49, 95% CI [1.11, 2.01]). Support from family/friends was marginally related to healthful levels of light/moderate physical activity (OR 1.26, 95% CI [0.96, 1.65]) and television viewing (OR 1.29, 95% CI [0.99, 1.69]). Both sources of support were strongly associated with lower odds of incident depression (OR 0.33, 95% CI [0.20, 0.55] and OR 0.49, 95% CI [0.30, 0.79], respectively). We did not find associations with vigorous physical activity or sleep duration. Conclusions Social support is important to the physical and mental health of new mothers and may promote behaviors that limit postpartum weight retention.

The influence of sleep quality on weight retention in the postpartum period

2021 ◽  
Vol 46 (1) ◽  
pp. 77-85
Author(s):  
Brittany A. Matenchuk ◽  
Margie H. Davenport
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Postpartum Period ◽  
Vigorous Physical Activity ◽  
Sleep Onset ◽  
Poor Sleep ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Light Activity ◽  
Postpartum Weight

Poor sleep in the postpartum is often treated as an unavoidable consequence of childbirth. This study aims to compare objective and subjective measures of sleep, explore the relationship between sleep and postpartum weight retention (PPWR), and investigate factors that may contribute to sleep quality in the postpartum period. In this cross-sectional cohort, PPWR, sleep quality (Pittsburgh Sleep Quality Index (PSQI)), and objective sleep and physical activity (accelerometry) were assessed in 109 women 0–52 weeks postpartum. Anthropometric and demographic data were collected. Gestational weight gain (GWG) was classified as inadequate, appropriate, or excessive according to Institute of Medicine guidelines. Average GWG (33.7 lbs) and PPWR (5.39 lbs) were not different between “good” (PSQI < 6) and “bad” (PSQI ≥ 6) sleepers. Following adjustment, mothers with excessive GWG who were “bad” sleepers had 5.26 higher odds of PPWR ≥ 10 lbs compared with all other combinations of GWG and PSQI. PSQI was not correlated with total sleep time (accelerometer-derived). Light activity and moderate-to-vigorous physical activity (MVPA) were associated with reduced odds of being a “bad” sleeper. The influence of GWG on PPWR was modified by postpartum sleep quality. Both light activity and meeting the MVPA guidelines in the postpartum were associated with higher sleep quality. Novelty Subjectively rated poor sleep may represent the number of awakenings and wake after sleep onset in postpartum women. Poor postpartum sleep quality increases excessive postpartum weight retention in women with excessive GWG. Women doing light-to-vigorous physical activity in the postpartum are less likely to experience poor sleep quality.

scholarly journals 660 Chronotype Associations with Insomnia, Depressive Symptoms, and Changes in Sleep and Health Behaviors during the COVID-19 Pandemic

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A258-A258
Author(s):  
Megan Petrov ◽  
Matthew Buman ◽  
Dana Epstein ◽  
Shawn Youngstedt ◽  
Nicole Hoffmann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Health Behaviors ◽  
Screen Time ◽  
Online Survey ◽  
Light Exposure ◽  
Multinomial Logistic Regression ◽  
Depression Scale ◽  
Time In Bed ◽  
Significant Difference

Abstract Introduction Evening chronotype (i.e., night owl preference) is associated with worse insomnia and depressive symptoms, and poorer health behaviors. The aim of this study was to examine the association between chronotype and these symptoms and health behaviors during COVID-19 pandemic quarantine. Methods An online survey, distributed internationally via social media from 5/21/2020–7/1/2020, asked adults to report sociodemographic/economic information, changes in sleep (midpoint, total sleep time, sleep efficiency, time-in-bed), and health behaviors (i.e., physical activity, sedentary screen time, and outdoor light exposure patterns) from prior to during the pandemic, chronotype preference (definitely morning [DM], rather more morning [RM], rather more evening [RE], or definitely evening [DE]), and complete the Insomnia Severity Index (ISI) and the 10-item Center for Epidemiologic Studies Depression scale (CES-D-10). Multinomial logistic regression and ANCOVA models, adjusting for age and sex, examined associations of chronotype with COVID-19 pandemic related impacts on sleep, depressive symptoms, and health behaviors. Results A subsample of 579 participants (M age: 39y, range: 18–80; 73.6% female), currently under quarantine and neither pregnant nor performing shift work, represented each chronotype evenly (~25%). Participants delayed their sleep midpoint by 72.0min (SD=111.5) during the pandemic. DE chronotypes had a greater delay than morning types (M±SD DE: 91.0±9.0 vs. RM: 55.9±9.2 & DM: 66.1±9.3; p=0.046) with no significant change in other sleep patterns relative to other chronotypes. However, DE and RE chronotypes had greater odds of reporting that their new sleep/wake schedule was still not consistent with their “body clock” preference relative to morning types (Χ2[15]=54.8, p&lt;0.001), reported greater ISI (F[3,503]=5.3, p=.001) and CES-D-10 scores (F[3,492]=7.9, p&lt;.001), and had greater odds for increased or consistently moderate-to-high sedentary screen time (Χ2[12]=22.7, p=0.03) and decreased physical activity (Χ2[12]=22.5, p=0.03) than DM chronotype. There was no significant difference in change in outdoor light exposure by chronotype (Χ2[12]=12.1, p=0.43). Conclusion In an international online sample of adults under COVID-19 pandemic quarantine, evening chronotypes, despite taking the opportunity to delay sleep to match biological clock preference, reported their sleep/wake schedules were still inconsistent with personal preference, and reported greater insomnia and depressive symptoms, and odds of engaging in poorer health behaviors than morning chronotypes. Support (if any):

scholarly journals Associations Among Leisure-Time Physical Activity, Gestational Weight Gain, and Postpartum Weight Retention With Varying Estimates of Prepregnancy Weight

2016 ◽  
Vol 11 (6) ◽  
pp. 501-510
Author(s):  
Rebecca A. Schlaff ◽  
Claudia Holzman ◽  
Kimberly S. Maier ◽  
Karin A. Pfieffer ◽  
James M. Pivarnik
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Gestational Weight ◽  
Prepregnancy Weight ◽  
Pregnancy And Postpartum ◽  
Postpartum Weight

Prospective studies examining postpartum weight retention (PPWR) in relation to the appropriateness of gestational weight gain (GWG) and leisure-time physical activity (LTPA) during pregnancy and postpartum are lacking. While utilizing varying estimates of prepregnancy weight, we sought to prospectively examine associations among the aforementioned variables. Our sample consisted of a subset of women from the Archive for Research on Child Health Study (n = 68). Prepregnancy weight was obtained via questionnaire and birth certificates. GWG (2 estimates) was calculated by subtracting prepregnancy weight estimates from weight at delivery and classified as “excess” or “not excess.” Pregnancy and postpartum LTPA were self-reported and dichotomized at recommended levels. Prepregnancy weight estimates were subtracted from self-reported postpartum weight to calculate 2 estimates of PPWR at 6 months. Linear regression was used to examine relationships among GWG and LTPA, and PPWR. Estimates of excess GWG were associated with increased PPWR (mean difference = 3.3-8.9 kg), even after adjustment for prepregnancy body mass index and breastfeeding. Meeting pregnancy and postpartum LTPA recommendations did not significantly predict PPWR. Our findings highlight the importance of encouraging appropriate GWG and provide insight into the impact varying estimates of prepregnancy weight may have when exploring associations among these variables.

The Association between Weight-related Variables and Postpartum Depressive Symptoms

2021 ◽  
Vol 45 (5) ◽  
pp. 916-923
Author(s):  
Meghan Baruth ◽  
Rebecca A. Schlaff ◽  
Faith C. LaFramboise ◽  
Samantha J. Deere ◽  
Kaylynne Miesen
Keyword(s):  
Depressive Symptoms ◽  
Weight Gain ◽  
Online Survey ◽  
Bachelor's Degree ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Gestational Weight ◽  
Postpartum Depressive Symptoms ◽  
Postpartum Weight ◽  
Pregnancy Weight

Objectives: Postpartum depressive symptoms (PPDS) are common, and weight-related variables may be risk factors. In this study, we examined associations between weight-related variables and PPDS in postpartum women. Methods: Participants who gave birth within the past 12 months completed an online survey assessing various weight-related variables and PPDS. We examined associations between weight-related variables and PPDS using regression models. Results: Participants (N=315) were 30.1±3.9 years of age and 5.6±3.7 months postpartum. A majority were white (96.2%), married (87.9%), and had a bachelor's degree or higher (70.5%). Having a higher pre-pregnancy body mass index (BMI) and current BMI, lower weight loss at 6 months postpartum, and substantial postpartum weight retention were associated with higher PPDS. There was no relationship between total gestational weight gain, IOM weight gain category, excess weight gain, postpartum weight retention, and pre-pregnancy-to-postpartum change in BMI, and postpartum depressive symptoms. Conclusions: Understanding factors associated with postpartum depressive symptoms can help to develop and implement appropriate screenings/follow-ups and interventions among those at greatest risk. Given the potential connection to PPDS, there is a need for interventions aimed at promoting healthy pre-conception weight and helping women to lose excess pregnancy weight during the postpartum period.

Relationship of Past-Pregnancy Physical Activity and Self-efficacy With Current Physical Activity and Postpartum Weight Retention

2013 ◽  
Vol 8 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Patricia W. Bauer ◽  
James M. Pivarnik ◽  
Deborah L. Feltz ◽  
Nigel Paneth ◽  
Christopher J. Womack
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Postpartum Weight ◽  
Relationship Of

scholarly journals Increased Energy Intake After Pregnancy Determines Postpartum Weight Retention in Women With Obesity

2020 ◽  
Vol 105 (4) ◽  
pp. e1601-e1611 ◽  
Author(s):  
Jasper Most ◽  
Abby D Altazan ◽  
Marshall St. Amant ◽  
Robbie A Beyl ◽  
Eric Ravussin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Body Composition ◽  
Energy Expenditure ◽  
Energy Intake ◽  
Postpartum Period ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Postpartum Weight ◽  
Metabolic Biomarkers

Abstract Context This study was designed to understand causes and critical periods for postpartum weight retention by characterizing changes in body composition, energy intake, energy expenditure and physical activity in women with obesity during pregnancy and postpartum. Design In this prospective, observational cohort study, body composition (plethysmography), energy expenditure (doubly labeled water, whole-body room calorimetry), physical activity (accelerometry), metabolic biomarkers, and eating behaviors were measured. Energy intake was calculated by the intake-balance method for pregnancy, and for 2 postpartum periods (0 to 6 months and 6 to 12 months). Results During the 18-month observation period, weight loss occurred in 16 (43%) women (mean ± SEM, −4.9 ± 1.6 kg) and weight retention occurred in 21 (57%) women (+8.6 ± 1.4 kg). Comparing women with postpartum weight loss and weight retention, changes in body weight were not different during pregnancy (6.9 ± 1.0 vs 9.5 ± 0.9 kg, P = 0.06). After pregnancy, women with postpartum weight loss lost −3.6 ± 1.8 kg fat mass whereas women with weight retention gained 6.2 ± 1.7 kg fat mass (P &lt; 0.001). Women with postpartum weight loss reduced energy intake during the postpartum period (compared with during pregnancy) by 300 kcal/d (1255 kJ/d), while women with weight retention increased energy intake by 250 kcal/d (1046 kJ/d, P &lt; 0.005). There were no differences in the duration of breastfeeding, eating behavior, or metabolic biomarkers. Conclusions Postpartum weight gain was the result of increased energy intake after pregnancy rather than decreased energy expenditure. Dietary intake recommendations are needed for women with obesity during the postpartum period, and women should be educated on the risk of overeating after pregnancy.

scholarly journals Postpartum Physical Activity and Weight Retention within One Year: A Prospective Cohort Study in Vietnam

2020 ◽  
Vol 17 (3) ◽  
pp. 1105 ◽  
Author(s):  
Anh Vo Van Ha ◽  
Yun Zhao ◽  
Colin W. Binns ◽  
Ngoc Minh Pham ◽  
Phung Thi Hoang Nguyen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Vietnamese Women ◽  
Regulate Body Weight ◽  
Early Postpartum ◽  
Postpartum Weight ◽  
Prospective Association ◽  
One Year ◽  
Validated Instrument

After delivery, mothers are encouraged to increase physical activity (PA) gradually to regulate body weight; however, data on PA in relation to postpartum weight retention remains scarce, particularly among Asian women. In a cohort of 1617 Vietnamese mothers, we investigated the prospective association between habitual PA exposures at 3-month postpartum and weight retention at 6-month and 12-month postpartum. Detailed information on PA intensity and domains was collected from participants using a validated instrument specifically for Vietnamese women. Linear regression analyses and a general linear model for the repeated weight retention measures were used to ascertain the apparent relationships. On average, the participants reported 3.6 (SD 3.9) and 2.6 (SD 3.8) kg weight loss at 6- and 12-month postpartum, respectively. Total and light-intensity PA were inversely associated with the postpartum weight retention (p for trend <0.05). Our findings highlight the importance of resuming PA in the early postpartum period as an appropriate weight management strategy.

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.

scholarly journals Trends in eating patterns, physical activity and socio-demographic factors in relation to postpartum body weight development

1994 ◽  
Vol 71 (4) ◽  
pp. 457-470 ◽  
Author(s):  
Agneta Öhlin ◽  
Stephan RÖssner
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Dietary Habits ◽  
Demographic Factors ◽  
The Body ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Physically Active ◽  
Postpartum Weight ◽  
Socio Demographic Factors

‘The Stockholm Pregnancy and Weight Development Study’ was conducted to identify risk factors for postpartum weight retention, such as dietary habits, physical activity and socio-demographic factors. The body weight development of 1423 pregnant women was studied prospectively from the beginning of the pregnancy until 1 year postpartum. Data were collected from routine pregnancy records and from questionnaires 6 and 12 months postpartum. Mean weight retention 1 year postpartum was 0.5 kg compared with the prepregnancy body weight. A ‘trend method’ was constructed to identify a number of pre-defined major patterns of behaviour. The weight retention 1 year postpartum was greater in women who (a) increased their energy intake during and after pregnancy, (b) increased their snack eating after pregnancy tc three or more snacks/d, and (c) decreased their lunch frequency starring during or after the pregnancy. Women who had retained > 5 kg 1 year postpartum were more seldom physically active in their leisure time throughout the study period compared with women with a smaller weight gain. Postpartum weight retention correlated negatively with the degree of physical activity in the second half year postpartum. These results indicate that postpartum weight retention is more affected by a change in lifestyle during, and above all after, pregnancy than by factors before pregnancy.

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