scholarly journals What type of weight loss program do postpartum women want? Treatment preferences of postpartum women in two community settings

2010 ◽  
Vol 8 (1) ◽  
pp. 22-31 ◽  
Author(s):  
Suzanne Phelan ◽  
Katelyn Smith ◽  
John-Mark Steele ◽  
Dawn Wilt ◽  
Sally Ames ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Control ◽  
Self Report ◽  
Treatment Modalities ◽  
Treatment Preferences ◽  
Postpartum Women ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Face To Face ◽  
Postpartum Weight

Approximately 25% of women experience major weight gain after pregnancy, retaining more than 4.5 kg. Preliminary efforts to promote postpartum weight loss have encountered some success, but little is known about the types of programs of greatest interest to postpartum women. The purpose of this study was to better understand the weight control needs and preferences of postpartum women in the Women, Infants and Children (WIC) Nutrition program (N = 100) and an Adult Education Parenting (AEP) program (N = 75). A self-report questionnaire was used to collect participants’ demographic and weight history information as well as participants’ degree of interest in various weight loss treatment modalities. Results indicated that, independent of weeks postpartum and breastfeeding status, women in both groups (WIC and AEO) experienced high postpartum weight retention, and greater weight retention was reported in WIC than AEP (7.6 ± 7.7 kg vs. 3.2 ± 6.9 kg, respectively; p = .0001). When asked about types of weight control treatments, women in both setting expressed greatest interest in weekly face-to-face group meetings, but 66.2% of AEP and 60.6% of WIC reported needing childcare to attend such meetings. Women in both settings reported interest in an Internet-based program, particularly one that integrated monthly face-to-face meetings. Future randomized controlled trials are needed to examine the efficacy of Internet-based treatment in reducing postpartum weight retention in diverse patient populations.

scholarly journals Postpartum Weight Retention and Its Determinants in Lebanon and Qatar: Results of the Mother and Infant Nutrition Assessment (MINA) Cohort

2020 ◽  
Vol 17 (21) ◽  
pp. 7851
Author(s):  
Lara Nasreddine ◽  
Jennifer Ayoub ◽  
Nada Abbas ◽  
Mariam Abdul Malik ◽  
Farah Naja
Keyword(s):  
Infant Nutrition ◽  
Nutritional Assessment ◽  
First Trimester ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Childbearing Age ◽  
Face To Face ◽  
Adverse Health Outcomes ◽  
Postpartum Weight ◽  
Using Data

Excessive Postpartum Weight Retention (PWR) is postulated to increase the risk of adverse health outcomes for mothers and offspring. Using data from the Mother and Infant Nutritional Assessment (MINA) cohort in Lebanon and Qatar, this study aimed to examine PWR and its determinants at 6 months after delivery. Pregnant women (n = 183) were recruited during their first trimester and were followed up through pregnancy and after delivery. During this period, face-to-face interviews as well as extraction from medical charts were conducted to collect data regarding the socioeconomic, anthropometric and dietary intake of participants. The mean PWR (kg) among participants was 3.1 ± 5.6 at delivery, and 3.3 ± 5.3 and 2.7 ± 4.7 at 4 and 6 months after delivery, respectively. Results of the multiple logistic regression analyses showed that a Qatari nationality and excessive GWG were associated with higher odds of a high PWR (above median) while an insufficient GWG had lower odds. After adjustment for energy, participants with a high PWR reported a greater intake of proteins, Trans fat, cholesterol, sodium and lower intakes of mono and polyunsaturated fat as compared to those with a low PWR (below median). These findings suggested priority areas for interventions to prevent excessive PWR amongst women of childbearing age in Lebanon and Qatar.

scholarly journals Postpartum Patient Navigation and Postpartum Weight Retention

2019 ◽  
Vol 09 (03) ◽  
pp. e292-e297
Author(s):  
Michelle A. Kominiarek ◽  
Sydney Summerlin ◽  
Noelle G. Martinez ◽  
Lynn M. Yee
Keyword(s):  
Race And Ethnicity ◽  
Patient Navigation ◽  
Care Utilization ◽  
Postpartum Women ◽  
Program Participation ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Prepregnancy Weight ◽  
Navigation Program ◽  
Postpartum Weight

Abstract Objective This study aimed to evaluate postpartum weight retention (PPWR) among women who participated in a postpartum patient navigation (PN) program. Study Design English-speaking pregnant or postpartum women receiving publicly-funded prenatal care at a hospital-based clinic were invited to receive PN services through 12 weeks postpartum. Women were eligible for this analysis if height and weight values were available. Weights at 4 to 12 weeks and up to 12 months postpartum were compared in PN and non-PN historical-control groups and analyzed as mean PPWR (difference from prepregnancy weight) and categorically as PPWR > 5kg. Results Among the 311 women, 152 participated in the PN program and 159 were historical controls. There were no differences in age, race and ethnicity, prepregnancy body mass index (BMI), nulliparity, and preterm birth between the groups (p > 0.05). At 4 to 12 weeks postpartum, mean PPWR (4.0 ± 6.7 vs. 2.7 ± 6.3 kg, p = 0.06) and PPWR > 5 kg (61/144 [42%] vs. 50/145 [34%], p = 0.15) did not differ between groups. Similarly, up to 12 months postpartum, mean PPWR (4.5 ± 7.1 vs. 5.0 ± 7.5 kg, p = 0.59) and PPWR > 5 kg (22/50 [44%] vs. 30/57 [53%], p = 0.55) did not differ between groups. Conclusion Although PN is a promising intervention to improve women's health care utilization and other associated health outcomes, in this particular navigation program, participation was not associated with PPWR at 4 to 12 weeks and up to 12 months postpartum.

scholarly journals Delivering a Post-Partum Weight Loss Intervention via Facebook or In-Person Groups: Protocol for a Randomized Feasibility Pilot Trial

10.2196/15530 ◽  
2019 ◽  
Vol 8 (11) ◽  
pp. e15530 ◽  
Author(s):  
Molly E Waring ◽  
Brooke A Libby ◽  
Tiffany A Moore Simas ◽  
Madison L Bracken ◽  
Jessica L Bibeau ◽  
...  
Keyword(s):  
Weight Loss ◽  
Lifestyle Intervention ◽  
Post Partum ◽  
Controlled Trial ◽  
Pilot Trial ◽  
Postpartum Women ◽  
Weight Loss Intervention ◽  
Weight Retention ◽  
Postpartum Weight ◽  
Overweight Or Obesity

Background Postpartum weight retention contributes to long-term weight gain and obesity for many women. Lifestyle interventions with numerous visits are logistically challenging for many postpartum women. Delivering a lifestyle intervention via social media may overcome logistic challenges to participation in in-person weight loss programs. Objective The objective of this study is to conduct a randomized feasibility pilot trial of a 6-month postpartum weight loss intervention delivered via Facebook or in-person groups with 72 postpartum women with overweight or obesity. Methods Women with overweight or obesity who are 8 weeks to 12 months postpartum (N=72) will be recruited from the Hartford, Connecticut community. Eligible participants must also own an iPhone or Android smartphone and be an active Facebook user. Participants will receive a 6-month postpartum weight loss intervention based on the Diabetes Prevention Program lifestyle intervention and adapted for postpartum women. Participants will be randomized to receive the intervention via a private Facebook group or in-person group meetings. Assessments will occur at baseline, weekly during the intervention, at 6 months (at the end of the intervention), and at 12 months. Primary feasibility outcomes are recruitment, sustained participation, contamination, retention, and feasibility of assessment procedures including measurement of costs to deliver and receive the intervention. We will describe 6- and 12-month weight loss as an exploratory outcome. Results Recruitment began in September 2018. The first wave of the intervention began in February 2019, and the second wave of the intervention is expected to begin in fall 2019. We anticipate completing follow-up assessments in fall 2020, and results will be analyzed at that time. Conclusions Results will inform the design of a large randomized controlled trial to assess whether delivering a postpartum weight loss intervention via Facebook is noninferior for weight loss and more cost-effective than delivering the intervention via traditional in-person groups. International Registered Report Identifier (IRRID) DERR1-10.2196/15530

Association of low-carbohydrate dietary pattern with postpartum weight retention in women

2021 ◽  
Author(s):  
Ying Chen ◽  
Yuting Qin ◽  
Zhiwei Zhang ◽  
Shaoming Huang ◽  
Changya Jiao ◽  
...  
Keyword(s):  
Weight Loss ◽  
Dietary Pattern ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Low Carbohydrate ◽  
Dietary Strategy ◽  
Postpartum Weight

Low-carbohydrate diets (LCD) have been considered a popular dietary strategy for weight loss. However, the association of low-carbohydrate dietary pattern with postpartum weight retention (PPWR) in women remains unknown. The...

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 < 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 < 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 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 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.

Postpartum Weight Loss in Women with Class-III Obesity: Do They Lose What They Gain?

2019 ◽  
Vol 37 (01) ◽  
pp. 053-058 ◽  
Author(s):  
Anne M. Siegel ◽  
Ann Tucker ◽  
LaMani D. Adkins ◽  
Courtney Mitchell ◽  
Haywood L. Brown ◽  
...  
Keyword(s):  
Weight Loss ◽  
Morbidly Obese ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Obese Women ◽  
Class Iii ◽  
Postpartum Visit ◽  
Class Iii Obesity ◽  
Postpartum Weight ◽  
The Impact

Abstract Objective Excessive gestational weight gain (GWG) increases risk of postpartum weight retention in normal and overweight women but little is known about weight retention in morbidly obese women. We evaluated the impact of GWG on postpartum weight retention in women with class-III obesity. Study Design This is a retrospective cohort of pregnancies at a single institution from July 2013 to December 2017 complicated by body mass index (BMI) ≥ 40 at entry to care. Women were classified as GWG within (WITHIN), less than (LESS), or greater than (MORE) Institute of Medicine's (IOM) recommendations. Women were excluded for multiples, late prenatal care, preterm birth, fetal anomalies, intrauterine demise, weight loss, and missing data. Primary outcome was achievement of intake weight at the postpartum visit. Logistic regression was used to adjust for confounding factors. Results Among 338 women, 93 (28%) gained WITHIN, 129 (38%) LESS, and 144 (43%) MORE. Women in the MORE group were less likely to achieve their intake weight at the postpartum visit (adjusted odds ratio [AOR] = 0.09 95% confidence interval [CI]: 0.05–0.17, p < 0.01). Women gaining MORE were the only group who did not lose weight from intake to postpartum (Median weight change [LESS: −14 lbs (IQR: −20 to −7)] vs. [WITHIN: −7 lbs (IQR: −13 to −1)] vs. [MORE: 5 lbs (IQR: 0–15)]; p < 0.01). Conclusion Excessive GWG in women with class-III obesity is associated with postpartum weight retention.

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