Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women - 19/08/11
Résumé |
Objective |
Document weight change trajectories that lead to gestational weight gain or postpartum weight loss outside clinical recommendations established by the Institute of Medicine.
Study Design |
Women aged 14-25 receiving prenatal care and delivering singleton infants at term (n = 427). Medical record review and 4 structured interviews conducted: second and third trimester, 6- and 12-months postpartum. Longitudinal mixed modeling to evaluate weight change trajectories.
Results |
Only 22% of participants gained gestational weight within Institute of Medicine guidelines. There were 62% that exceeded maximum recommendations—more common among those overweight/obese (body mass index ≥25.0; P < .0001). 52% retained ≥10 lb 1-year postpartum. Increased weight gain and retention documented among smokers and women with pregnancy-induced hypertension; breastfeeding promoted postpartum weight loss (all P < .02). Body mass index by race interaction suggested healthier outcomes for Latinas (P = .02).
Conclusion |
Excessive pregnancy weight gain and inadequate postpartum weight loss are highly prevalent among young low-income ethnic minority women. Pregnancy and postpartum are critical junctures for weight management interventions.
Le texte complet de cet article est disponible en PDF.Key words : longitudinal, obesity, pregnancy, racial differences, weight gain
Plan
| Reprints not available from the authors. |
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| This research was funded by NIMH R01 MH/HD61175 (J.R.I.). |
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| Ms Rising is the executive director of the nonprofit entity, the Centering Pregnancy and Parenting Association, Inc., which promotes the Centering Pregnancy model of care nationally and internationally. The other authors have no potential conflicts to disclose. |
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| Cite this article as: Gould Rothberg BE, Magriples U, Kershaw TS, et al. Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women. Am J Obstet Gynecol 2011;204:52.e1-11. |
Vol 204 - N° 1
P. 52.e1-52.e11 - janvier 2011 Retour au numéro
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