Efeitos do ganho de peso gestacional e do aleitamento materno na retenção de peso pós-parto em mulheres da coorte BRISA

Chagas, Deysianne Costa das; Silva, Antônio Augusto Moura da; Ribeiro, Cecília Cláudia Costa; Batista, Rosângela Fernandes Lucena; Alves, Maria Teresa Seabra Soares de Britto e

doi:10.1590/0102-311x00007916

Cited by 8 publications

(9 citation statements)

References 38 publications

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“…In summary, the present study is in line with the previous ones 13,15 which had identified a protective role for breastfeeding on maternal weight retention but disagrees with studies that did not observe this role. 14 Therefore, it contributes to consolidating knowledge about the inverse association between breastfeeding duration and weight retention.…”

Section: Variablessupporting

confidence: 68%

“…These results support include lower postpartum weight retention in the list of benefits of breastfeeding for maternal and child health and are in line with previous studies that had already detected this effect. 12,13 Previous studies that had not detected this association failed, possibly because the sample was small 10 or because they collected the information retrospectively, 14 which may have led to errors in the estimates of breastfeeding duration and consequently in assessingits effects.…”

Section: Discussionmentioning

confidence: 99%

“…After adjusting for confounders, an increase of one standard deviation in the duration of breastfeeding corresponded to a decrease of 0.10 on the standard deviation in postpartum weight retention. 13 Divergent results were also reported at an international level. In an American study was carried out with 441 postpartum women, at six weeks and twelve months after the infant's birth, it demonstrated that mothers who practiced artificial breastfeeding lost more weight than those who breastfed until six weeks after delivery.…”

Section: Introductionmentioning

confidence: 99%

“…In all of them, gestational weight gain, pre-gestational BMI, parity, and socioeconomic variables were considered. In two studies, 10,13 adjustments were also made on caloric intake, since breastfeeding can influence maternal weight retention precisely because it affects both the mother's caloric consumption and expenditure. In addition to the divergent results and the adjustment of the effect by different variables, there is a risk of memory bias in some previous studies because the data collection on the duration of breastfeeding was carried out after a long interrupted period.…”

Section: Introductionmentioning

confidence: 99%

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Longer duration of exclusive breastfeeding reduces maternal weight retention: results from the CLaB study

Alves

Almeida

Gomes

et al. 2020

Rev. Bras. Saude Mater. Infant.

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Objectives: to evaluate the relation between breastfeeding and postpartum weight reten-tion. Methods: this prospective cohort study involved 641 newborns and their mothers, followed up to twelve months postpartum. Data were collected from June 2015 to February 2017. In the first interview, we investigated data regarding socioeconomic and demographic characteristics, obstetric history, weight, and gestational age of the infant at birth. Maternal weight and breastfeeding status were obtained at 3, 6, 9 and 12 months postpartum at the mother’s home. A descriptive analysis of maternal weight retention according to the lactation status was performed. Multiple linear regression models evaluated the effect on exclusive breastfeeding and total breastfeeding duration on maternal weight retention at 6 and 12 months postpartum, considering potential confounders. Results: 512 and 490 mothers were evaluated at six months and at twelve months post-partum, and the mean weight retention was 1.79 (SD=5.52) and 1.69 (SD=6.69) kg, respectively. Regardless of the confounders, the mean postpartum weight reduction for each day of exclusive breastfeeding was 11 (CI95%= -0.019 to -0.003) and 16 grams (CI95%= -0.026 to -0.007) for 6 and 12 months, respectively. The total maternal breastfeeding duration had the same effect. Conclusions: longer periods of exclusive breastfeeding and total breastfeeding are associated with lower postpartum weight retention.

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Section: Variablessupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Longer duration of exclusive breastfeeding reduces maternal weight retention: results from the CLaB study

Alves

Almeida

Gomes

et al. 2020

Rev. Bras. Saude Mater. Infant.

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“…Alguns trabalhos já avaliaram o ganho de peso gestacional e a retenção de peso associados a aspectos demográficos e socioeconômicos 13,14 . No entanto, existe uma lacuna importante a ser preenchida, para melhor compreensão da temática.…”

Section: Introductionunclassified

Ganho de peso gestacional e retenção de peso no pós-parto: dados da coorte de nascimentos de 2015, Pelotas, Rio Grande do Sul, Brasil

et al. 2020

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O objetivo foi descrever a prevalência de ganho de peso gestacional e a retenção de peso após 3 e 12 meses do parto, e identificar possíveis desigualdades socioeconômicas no ganho de peso gestacional adequado. Realizou-se um estudo longitudinal com dados da coorte de nascimentos de Pelotas, Rio Grande do Sul, Brasil, 2015. O ganho de peso gestacional foi classificado segundo o Instituto de Medicina dos Estados Unidos. A retenção de peso aos 3 e 12 meses foi calculada considerando-se o peso da mãe em cada período, subtraído do peso pré-gestacional. Para identificar as possíveis desigualdades, utilizou-se o Slope Index (SII) e o Concentration Index (CIX). A amostra analítica incluiu as mães com informações para o desfecho em estudo (n = 4.102). A prevalência de ganho de peso gestacional adequado foi de 33,5% (IC95%: 32,1; 35,0). Foram encontradas desigualdades discretas na prevalência de ganho de peso adequado entre as menos escolarizadas [CIX = 1,88 (IC95%: -0,76; 4,52); SII = 4,27 (IC95%: -0,87; 9,41)] e entre as mães pertencentes ao quinto mais pobre - 1º quinto - [CIX = 1,04 (IC95%: -1,60; 3,67); SII = 2,93 (IC95%: -2,06; 7,92)], porém, estas diferenças não foram estatisticamente significativas. A média de retenção de peso pós-parto foi de 2,3kg (DP = 6,4) e de 1,4kg (DP = 8,8) após 3 e 12 meses do parto, respectivamente. Um terço das mulheres apresentou ganho de peso considerado adequado. As desigualdades observadas na prevalência de ganho de peso gestacional adequado com relação à menor escolaridade materna e quinto mais pobre de renda não foram estatisticamente significativas.

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The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis

et al. 2023

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Background Postpartum weight retention (PPWR) causes obesity, chronic diseases, and occurring adverse maternal-fetal and neonatal outcomes. Given the social factors’ effect on health and disease and considering the lack of information on social determinants of health (SDH) effects on PPWR, this study was conducted to survey the relationship between SDH and PPWR based on the World Health Organization (WHO) model. Methods A cross-sectional study was performed on 400 women six months after delivery in 2020. Twelve health centers were randomly selected from the three universities of Medical Sciences in the city of Tehran, Iran. Participants were selected by convenience method and based on eligibility. Questionnaires used included: Lifestyle Profile Health Promoting II, Short Form Postpartum Quality of Life Questionnaire, Multidimensional Scale of Perceived Social Support, Postpartum Social Support, Depression Anxiety Stress Scales, and questionnaires designed by reviewing the literature about breastfeeding, sleep, contraceptive, child health, unhealthy behaviors, postpartum nutritional awareness/beliefs, body satisfaction, access to postpartum care, socioeconomic status, demographic, and obstetric questionnaire. Data analysis was performed in SPSS-23, and the relationship model was examined using the path analysis method in LISREL-8.8. Results Path analysis indicated the direct effect of six intermediate factors on PPWR including: gestational weight gain (β = 0.42), access to postpartum care (β = 0.11), postpartum nutritional awareness/beliefs (β=-0.17), anxiety (β = 0.09), sleep duration (β=-0.09), pre-pregnancy body mass index (β = 0.09). Among the structural factors, woman’s education and socioeconomic status had an indirect negative effect on PPWR. The model fit indices showed good fit (RMSE = 0/05, GFI = 0.92, CFI = 0.92, χ2/df = 2.17). Conclusion The results indicate the effect of structural and intermediate determinants of health on PPWR. It is recommended to use the proposed model as an appropriate framework in the research, design, and implementation of programs to prevent and control PPWR.

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Efeitos do ganho de peso gestacional e do aleitamento materno na retenção de peso pós-parto em mulheres da coorte BRISA

Cited by 8 publications

References 38 publications

Longer duration of exclusive breastfeeding reduces maternal weight retention: results from the CLaB study

Longer duration of exclusive breastfeeding reduces maternal weight retention: results from the CLaB study

Ganho de peso gestacional e retenção de peso no pós-parto: dados da coorte de nascimentos de 2015, Pelotas, Rio Grande do Sul, Brasil

The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis

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