Continuity and change in women’s weight orientations and lifestyle practices through pregnancy and the postpartum period: the influence of life course trajectories and transitional events

Devine, Carol M.; Bove, Caron F.; Olson, Christine M.

doi:10.1016/s0277-9536(99)00314-7

Cited by 191 publications

(182 citation statements)

References 64 publications

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“…Thus, the seasonal influences on food intake are comparable between the groups. Devine et al [7] support our approach and state that, in general, no difference occurs in dietary patterns between the beginning of pregnancy and at least 1 year postpartum. Furthermore, the famous nutrition epidemiologist Walter Willet states that dietary patterns are rather stable [39].…”

Section: Discussionsupporting

confidence: 68%

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Maternal intake of fat, riboflavin and nicotinamide and the risk of having offspring with congenital heart defects

et al. 2008

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j Abstract Background With the exception of studies on folic acid, little evidence is available concerning other nutrients in the pathogenesis of congenital heart defects (CHDs). Fatty acids play a central role in embryonic development, and the B-vitamins riboflavin and nicotinamide are co-enzymes in lipid metabolism. Aim of the study To investigate associations between the maternal dietary intake of fats, riboflavin and nicotinamide, and CHD risk in the offspring. Methods A casecontrol family study was conducted in 276 mothers of a child with a CHD comprising of 190 outflow tract defects (OTD) and 86 non-outflow tract defects (non-OTD) and 324 control mothers of a non-malformed child. Mothers filled out general and food frequency questionnaires at 16 months after the index-pregnancy, as a proxy of the habitual food intake in the preconception period. Nutrient intakes (medians)were compared between cases and controls by Mann-Whitney U test. Odds ratios (OR) for the association between CHDs and nutrient intakes were estimated in a logistic regression model. Results Case mothers, in particular mothers of a child with OTD, had higher dietary intakes of saturated fat, 30.9 vs. 29.8 g/d; P < 0.05. Dietary intakes of riboflavin and nicotinamide were lower in mothers of a child with an OTD than in controls (1.32 vs. 1.41 mg/d; P < 0.05 and 14.6 vs. 15.1 mg/d; P < 0.05, respectively). Energy, unsaturated fat, cholesterol and folate intakes were comparable between the groups. Low dietary intakes of both riboflavin (<1.20 mg/d) and nicotinamide (<13.5 mg/d) increased more than two-fold the risk of a child with an OTD, especially in mothers who did not use vitamin supplements in the periconceptional period (OR 2.4, 95%CI 1.4-4.0). Increasing intakes of nicotinamide (OR 0.8, 95%CI 0.7-1.001, per unit standard deviation increase) decreased CHD risk independent of dietary folate intake. Conclusions A maternal diet high in saturated fats and low

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Section: Discussionsupporting

confidence: 68%

“…Nutritional habits are in general rather constant, with the exception of periods of dieting and increased needs during pregnancy and lactation [5,7,39]. During the first critical pregnancy weeks, maternofetal nutrient transfer is largely determined by the maternal dietary intake of the previous preconception weeks.…”

Section: J Data Collectionmentioning

confidence: 99%

Maternal intake of fat, riboflavin and nicotinamide and the risk of having offspring with congenital heart defects

et al. 2008

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“…On the other hand, barriers to better food choices in men such as the symbolic value of foods (42) , objections to the taste of and reduced satisfaction from healthy foods (43) as well as an unwillingness to alter their diets in favour of health aspects (43) might have a greater impact on men's intentions for dietary changes than factors embedded in their domestic social environment. Additionally, increasing vegetable intake might be a strategy for women in transition to eat a more health-enhancing diet, but it could also be targeting weight loss after pregnancy, induced by body shape dissatisfaction and peer pressure (29) . Two additional results are interesting when comparing food choices of women living in childless households with those living with children.…”

Section: Moving In With a Partner And Cohabitationmentioning

confidence: 99%

Time for change? Food choices in the transition to cohabitation and parenthood

Hartmann

Dohle

Siegrist

2014

Public Health Nutr.

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Objective: We compared the dietary behaviour of three different household types and explored developmental trends in food choices following a life event. Design: The study is based on data from three Swiss Food Panel survey periods. A cross-sectional comparison between household types was conducted by using a one-way independent ANOVA. Repeated measures were analysed with a mixed ANCOVA to examine changes in dietary behaviour following a life event. Setting: Participants in the survey filled in a questionnaire in the years 2010, 2011 and 2012. Subjects: The final sample consisted of 3559 persons with a mean age of 56 years (range 22-94 years; 46 % men). Seventy-two people moved in with their partner and sixty-five people reported the birth of their first child. Results: Cross-sectional evidence confirmed that women living in households with a partner reported higher consumption frequencies for meat and processed meats compared with those living alone. Men living in cohabitation had a higher vegetable intake. The transitional effect of moving in with a partner, however, resulted in a higher intake of processed meats for both genders and a higher intake of pork and savoury items for men. Transition to motherhood was linked to an increase in vegetable consumption, while the transition to fatherhood did not change consumption patterns significantly. Conclusions: Individuals in life-stage transitions are more likely to change their nutritional strategies and life events can be a window of opportunity for changes towards better food choices. Keywords Moving in Marriage Life events HouseholdSocial influences and interactions embedded in our domestic environment seem to play an important and critical role in the development and regulation of our eating behaviour (1) . Efforts to implement changes in our daily eating routines fail not least because the domestic environment, which often remains constant over long periods, can trigger disadvantageous eating habits. Therefore, it is especially interesting to investigate special periods in a person's life that might be associated with adopting new eating patterns. To gain insights into the individual's dietary behavioural development over time and to detect factors triggering change, previous research has focused on special periods marked by major events in a person's life. Special life events such as childbearing, starting to cohabit with a partner or leaving home are powerful determinants of rapid changes in a person's domestic environment. They indicate transitions from one life stage to another, and are accompanied by the acquisition of new social roles and changes in family status and living environments (2,3) . These new life circumstances require behavioural adaptations in general, lead to changes in consumer behaviour in particular (4,5) and might also be linked to the acquisition of new nutritional strategies.

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“…Most women's weight, physical activity and nutrition trajectories remain identical during and after pregnancy. 13 The evidence for the magnitude and duration of postpartum weight retention is limited to a few studies, which have measured postpartum weight at serial points in time. It has been reported, for example, that 80% of pregnancyrelated weight gain is lost by 2-6 weeks postpartum.…”

Section: Introductionmentioning

confidence: 99%

The association of pregnancy and the development of obesity – results of a systematic review and meta-analysis on the natural history of postpartum weight retention

2007

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Objective: The magnitude of the contribution of childbearing to the development of obesity is not entirely understood. Published studies on postpartum weight retention focus on risk factors and clinical interventions. Pooled estimates of postpartum weight retention have not been reported. We summarized the existing evidence of the natural history of postpartum weight retention and estimated the extent of time after delivery that weight retention is attributable to pregnancy. Design: Systematic review and meta-analysis of qualitatively homogeneous studies. Data sources: Medline search of published studies between January 1995 and August 2005; bibliography of candidate studies. Review methods: Eligibility: Observational studies and control groups of randomized controlled trials. Independent review and data abstraction including study design, subject characteristics, women's weight and study quality by two reviewers. Metaanalysis of average postpartum weight retention at different points in time after delivery. Sensitivity analysis for study specific covariates using meta-regression. Results: Twenty-five studies describing 21 cohorts met eligibility criteria. Sixteen studies appeared homogeneous enough to be included in the meta-analysis. Average postpartum weight retention decreased continuously until 12 months postpartum (6 weeks: 2.42 (95% confidence interval (95% CI): 2.32-2.52) Body mass index (BMI), 6 months: 1.14 (95% CI: 1.04-1.25) BMI, 12 months: 0.46 (95% CI: 0.38-0.54) BMI). Postpartum weight retention was 0.46 BMI lower in studies with follow-up rate X80% at 6 weeks postpartum compared to studies with lower follow-up rate (Po0.01). Conclusion: Published studies consistently showed a decline in mean body weight within the first year postpartum. Data on body weight later than 12 months postpartum are scarce. The published evidence suggests a re-increase in body weight. As there are rather lifestyle-related than biological reasons for an increase in body weight after one year postpartum, we suggest using the term 'postpartum weight retention' exclusively within a limited period (for example, up to 12-18 months) postpartum.

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Continuity and change in women’s weight orientations and lifestyle practices through pregnancy and the postpartum period: the influence of life course trajectories and transitional events

Cited by 191 publications

References 64 publications

Maternal intake of fat, riboflavin and nicotinamide and the risk of having offspring with congenital heart defects

Maternal intake of fat, riboflavin and nicotinamide and the risk of having offspring with congenital heart defects

Time for change? Food choices in the transition to cohabitation and parenthood

The association of pregnancy and the development of obesity – results of a systematic review and meta-analysis on the natural history of postpartum weight retention

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