Pre-pregnancy and pregnancy predictors of obesity

Melzer, Katarina; Schütz, Y.

doi:10.1038/ijo.2010.239

Cited by 75 publications

(52 citation statements)

References 127 publications

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“…Higher maternal BMI before pregnancy has been associated with lower GWG and shorter duration of breastfeeding or no breastfeeding in some (10)(11)(12)(13)(14)(15) but not all studies (16,17). The inconsistency might result from differences in maternal fat distribution because BMI provides information only about overall body size (18).…”

Section: Introductionmentioning

confidence: 91%

Maternal prepregnancy waist circumference and BMI in relation to gestational weight gain and breastfeeding behavior: the CARDIA study

Kirkegaard¹,

Nøhr

Rasmussen

et al. 2015

The American Journal of Clinical Nutrition

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Section: Introductionmentioning

confidence: 91%

Maternal prepregnancy waist circumference and BMI in relation to gestational weight gain and breastfeeding behavior: the CARDIA study

Kirkegaard¹,

Nøhr

Rasmussen

et al. 2015

The American Journal of Clinical Nutrition

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“…Other factors associated with PPWR include ethnicity, age, pre-pregnancy BMI, breastfeeding, diet, exercise habit, parity, body image satisfaction, and smoking status [7,8,9,14]. …”

Section: Introductionmentioning

confidence: 99%

Postpartum Weight Retention Risk Factors in a Taiwanese Cohort Study

et al. 2018

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Objective: Excess postpartum weight retention (PPWR) is related to long-term weight gain. Therefore, this study was conducted to identify the risk factors for PPWR to provide guidance for preventive strategies. Methods: This cohort study surveyed 461 women who gave birth at a medical center between March 2014 and March 2016. The participants completed a questionnaire within 1 month of delivery, and their 6-month postpartum weight was tracked. Results: The results showed that the mean pre-pregnancy BMI was 21.4 ± 3.3 kg/m², and the mean gestational weight gain (GWG) was 12.8 ± 4.1 kg. The mean PPWR was 4.6 ± 3.5 kg at 1 month and 2.1 ± 3.3 kg at 6 months. Multivariate analysis revealed that GWG (adjusted OR: 1.92 (1.70-2.17)), pre-pregnancy BMI (adjusted OR: 0.85 (0.77-0.94)), and exclusive breastfeeding (adjusted OR: 0.55 (0.32-0.94)) were significantly correlated with a 1-month PPWR higher than the median value. In addition, GWG (adjusted OR: 1.30 (1.22-1.39)) and exclusive breastfeeding (adjusted OR: 0.37 (0.24-0.58)) were significantly correlated with a 6-month PPWR higher than the median value. Conclusion: Our findings indicate that the key to reducing PPWR is to control GWG and engage in exclusive breastfeeding.

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“…Excessive gestational weight gain (GWG) has been found to be related both with a higher risk of childhood overweight (55) and with increased weight retention of the mother in the postpartum period (56)(57)(58). Two studies in MoBa examined maternal diet in relation to weight gain during pregnancy and/or postpartum weight retention (Summary Table 2).…”

Section: Maternal Diet Weight Gain During Pregnancy and Postpartum Wmentioning

confidence: 99%

Diet matters, particularly in pregnancy – Results from MoBa studies of maternal diet and pregnancy outcomes

Brantsæter¹,

Haugen²,

Myhre³

et al. 2014

Nor J Epidemiol

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Awareness that maternal diet may influence the outcome of pregnancy as well as the long-term health of mother and child has increased in recent years. A new food frequency questionnaire (FFQ) was developed and validated specifically for the Norwegian Mother and Child Cohort Study (MoBa). The MoBa FFQ is a semi-quantitative tool which covers the average intake of food, beverages and dietary supplements during the first 4 to 5 months of pregnancy. It includes questions about intakes of 255 foods and dishes and was used from 2002 onwards. Data assessed by the MoBa FFQ is available for 87,700 pregnancies. Numerous sub-studies have examined associations between dietary factors and health outcomes in MoBa. The aim of this paper is to summarize the results from 19 studies of maternal diet and pregnancy outcomes, which is the complete collection of studies based on the MoBa FFQ and published before September 2014. The overall research question is whether maternal diet -from single substances to dietary patterns -matters for pregnancy outcome. The pregnancy outcomes studied till now include birth size measures, infants being small and large for gestational age, pregnancy duration, preterm delivery, preeclampsia, as well as maternal gestational weight gain and postpartum weight retention. As a whole, the results from these studies corroborate that the current dietary recommendations to pregnant women are sound and that maternal diet during pregnancy is likely to contribute to reduce the risk of pregnancy complications including preterm birth, preeclampsia, and reduced foetal growth. The results provide supporting evidence for recommending pregnant women to consume vegetables, fruit, whole grain, fish, dairy, and water regularly and lower the intake of sugar sweetened beverages, processed meat products and salty snacks. The results showing negative impact of even low levels of environmental contaminants support the precautionary advice on consumption of foods containing these. New findings are that particularly lean fish explained the positive association between seafood intake and foetal growth, and the indications of a protective effect of probiotic and antimicrobial foods on pregnancy outcomes. This points to the importance of diet composition for a healthy gut flora and the body's immune response. Although these studies are observational and cannot infer causality, the results identify diet as an important modifiable lifestyle factor, suggesting that healthy eating, defined as following the official recommendations, is particularly important in pregnancy.This is an open access article distributed under the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Pre-pregnancy and pregnancy predictors of obesity

Cited by 75 publications

References 127 publications

Maternal prepregnancy waist circumference and BMI in relation to gestational weight gain and breastfeeding behavior: the CARDIA study

Maternal prepregnancy waist circumference and BMI in relation to gestational weight gain and breastfeeding behavior: the CARDIA study

Postpartum Weight Retention Risk Factors in a Taiwanese Cohort Study

Diet matters, particularly in pregnancy – Results from MoBa studies of maternal diet and pregnancy outcomes

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