Weight Trajectories After Delivery are Associated with Adiposity and Cardiometabolic Markers at 3 Years Postpartum Among Women in Project Viva

Soria-Contreras, Diana C.; Rifas‐Shiman, Sheryl L.; Aris, Izzuddin M.; Perng, Wei; Switkowski, Karen M; Téllez-Rojo, Martha M.; Trejo-Valdivia, Belém; López‐Ridaura, Ruy; Oken, Emily

doi:10.1093/jn/nxaa104

Cited by 16 publications

(20 citation statements)

References 42 publications

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“…Similarly, a meta-analysis of observational studies reported that excessive gestational weight gain in singletons was associated with higher mean postpartum weight retention at 3 and ≥15 years postpartum 20 . Other research has linked pregnancy weight gain with postpartum adiposity at 7–8 years 21 , 22 as well as adverse cardiometabolic markers from 3 to 16 years postpartum 23 - 25 .…”

Section: Discussionmentioning

confidence: 99%

Pregnancy weight gain in twin gestations and maternal and child health outcomes at 5 years

et al. 2021

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Objective: Current guidelines for maternal weight gain in twin pregnancy were established in the absence of evidence on its longer-term consequences for maternal and child health. We evaluated the association between weight gain in twin pregnancies and the risk of excess maternal postpartum weight increase, childhood obesity, and child cognitive ability. Methods: We used 5-year follow-up data from 1000 twins born to 450 mothers in the Early Childhood Longitudinal Study – Birth Cohort, a nationally representative U.S. cohort of births in 2001. Pregnancy weight gain was standardized into gestational age- and prepregnancy body mass index (BMI)-specific z-scores. Excess postpartum weight increase was defined as ≥10 kg increase from prepregnancy weight. We defined child overweight/obesity as BMI ≥ 85 th percentile, and low reading and math achievement as scores one standard deviation below the mean. We used survey-weighted multivariable modified Poisson models with a log link to relate gestational weight gain z-score with each outcome. Results: Excess postpartum weight increase occurred in 40% of mothers. Approximately 28% of twins were affected by overweight/obesity, and 16% and 14% had low reading and low math scores. There was a positive linear relationship between pregnancy weight gain and both excess postpartum weight increase and childhood overweight/obesity. Compared with a gestational weight gain z-score 0 SD (equivalent to 20 kg at 37 weeks gestation), a weight gain z-score of +1 SD (27 kg) was associated with 6.3 (0.71, 12) cases of excess weight increase per 1000 women and 4.5 (0.81, 8.2) excess cases of child overweight/obesity per 100 twins. Gestational weight gain was not related to kindergarten academic readiness. Conclusions: The high prevalence of excess postpartum weight increase and childhood overweight/obesity within the recommended ranges of gestational weight gain for twin pregnancies suggests that these guidelines could be inadvertently contributing to longer-term maternal and child obesity.

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Section: Discussionmentioning

confidence: 99%

Pregnancy weight gain in twin gestations and maternal and child health outcomes at 5 years

et al. 2021

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“…Among Lebanese residents, mean PWR decreased from 7.4 kg to 3.3 kg and the probability of retaining any weight (>0 kg) decreased from 97.1% to 71.3%. In Qatar, an increasing trend in the PWR indicators was observed after delivery and at four months postpartum (mean PWR from 0.9 kg to 3.4 kg and the probability of retaining any weight (>0 kg) from 49…”

Section: Discussionmentioning

confidence: 99%

“…Excess weight retention after pregnancy is preferentially deposited centrally [ 1 , 11 ], and in turn central adiposity is closely linked to insulin resistance and increased cardiovascular disease risk [ 47 , 48 ]. A recent study based on the VIVA project in the US showed that women who retained weight during the first 2 y postpartum developed an adverse cardiometabolic profile 3 years after delivery [ 49 ], characterized by a higher waist circumference, low-density lipoprotein cholesterol and inflammatory markers.…”

Section: Discussionmentioning

confidence: 99%

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

Nasreddine

Ayoub

Abbas

et al. 2020

IJERPH

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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.

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“…In contrast, GWG below the IOM recommendations was associated with a lower weight retention (−2•1 kg, 95 % CI −2•4, −1•9 kg) (14) . Few studies have evaluated the association between GWG and patterns of weight change other from PPWR (11,12) . An analysis of postpartum weight trajectories in Norwegian women found that excessive GWG was associated with two weight trajectories characterised by high initial weight retention (6 months) followed by either weight loss or sustained weight gain through 3 years postpartum.…”

Section: Discussionmentioning

confidence: 99%

“…retention and gain (PPWR þ WG) (i.e. retention of gestational weight, followed by postpartum weight gain) (6,11,12) . We recently showed that PPWR, PPWG and PPWR þ WG were associated with increased adiposity at 6 years postpartum (13) .…”

mentioning

confidence: 99%

Predictors of patterns of weight change 1 year after delivery in a cohort of Mexican women

Soria-Contreras

Téllez‐Rojo

Cantoral

et al. 2020

Public Health Nutr.

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Objective: To evaluate the associations of pregestational BMI, gestational weight gain (GWG) and breast-feeding at 1 month postpartum with four patterns of weight change during the first year after delivery: postpartum weight retention (PPWR), postpartum weight gain (PPWG), postpartum weight retention + gain (PPWR + WG) and return to pregestational weight. Design: In this secondary analysis of a prospective study, we categorised postpartum weight change into four patterns using pregestational weight and weights at 1, 6 and 12 months postpartum. We evaluated their associations with pregestational BMI, GWG and breast-feeding using multinomial logistic regression. Results are presented as relative risk ratios (RRR) and 95 % CI. Setting: Mexico City. Participants: Women participating in the Programming Research in Obesity, Growth, Environment and Social Stressors pregnancy cohort. Results: Five hundred women were included (53 % of the cohort). Most women returned to their pregestational weight by 1 year postpartum (57 %); 8 % experienced PPWR, 14 % PPWG and 21 % PPWR + WG. Compared with normal weight, pregestational overweight (RRR 2·5, 95 % CI 1·3, 4·8) and obesity (RRR 2·2, 95 % CI 1·0, 4·7) were associated with a higher risk of PPWG. Exclusive breast-feeding, compared with no breast-feeding, was associated with a lower risk of PPWR (RRR 0·3, 95 % CI 0·1, 0·9). Excessive GWG, compared with adequate, was associated with a higher risk of PPWR (RRR 3·3, 95 % CI 1·6, 6·9) and PPWR + WG (RRR 2·4, 95 % CI 1·4, 4·2). Conclusions: Targeting women with pregestational overweight or obesity and excessive GWG, as well as promoting breast-feeding, may impact the pattern of weight change after delivery and long-term women’s health.

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Weight Trajectories After Delivery are Associated with Adiposity and Cardiometabolic Markers at 3 Years Postpartum Among Women in Project Viva

Abstract: ABSTRACT Background Postpartum weight trajectories and its implications on later cardiometabolic health are not entirely understood. Objectives Our objectives were: 1) to characterize maternal weight trajectories from 1 to 24 mo postpartum, 2) to determine the ass… Show more

Cited by 16 publications

References 42 publications

Pregnancy weight gain in twin gestations and maternal and child health outcomes at 5 years

Pregnancy weight gain in twin gestations and maternal and child health outcomes at 5 years

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

Predictors of patterns of weight change 1 year after delivery in a cohort of Mexican women

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