Maternal weight change from prepregnancy to 7 years postpartum: the influence of behavioral factors
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Maternal weight change from prepregnancy to 7 years postpartum : the influence of behavioral factors. / Kirkegaard, Helene; Stovring, Henrik; Rasmussen, Kathleen M; Abrams, Barbara; Sørensen, Thorkild I A; Nohr, Ellen A.
In: Obesity, Vol. 23, No. 4, 04.2015, p. 870-8.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Maternal weight change from prepregnancy to 7 years postpartum
T2 - the influence of behavioral factors
AU - Kirkegaard, Helene
AU - Stovring, Henrik
AU - Rasmussen, Kathleen M
AU - Abrams, Barbara
AU - Sørensen, Thorkild I A
AU - Nohr, Ellen A
N1 - © 2015 The Obesity Society.
PY - 2015/4
Y1 - 2015/4
N2 - OBJECTIVE: We studied the influence of maternal behavior on weight change from prepregnancy to 7 years postpartum.METHODS: We used linear regression to study the independent and combined associations between self-reported behavior in pregnancy (dietary intake, leisure-time exercise, sedentary activity, smoking) and postpartum (breastfeeding duration and smoking) on weights at 6 months, 18 months, and 7 years postpartum.RESULTS: Women's average 7-year weight gain was 2.07 kg, with 23% gaining >5 kg. Multivariable analyses suggested that women with healthier dietary intake, more leisure-time exercise, less sedentary behavior, and longer duration of breastfeeding on average gained 1.66 kg [95% confidence interval (CI): 1.40; 1.91] with a significantly reduced odds [OR 0.56 (95% CI: 0.49; 0.64)] of gaining >5 kg from prepregnancy to 7 years postpartum compared to women with none or one of these behaviors [mean gain 3.03 kg (95% CI: 2.68; 3.39)]. Women who ceased smoking had higher long-term weight gain than nonsmokers, but not smokers.CONCLUSIONS: Adherence to healthy behaviors during pregnancy lowered long-term weight gain considerably by lowering postpartum weight retention and subsequent weight gain. Public health efforts to help mothers achieve healthy behaviors might prevent childbearing-related weight gain.
AB - OBJECTIVE: We studied the influence of maternal behavior on weight change from prepregnancy to 7 years postpartum.METHODS: We used linear regression to study the independent and combined associations between self-reported behavior in pregnancy (dietary intake, leisure-time exercise, sedentary activity, smoking) and postpartum (breastfeeding duration and smoking) on weights at 6 months, 18 months, and 7 years postpartum.RESULTS: Women's average 7-year weight gain was 2.07 kg, with 23% gaining >5 kg. Multivariable analyses suggested that women with healthier dietary intake, more leisure-time exercise, less sedentary behavior, and longer duration of breastfeeding on average gained 1.66 kg [95% confidence interval (CI): 1.40; 1.91] with a significantly reduced odds [OR 0.56 (95% CI: 0.49; 0.64)] of gaining >5 kg from prepregnancy to 7 years postpartum compared to women with none or one of these behaviors [mean gain 3.03 kg (95% CI: 2.68; 3.39)]. Women who ceased smoking had higher long-term weight gain than nonsmokers, but not smokers.CONCLUSIONS: Adherence to healthy behaviors during pregnancy lowered long-term weight gain considerably by lowering postpartum weight retention and subsequent weight gain. Public health efforts to help mothers achieve healthy behaviors might prevent childbearing-related weight gain.
KW - Adult
KW - Body Weight
KW - Breast Feeding
KW - Exercise
KW - Female
KW - Health Behavior
KW - Humans
KW - Life Style
KW - Linear Models
KW - Maternal Behavior
KW - Obesity
KW - Postpartum Period
KW - Pregnancy
KW - Surveys and Questionnaires
KW - Weight Gain
U2 - 10.1002/oby.21022
DO - 10.1002/oby.21022
M3 - Journal article
C2 - 25820258
VL - 23
SP - 870
EP - 878
JO - Obesity
JF - Obesity
SN - 1930-7381
IS - 4
ER -
ID: 161269434