Does excess pregnancy weight gain constitute a major risk for increasing long-term BMI?
| Autor: | Stephan Rössner, Martin Neovius, Amanda R. Amorim, Paulo Mauricio Campanha Lourenço, Yvonne Linné |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Time Factors Endocrinology Diabetes and Metabolism Medicine (miscellaneous) Overweight Weight Gain Body Mass Index Endocrinology Pregnancy Risk Factors medicine Childbirth Humans Longitudinal Studies Obesity Sweden Nutrition and Dietetics business.industry Obstetrics Patient Selection Confounding Weight change Postpartum Period medicine.disease Physical therapy Gestation Female medicine.symptom business Body mass index Weight gain Follow-Up Studies |
| Zdroj: | Obesity (Silver Spring, Md.). 15(5) |
| ISSN: | 1930-7381 |
| Popis: | Objective: The objective was to assess the relevance of the recommendations of the Institute of Medicine (IOM), regarding gestational weight gain (GWG) for long-term BMI development. Research Methods and Procedures: The Stockholm Pregnancy and Women's Nutrition is a follow-up study of 483 women who delivered children in 1984 to 1985. ANOVA was used to examine the change in body weight before pregnancy, at 6 months, and 1 year postpartum and 15 years after childbirth. Multiple linear regression was used to assess the predictors of BMI at 15-year follow-up. Results: The weight increase from baseline to 15-year follow-up was 6.2 kg for IOM-insufficient, 6.7 kg for IOM-recommended, and 10.0 kg for IOM-excessive weight gain (p < 0.01). ANOVA showed a main effect of time, group and group by time interaction. The weight of the women who had excessive GWG was significantly greater at each time-point of follow-up than the weight of those who gained within or below recommendations. GWG was related to BMI at 15-year follow-up even after accounting for several confounders. Women who gained excessive weight during pregnancy had an increase of 0.72 kg/m2 in long-term BMI compared with women who gained within recommendations. Discussion: The findings support the adequateness of IOM guidelines, not only for the pregnancy-related health matters, but also for preventing long-term weight retention after delivery. Healthcare providers should give women appropriate advice for controlling GWG and motivate them to lose pregnancy-related weight during postpartum to prevent future overweight. |
| Databáze: | OpenAIRE |
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