Cargando…
Modifiable Determinants of Postpartum Weight Loss in Women with Obesity: A Secondary Analysis of the UPBEAT Trial
Pregnancy can alter a woman’s weight gain trajectory across the life course and contribute to the development of obesity through retention of weight gained during pregnancy. This study aimed to identify modifiable determinants associated with postpartum weight retention (PPWR; calculated by the diff...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227672/ https://www.ncbi.nlm.nih.gov/pubmed/34207523 http://dx.doi.org/10.3390/nu13061979 |
_version_ | 1783712577784643584 |
---|---|
author | Dalrymple, Kathryn V. Uwhubetine, Onome Flynn, Angela C. Pasupathy, Dharmintra Briley, Annette L. Relph, Sophie A. Seed, Paul T. O’Keeffe, Majella Poston, Lucilla |
author_facet | Dalrymple, Kathryn V. Uwhubetine, Onome Flynn, Angela C. Pasupathy, Dharmintra Briley, Annette L. Relph, Sophie A. Seed, Paul T. O’Keeffe, Majella Poston, Lucilla |
author_sort | Dalrymple, Kathryn V. |
collection | PubMed |
description | Pregnancy can alter a woman’s weight gain trajectory across the life course and contribute to the development of obesity through retention of weight gained during pregnancy. This study aimed to identify modifiable determinants associated with postpartum weight retention (PPWR; calculated by the difference in pre-pregnancy and 6 month postpartum weight) in 667 women with obesity from the UPBEAT study. We examined the relationship between PPWR and reported glycaemic load, energy intake, and smoking status in pregnancy, excessive gestational weight gain (GWG), mode of delivery, self-reported postpartum physical activity (low, moderate, and high), and mode of infant feeding (breast, formula, and mixed). At the 6 month visit, 48% (n = 320) of women were at or above pre-pregnancy weight. Overall, PPWR was negative (−0.06 kg (−42.0, 40.4)). Breastfeeding for ≥4 months, moderate or high levels of physical activity, and GWG ≤9 kg were associated with negative PPWR. These three determinants were combined to provide a modifiable factor score (range 0–3); for each added variable, a further reduction in PPWR of 3.0 kg (95% confidence interval 3.76, 2.25) occurred compared to women with no modifiable factors. This study identified three additive determinants of PPWR loss. These provide modifiable targets during pregnancy and the postnatal period to enable women with obesity to return to their pre-pregnancy weight. |
format | Online Article Text |
id | pubmed-8227672 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82276722021-06-26 Modifiable Determinants of Postpartum Weight Loss in Women with Obesity: A Secondary Analysis of the UPBEAT Trial Dalrymple, Kathryn V. Uwhubetine, Onome Flynn, Angela C. Pasupathy, Dharmintra Briley, Annette L. Relph, Sophie A. Seed, Paul T. O’Keeffe, Majella Poston, Lucilla Nutrients Article Pregnancy can alter a woman’s weight gain trajectory across the life course and contribute to the development of obesity through retention of weight gained during pregnancy. This study aimed to identify modifiable determinants associated with postpartum weight retention (PPWR; calculated by the difference in pre-pregnancy and 6 month postpartum weight) in 667 women with obesity from the UPBEAT study. We examined the relationship between PPWR and reported glycaemic load, energy intake, and smoking status in pregnancy, excessive gestational weight gain (GWG), mode of delivery, self-reported postpartum physical activity (low, moderate, and high), and mode of infant feeding (breast, formula, and mixed). At the 6 month visit, 48% (n = 320) of women were at or above pre-pregnancy weight. Overall, PPWR was negative (−0.06 kg (−42.0, 40.4)). Breastfeeding for ≥4 months, moderate or high levels of physical activity, and GWG ≤9 kg were associated with negative PPWR. These three determinants were combined to provide a modifiable factor score (range 0–3); for each added variable, a further reduction in PPWR of 3.0 kg (95% confidence interval 3.76, 2.25) occurred compared to women with no modifiable factors. This study identified three additive determinants of PPWR loss. These provide modifiable targets during pregnancy and the postnatal period to enable women with obesity to return to their pre-pregnancy weight. MDPI 2021-06-09 /pmc/articles/PMC8227672/ /pubmed/34207523 http://dx.doi.org/10.3390/nu13061979 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Dalrymple, Kathryn V. Uwhubetine, Onome Flynn, Angela C. Pasupathy, Dharmintra Briley, Annette L. Relph, Sophie A. Seed, Paul T. O’Keeffe, Majella Poston, Lucilla Modifiable Determinants of Postpartum Weight Loss in Women with Obesity: A Secondary Analysis of the UPBEAT Trial |
title | Modifiable Determinants of Postpartum Weight Loss in Women with Obesity: A Secondary Analysis of the UPBEAT Trial |
title_full | Modifiable Determinants of Postpartum Weight Loss in Women with Obesity: A Secondary Analysis of the UPBEAT Trial |
title_fullStr | Modifiable Determinants of Postpartum Weight Loss in Women with Obesity: A Secondary Analysis of the UPBEAT Trial |
title_full_unstemmed | Modifiable Determinants of Postpartum Weight Loss in Women with Obesity: A Secondary Analysis of the UPBEAT Trial |
title_short | Modifiable Determinants of Postpartum Weight Loss in Women with Obesity: A Secondary Analysis of the UPBEAT Trial |
title_sort | modifiable determinants of postpartum weight loss in women with obesity: a secondary analysis of the upbeat trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227672/ https://www.ncbi.nlm.nih.gov/pubmed/34207523 http://dx.doi.org/10.3390/nu13061979 |
work_keys_str_mv | AT dalrymplekathrynv modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial AT uwhubetineonome modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial AT flynnangelac modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial AT pasupathydharmintra modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial AT brileyannettel modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial AT relphsophiea modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial AT seedpault modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial AT okeeffemajella modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial AT postonlucilla modifiabledeterminantsofpostpartumweightlossinwomenwithobesityasecondaryanalysisoftheupbeattrial |