Excess pregnancy weight gain and long-term obesity: one decade later

Rooney, Brenda L.; Schauberger, Charles W.

doi:10.1016/s0029-7844(02)02125-7

Cited by 483 publications

(481 citation statements)

References 17 publications

Supporting

Mentioning

444

Contrasting

Unclassified

Order By: Relevance

“…Tables 1-3 summarize the results of the qualitative analysis. Fifteen prospective studies, 23,24,[29][30][31][32][33][34][35][36]38,[40][41][42][43][44][45] five retrospective studies, 22,[25][26][27][28]37,46 and the control group from a randomized controlled trial 39 were included in the final analysis. Studies in which women were recruited around the time of delivery and then followed prospectively for postpartum body weight (ambivalent design, as baseline weight was assessed retrospectively) 24,29,30,[34][35][36][44][45][46] were considered as prospective in design, as we wanted to focus on the development of postpartum weight change.…”

Section: Qualitative Resultsmentioning

confidence: 99%

“…The majority of studies were conducted in North America [22][23][24]29,35,[37][38][39][40]42,45,46 and Europe, [25][26][27][28]34,36,41,43 where the magnitude of weight retention among women appears to be similar. 39 In developing countries, women retain less weight after pregnancy compared with women in developed countries.…”

Section: Qualitative Resultsmentioning

confidence: 99%

“…[22][23][24][25][26][27][28][29][30][31][32][33][35][36][37][38][39][40][41][42][43][44][45][46] The study populations were mainly recruited from inpatients in departments of obstetrics. [24][25][26][31][32][33]35,36,[38][39][40][41][42][43][44][45][46] There was a higher percentage of low-income women in the studies conducted in North America, but socio-economic status was thought to be homogeneous across studies. 35,37,39,42,45,46 The sample size varied between 47 and 1423 women.…”

Section: Qualitative Resultsmentioning

confidence: 99%

“…23,27,28,35,39,41,46 Four studies had sample sizes of over 500 women. 24,36,38,40 Studies were judged homogeneous regarding participants' age. Most studies included primarily adult women.…”

Section: Qualitative Resultsmentioning

confidence: 99%

“…44 Ten studies preponderantly included white women. [25][26][27][28][29][30]34,36,38,40,41,43 Only one 36 of the European studies reported the ethnicity of their cohort. We assume that the women in the other European studies and in the Australian study were predominantly white.…”

Section: Qualitative Resultsmentioning

confidence: 99%

See 4 more Smart Citations

The association of pregnancy and the development of obesity – results of a systematic review and meta-analysis on the natural history of postpartum weight retention

2007

View full text Add to dashboard Cite

Objective: The magnitude of the contribution of childbearing to the development of obesity is not entirely understood. Published studies on postpartum weight retention focus on risk factors and clinical interventions. Pooled estimates of postpartum weight retention have not been reported. We summarized the existing evidence of the natural history of postpartum weight retention and estimated the extent of time after delivery that weight retention is attributable to pregnancy. Design: Systematic review and meta-analysis of qualitatively homogeneous studies. Data sources: Medline search of published studies between January 1995 and August 2005; bibliography of candidate studies. Review methods: Eligibility: Observational studies and control groups of randomized controlled trials. Independent review and data abstraction including study design, subject characteristics, women's weight and study quality by two reviewers. Metaanalysis of average postpartum weight retention at different points in time after delivery. Sensitivity analysis for study specific covariates using meta-regression. Results: Twenty-five studies describing 21 cohorts met eligibility criteria. Sixteen studies appeared homogeneous enough to be included in the meta-analysis. Average postpartum weight retention decreased continuously until 12 months postpartum (6 weeks: 2.42 (95% confidence interval (95% CI): 2.32-2.52) Body mass index (BMI), 6 months: 1.14 (95% CI: 1.04-1.25) BMI, 12 months: 0.46 (95% CI: 0.38-0.54) BMI). Postpartum weight retention was 0.46 BMI lower in studies with follow-up rate X80% at 6 weeks postpartum compared to studies with lower follow-up rate (Po0.01). Conclusion: Published studies consistently showed a decline in mean body weight within the first year postpartum. Data on body weight later than 12 months postpartum are scarce. The published evidence suggests a re-increase in body weight. As there are rather lifestyle-related than biological reasons for an increase in body weight after one year postpartum, we suggest using the term 'postpartum weight retention' exclusively within a limited period (for example, up to 12-18 months) postpartum.

show abstract

Section: Qualitative Resultsmentioning

confidence: 99%

Section: Qualitative Resultsmentioning

confidence: 99%

Section: Qualitative Resultsmentioning

confidence: 99%

“…23,27,28,35,39,41,46 Four studies had sample sizes of over 500 women. 24,36,38,40 Studies were judged homogeneous regarding participants' age. Most studies included primarily adult women.…”

Section: Qualitative Resultsmentioning

confidence: 99%

Section: Qualitative Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The association of pregnancy and the development of obesity – results of a systematic review and meta-analysis on the natural history of postpartum weight retention

2007

View full text Add to dashboard Cite

show abstract

Diet or exercise, or both, for weight reduction in women after childbirth

Amorim¹,

Linne²,

Lourenco³

2006

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background Weight retention after pregnancy may contribute to obesity. It is known that diet and exercise are recommended components of any weight loss programme in the general population. However, strategies to achieve healthy body weight among postpartum women have not been adequately evaluated. Objectives The objectives of this review were to evaluate the effect of diet, exercise or both for weight reduction in women after childbirth, and to assess the impact of these interventions on maternal body composition, cardiorespiratory fitness, breastfeeding performance and other child and maternal outcomes. Search methods We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (September 2006) and LILACS. We scanned secondary references and contacted experts in the field. We updated this search on 5 December 2011 and added the results to the awaiting classification section. Selection criteria All published and unpublished randomised controlled trials (RCT) and quasi-randomised trials of diet or exercise or both, among women during the postpartum period. Data collection and analysis Three review authors independently assessed trial quality and extracted data. Results are presented using risk ratio for categorical data and mean difference (MD) for continuous data. Data were analysed with a fixed-effect model. A random-effects model was used in the presence of heterogeneity.

show abstract