Maternal Stress Predicts Postpartum Weight Retention

Whitaker, Kara M.; Young-Hyman, Deborah Lee; Vernon, Marlo M.; Wilcox, Sara

doi:10.1007/s10995-014-1470-7

Cited by 44 publications

(61 citation statements)

References 53 publications

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“…Recently, a systematic review showed that a research investigating the impact of postpartum sleep, stress, depression on weight retention is limited and future longitudinal studies are needed 40 . Whitaker et al 12 found a significant association between stress and weight retention. Phillips et al 13 showed that weight gain during pregnancy, breast feeding (six or less months), body image dissatisfaction in months three and six after delivery were associated with more postpartum weight retention.…”

Section: Discussionmentioning

confidence: 96%

“…It is known that psychiatric symptoms are common after delivery, a period marked by hormonal changes, as well as changes of a social nature and shifts in family organization, and by a high frequency of postpartum depression 10 . Sleep disorders and depression also seem to be associated with postpartum weight retention 11,12 . It has been demonstrated that early (three and six months) postpartum body image dissatisfaction is related with postpartum weight retention at nine months 13 .…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with postpartum weight retention in a Brazilian cohort

Zanotti¹,

Capp²,

Wender³

2015

Rev. Bras. Ginecol. Obstet.

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PURPOSE: To identify the factors associated with weight retention after pregnancy. METHODS: A cohort study was performed with 145 women receiving maternity care at a hospital in Caxias do Sul, Rio Grande do Sul, Brazil, aged 19 to 45 years, between weeks 38 and 42 of pregnancy. The patients were evaluated at one month, three months, and six months after delivery. Student's t-test or one-way analysis of variance (ANOVA) was used to compare groups, as indicated; correlations were assessed with Pearson's and Spearman's tests, as indicated; to identify and evaluate confounders independently associated with total weight loss, a multivariate linear regression analysis was performed and statistical significance was set at p≤0.05. RESULTS: There was a significant positive association between total weight gain -and a negative association with physical exercise during pregnancy -with total weight loss. Higher parity, interpregnancy interval, calorie intake, pre-pregnancy body mass index (BMI), weight gain related to pre-pregnancy BMI, presence and severity of depression, and lack of exclusive breastfeeding were directly associated with lower weight loss. Among nominal variables, level of education and marital status were significantly associated with total weight loss. CONCLUSION: In the present study, lower weight retention in the postpartum period was associated with higher educational attainment and with being married. Normal or below-normal pre-pregnancy BMI, physical activity and adequate weight gain during pregnancy, lower parity, exclusive breastfeeding for a longer period, appropriate or low calorie intake, and absence of depression were also determinants of reduced weight retention. ResumoOBJETIVO: Identificar os fatores associados à retenção de peso após a gravidez. MÉTODOS: Foi realizado um estudo de coorte com 145 mulheres que receberam cuidados de maternidade em um hospital de Caxias do Sul, Rio Grande do Sul, Brasil, com idades entre 19 e 45 anos entre a 38ª e a 42ª semana da gravidez. As pacientes foram avaliadas um, três e seis meses após o parto. As variáveis foram analisadas com o teste t de Student ou análise de variância de uma via (ANOVA), conforme indicado; as associações foram analisadas pelas correlações de Pearson e Spearman. Para identificar e analisar confundidores independentemente associados à perda de peso, foi utilizada regressão linear multivariada e foi considerado estatisticamente significante p≤0,05. RESULTADOS: Houve uma associação positiva significativa entre o ganho de peso total -e uma associação negativa com o exercício físico durante a gravidezcom a perda de peso total. Maior número de partos, intervalo entre partos, ingestão de calorias, índice de massa corporal (IMC) antes da gestação, ganho de peso relacionado com IMC pré-gestacional, presença e severidade de depressão e falta de aleitamento materno exclusivo foram diretamente associados com menor perda de peso. Entre as variáveis nominais, o nível de escolaridade e estado civil foram significativamente associados com a...

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Factors associated with postpartum weight retention in a Brazilian cohort

Zanotti¹,

Capp²,

Wender³

2015

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

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“…Herring et al (2008) only found this for only for newly-onset postpartum depression and not for antenatal depression. Furthermore, studies investigating predictors for PPWR have found stress and abnormal sleeping patterns to be potential indicators of PPWR (Siega-Riz et al, 2010;Whitaker et al, 2014). Milder stress, a condition that shares many risk factors and symptoms with depression, is often associated with weight gain.…”

Section: Discussionmentioning

confidence: 99%

Mental disorders in motherhood according to prepregnancy BMI and pregnancy-related weight changes—A Danish cohort study

Bliddal

Pottegård

Kirkegaard

et al. 2015

Journal of Affective Disorders

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“…General and postpartum stress as causes of obesity: Physical and mental stress have been implicated as potential causes of obesity [156,157]. Job strain and job related stress have also been implicated in the causes of obesity and overweight [158,159].…”

Section: N Lower Basal Metabolic Rate (Bmr) As a Cause Of Obesitymentioning

confidence: 99%

“…Job strain and job related stress have also been implicated in the causes of obesity and overweight [158,159]. Postpartum stress is also implicated as causes of maternal weight retention and obesity [157].…”

Section: N Lower Basal Metabolic Rate (Bmr) As a Cause Of Obesitymentioning

confidence: 99%

Assessment of Obesity, Presumed and Proven Causes and Prevention Strategies: A Review

Uzogara¹

2016

AOWMC

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The obesity epidemic has been widespread in many countries, and has several adverse consequences. So many factors, some probable, others verified and documented, are known to contribute to the obesity problem in developed and developing countries. Nutritionists and other health professionals need to be skilled in understanding these various causes and their health implications. They should also be able to assess excessive body weight in clinical and other settings. Armed with this knowledge, health professionals should therefore be able to advise consumers and clients struggling with weight management on cost-effective preventive strategies to prevent or reduce incidence of obesity. In addition, nutritionists should be able to advise food manufacturers to make and market healthy food products. This paper will address the growing concern on obesity epidemic by reviewing the presumed and published or proven causes of obesity and the various methods for measurement of obesity. Strategies for preventing obesity will also be discussed. Such strategies would include health education, lifestyle changes, physical activity, diet and behaviour modifications as well as reading food labels and proper food selection. Preventive strategies for obesity and overweight when properly implemented are very cost effective especially at personal and community levels and will ensure good health and wellness in many populations. Keywords IntroductionObesity and overweight trends have reached epidemic proportions in many countries [1][2][3][4][5][6][7][8], and have serious health and socio-economic consequences. In addition, obesity has negative medical, psychological and quality of life consequences, drains health care resources and reduces life expectancy. The International Obesity Task Force (IOTF) and WHO project that obesity rates worldwide would increase very significantly by 2025 unless appropriate intervention is taken [8,9]. In the USA, between 2011 & 2012, the percent of US adults aged 20 years and above who are obese was reported to be 35.1 %, while the percent of US adults who had excess body weight (overweight and obesity)in the same period was 69.0% according to published reports [2,10]. Obesity and related chronic diseases are no longer a problem of affluent countries alone, as poor developing countries, middle income countries or countries undergoing economic transition, are also affected by the epidemic [4,[6][7][8]. Global, national and state public health agencies as well as their nutritionists, researchers and educators have raised awareness or taken immediate action to arrest the increasing weight trends and obesity in adults, the youth and children [11][12][13][14][15][16]. Despite the high prevalence of obesity in many parts of the world, segments of populations (such as geriatric, very sick people, preschool children, pregnant & lactating women) suffer from underweight [7,[17][18][19]. In some developing countries, various types of unhealthy weight such as obesity, overweight and underweight, can coexist...

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Maternal Stress Predicts Postpartum Weight Retention

Cited by 44 publications

References 53 publications

Factors associated with postpartum weight retention in a Brazilian cohort

Factors associated with postpartum weight retention in a Brazilian cohort

Mental disorders in motherhood according to prepregnancy BMI and pregnancy-related weight changes—A Danish cohort study

Assessment of Obesity, Presumed and Proven Causes and Prevention Strategies: A Review

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