Parity-associated weight gain and its modification by sociodemographic and behavioral factors: a prospective analysis in US women

Wolfe, WS; Sobal, Jeffery; Cm, Olson; Frongillo, E A; Williamson, D F

doi:10.1038/sj.ijo.0800478

Cited by 91 publications

(70 citation statements)

References 14 publications

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“…In the NHEFS, Wolfe et al found that parity-associated weight gain varied by baseline weight; white women weighing above 200 lbs at baseline had the largest weight gains for one or more births vs none. 32 Higher excess weight gains after a first birth among overweight women in our study is also consistent with pregnancy cohort studies reporting higher postpartum weight gain or retention among overweight compared to normal weight women. 8,[13][14][15][16][17][18]33 Since these studies lacked nongravid/nonparous comparison groups, it has been unclear whether higher weight retention in over- weight women is related to their own pregravid weight gain trajectory vs pregnancy or its aftermath.…”

Section: Discussionsupporting

confidence: 81%

Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA)

et al. 2004

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OBJECTIVE:To examine the association of childbearing with weight and waist circumference (WC) changes, we compared women with and without pregnancies or births during follow-up. STUDY DESIGN: A multicenter, longitudinal observational study over 10 years. Comparison groups defined by the number of pregnancies and births during follow-up: P0 (0 pregnancies; nongravid), P1 (1 þ miscarriages or abortions; 'short' pregnancies), B1 (1 birth), and B2 (2 þ births). Mean changes in weight and WC for P1, B1 and B2 groups vs P0 were examined separately by race (black and white), baseline parity (nulliparous and parous) and baseline weight status (normal weight; BMI o25 kg/m 2 and overweight; BMI Z25 kg/m 2 ). SUBJECTS: A population-based sample of 2070 women aged 18-30 y at baseline (1053 black subjects and 1017 white subjects) from Birmingham, Alabama, Chicago, Illinois, Minneapolis, Minnesota, and Oakland, California were examined five times between 1985-1986 and 1995-1996. MEASURMENTS: Weight and WC measurements were obtained using standardized protocol at baseline and examinations at years 2, 5, 7 and 10. Sociodemographic, reproductive, and behavioral attributes were assessed at baseline and follow-up examinations. RESULTS: Gains in weight and WC associated with pregnancy and childbearing varied by race (Po0.001), baseline parity (Po0.05) and overweight status (Po0.001). Among overweight nulliparas, excess gains in weight (black subjects: 3-5 kg, white subjects: 5-6 kg) and WC (black subjects: 3-4 cm, white subjects: 5-6 cm) were associated with 'short' pregnancies and one or more birth(s) during follow-up compared to no pregnancies (Po0.01 and 0.001). Among normal weight nulliparas, excess gains in weight (about 1 kg) and WC (2-3 cm) were associated with follow-up birth(s) (Po0.05). Among women parous at baseline, no excess weight gains were found, but excess WC gains (2-4 cm) were associated with follow-up births. CONCLUSION: Substantial excess weight gain is associated with both short pregnancies and a first birth in women overweight prior to initiation of childbearing. Excess weight gain was not associated with higher order births. Increases in waist girth were cumulative with both first and higher order births among overweight as well as normal weight women. Interventions to prevent obesity should be targeted at women who are overweight prior to initiation of childbearing. The impact of excess WC gains associated with childbearing on women's future health risk should be evaluated further.

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Section: Discussionsupporting

confidence: 81%

Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA)

et al. 2004

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“…9 Thus, there has been an increasing interest in investigating risk factors associated with obesity and weight gain over time. It has been reported that certain hereditary factors, 10,11 energy intake, 12,13 certain demographic, sociocultural, behavioral, and reproductive factors [13][14][15][16] are associated with obesity and weight gain, yet the findings are far from conclusive. The findings from different studies differ in magnitude and even in direction.…”

Section: Introductionmentioning

confidence: 82%

Sociodemographic, behavioral, and reproductive factors associated with weight gain in Chinese women

Wen

Shu

et al. 2003

Int J Obes

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OBJECTIVE: To examine whether certain sociodemographic, behavioral, and reproductive factors are associated with an increased weight gain in Chinese women. DESIGN: Baseline survey data, including recalled past weight and measured current weight, from an ongoing prospective cohort study conducted in Shanghai, China. SUBJECTS: The analytical sample included 75 039 nonpregnant women aged 40-70 y. MEASUREMENTS: Statistical associations between certain sociodemographic, behavioral, and reproductive factors and weight gain were evaluated using multiple linear and logistic regression models. RESULTS: Weight gain and waist-to-hip ratio (WHR) increased with age among pre-and postmenopausal women before age 55 y. Weight gain declined but WHR continued rising as aging among postmenopausal women over age 55 y. Lower education levels, more parity and earlier age at the first birth, and earlier menarcheal age were associated with a higher long-term weight gain and current body weight. CONCLUSION: Age, education levels, parity, age at the first live birth, and menarcheal age were associated with long-term weight gain in Chinese women. However, these results concerning weight gain are based on recalled past weight and should be interpreted with caution. Further studies are needed to clarify the association of weight gain with lifestyle factors suggested by this study.

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“…1 Despite public awareness of the health risks of obesity, unhealthy weight gain is common in Australian adults. 2 One group at particular risk is women of child-bearing age (18-45 years), [2][3][4] particularly those with children, who are not only at high risk of weight gain due to pregnancy, [5][6][7][8] but experience a high risk of physical inactivity, 9 unhealthy eating patterns 10 and the greatest barriers to adopting healthy lifestyle changes. 11 Women with children who live in socioeconomically disadvantaged neighbourhoods face even greater risk of obesity, as evidence suggests that neighbourhood deprivation is associated with obesity risk, independently of individual-level socioeconomic position.…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic and behavioural correlates of weight status among women with children living in socioeconomically disadvantaged neighbourhoods

et al. 2009

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Objective: To investigate sociodemographic and behavioural characteristics associated with weight status among women with children living in socioeconomically disadvantaged neighbourhoods. Methods and procedures: A total of 1680 women aged 18-46 years, living in socioeconomically disadvantaged neighbourhoods with dependent children (aged 0-18 years), provided self-report data on height and weight and a range of sociodemographic and behavioural (for example, dietary intake, physical activity and time spent sitting) characteristics. Results: Half of the women were classified as having a healthy weight (body mass index ¼ 18.5-25). Bivariable ordinal logistic regression analyses indicated that a healthy weight status was associated with a range of sociodemographic and behavioural characteristics. In a multivariable model, a healthy weight status among women was associated with being younger and unmarried, speaking a language other than English at home, having a medium or high level of education, and a partner with a high level of education, having a high household income, spending more time engaged in leisure-time physical activity and less time spent sitting, and having a lower consumption of soft drink. Discussion: The present findings highlight that a considerable proportion of women with children living in disadvantaged neighbourhoods manage to maintain a healthy weight. Acknowledging the cross-sectional nature of this study, strategies aimed at helping women with children in socioeconomically disadvantaged areas to maintain their weight should focus on increasing physical activity, and reducing sitting time and soft drink consumption.

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Parity-associated weight gain and its modification by sociodemographic and behavioral factors: a prospective analysis in US women

Cited by 91 publications

References 14 publications

Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA)

Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA)

Sociodemographic, behavioral, and reproductive factors associated with weight gain in Chinese women

Sociodemographic and behavioural correlates of weight status among women with children living in socioeconomically disadvantaged neighbourhoods

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