Patterns of Women’s Postpartum Weight Retention and Its Associations with Maternal Obesity-Related Factors and Parity

Sha, Tingting; Cheng, Gang; Li, Chao; Gao, Xiao; Li, Ling; Chen, Cheng

doi:10.3390/ijerph16224510

Cited by 21 publications

(29 citation statements)

References 53 publications

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“…In our cohort, mothers who participated in sports/exercise appeared to have less, albeit statistically non-significant, postpartum weight retention. The apparent lack of association concerning sports/exercise and occupational PA was in line with the literature [16,39].…”

Section: Discussionsupporting

confidence: 84%

“…In 2015, the American College of Obstetricians and Gynecologists advocated physical activity (PA) in the postpartum period to maintain a healthy lifestyle and to manage a healthy weight [13] in mothers. Asian women weigh approximately two kilograms heavier on average at 6-to 12-month postpartum than their pre-pregnancy weight [14][15][16][17]. Since infant care occupies most of a new mother's time in the postpartum period [18], it remains a challenge for them to engage in sports or exercise programs.…”

Section: Introductionmentioning

confidence: 99%

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Postpartum Physical Activity and Weight Retention within One Year: A Prospective Cohort Study in Vietnam

Zhao

Binns

et al. 2020

IJERPH

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After delivery, mothers are encouraged to increase physical activity (PA) gradually to regulate body weight; however, data on PA in relation to postpartum weight retention remains scarce, particularly among Asian women. In a cohort of 1617 Vietnamese mothers, we investigated the prospective association between habitual PA exposures at 3-month postpartum and weight retention at 6-month and 12-month postpartum. Detailed information on PA intensity and domains was collected from participants using a validated instrument specifically for Vietnamese women. Linear regression analyses and a general linear model for the repeated weight retention measures were used to ascertain the apparent relationships. On average, the participants reported 3.6 (SD 3.9) and 2.6 (SD 3.8) kg weight loss at 6-and 12-month postpartum, respectively. Total and light-intensity PA were inversely associated with the postpartum weight retention (p for trend <0.05). Our findings highlight the importance of resuming PA in the early postpartum period as an appropriate weight management strategy.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Postpartum Physical Activity and Weight Retention within One Year: A Prospective Cohort Study in Vietnam

Zhao

Binns

et al. 2020

IJERPH

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“…The overweight/obesity-stratified analysis in the current study showed that women in group 1 had higher risk of PWR compared with women in group 3, and this association was only observed among non-overweight/obese women. Previous studies showed that women with normal pre-pregnancy BMI and had excessive weight gain during pregnancy were more likely to retain more weight (59,60) . Meanwhile, the significant association between group 1 and caesarean delivery was only found among overweight/obese women.…”

Section: Discussionmentioning

confidence: 99%

Rate of gestational weight gain trajectory is associated with adverse pregnancy outcomes

Yong

Shariff

Appannah

et al. 2020

Public Health Nutr.

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Objective: To examine the gestational weight gain (GWG) trajectory and its possible association with pregnancy outcomes. Design: GWG trajectories were identified using the latent class growth model. Binary logistic regression was performed to examine the associations between adverse pregnancy outcomes and these trajectories. Setting: Negeri Sembilan, Malaysia. Participants: Two thousand one hundred ninety-three pregnant women. Results: Three GWG trajectories were identified: ‘Group 1 – slow initial GWG but followed by drastic GWG’, ‘Group 2 – maintaining rate of GWG at 0·58 kg/week’ and ‘Group 3 – maintaining rate of GWG at 0·38 kg/week’. Group 1 had higher risk of postpartum weight retention (PWR) (adjusted OR (AOR) 1·02, 95 % CI 1·01, 1·04), caesarean delivery (AOR 1·03, 95 % CI 1·01, 1·04) and having low birth weight (AOR 1·04, 95 % CI 1·02, 1·05) compared with group 3. Group 2 was at higher risk of PWR (AOR 1·18, 95 % CI 1·16, 1·21), preterm delivery (AOR 1·03, 95 % CI 1·01, 1·05) and caesarean delivery (AOR 1·02, 95 % CI 1·01, 1·03), but at lower risk of having small-for-gestational-age infants (AOR 0·97, 95 % CI 0·96, 0·99) compared with group 3. The significant associations between group 1 and PWR were observed among non-overweight/obese women; between group 1 and caesarean delivery among overweight/obese women; group 2 with preterm delivery and caesarean delivery were only found among overweight/obese women. Conclusions: Higher GWG as well as increasing GWG trajectories was associated with higher risk of adverse pregnancy outcomes. Promoting GWG within the recommended range should be emphasised in antenatal care to prevent the risk of adverse pregnancy outcomes.

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“…In addition, women with excessive gestational weight gain have higher propensity for postpartum weight retention (PPWR) [33]. Therefore, it is important to prevent excessive PPWR during the pregnancy-postpartum period [44]. Previous studies have shown antenatal exercises improves the aerobic fitness of pregnant women [13,45,46], and significantly lowers postpartum weight retention [47].…”

Section: Introductionmentioning

confidence: 99%

Physical activity and exercise during pregnancy in Africa: a review of the literature

Okafor

Goon

2020

BMC Pregnancy Childbirth

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Background Pregnancy is an important phase in a woman’s life, with health status at this stage affecting both the woman and her child’s life. Global evidence suggests that many women engage in low levels of physical activity (PA) and exercise during pregnancy despite its beneficial effects. This is particularly the case in Africa. Methods This article reviews the literature on levels of PA and exercise among pregnant women in Africa, highlighting the level of PA or exercise participation during pregnancy in Africa, including types of PA, factors affecting PA, beliefs about and benefits of prenatal activity, advice or counselling on PA during pregnancy in Africa, and PA interventions proposed to promote the uptake of prenatal PA. Electronic search databases used were Google Scholar, Science Direct, Scopus, EMBASE, ERIC, Medline, Web of Science, EBSCOhost, PubMed, BIOMED Central, and African Journal Online. The basic search terms were: ‘Physical activity’, ‘Exercise’, ‘Pregnancy’, ‘Pregnant women’ and ‘Africa’. A total of 40 references were found. On the basis of an analysis of titles, abstracts and the language of publication (other than English), 11 articles were rejected, and 29 articles were fully read, although two had to be rejected due to a lack of access to the full version. Finally, 27 references were included in the review. Results Few studies exist on PA during pregnancy in Africa. The limited data available suggests that, compared to the Western world, pregnant women in Africa do not adhere to the recommendations for PA during pregnancy. Levels of participation in PA during pregnancy are low and decline as the pregnancy progresses. The majority of the studies used direct, objective measures to assess PA during pregnancy. Personal and environmental factors such as lack of time, lack of knowledge, inadequate information from healthcare providers, feelings of tiredness and an absence of social support constituted the main barriers to PA during pregnancy. The types of PA participation among pregnant women varied across studies and geographical settings. Conclusions While published data is limited, it seems clear that the participation of pregnant women in PA during pregnancy in Africa is low and declines with advancing pregnancy. There is a need for more studies to examine the dynamics of PA during pregnancy in Africa to guide contextual interventions to improve and promote maternal health on the continent.

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Patterns of Women’s Postpartum Weight Retention and Its Associations with Maternal Obesity-Related Factors and Parity

Cited by 21 publications

References 53 publications

Postpartum Physical Activity and Weight Retention within One Year: A Prospective Cohort Study in Vietnam

Postpartum Physical Activity and Weight Retention within One Year: A Prospective Cohort Study in Vietnam

Rate of gestational weight gain trajectory is associated with adverse pregnancy outcomes

Physical activity and exercise during pregnancy in Africa: a review of the literature

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