Predictors of postpartum weight retention among urban Malaysian mothers: A prospective cohort study

Fadzil, Farizal; Shamsuddin, Khadijah; Puteh, Sharifa Ezat Wan; Tamil, Azmi Mohd; Ahmad, Shahzad; Hayi, Noor Shaheeran Abdul; Samad, Azah Abdul; Ismail, Ruhaini; Shauki, Nor Izzah Ahmad

doi:10.1016/j.orcp.2018.06.003

Cited by 35 publications

(44 citation statements)

References 31 publications

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“…In this study, high PWR was defined as weight retention exceeding the median value of 2.4 kg at 6 months postpartum. The observed average PWR at 6 months postpartum (2.69 kg for the total population) is lower than that reported from the US (5.6 kg) [34] and Brazil (4.8 kg) [24], while being in the range of values reported from Asian countries such as Taiwan, China and Malaysia (2.1-3.25 kg) [16,[30][31][32][33]. Excess PWR may increase the risk of lifetime obesity in women of childbearing age.…”

Section: Discussioncontrasting

confidence: 52%

“…However, this difference did not reach statistical significance, possible due to the small sample size of the cohort. Despite the scarcity of studies investigating diet as a determinant of PWR, available evidence suggests that higher energy intake may predict excessive PWR [16,30]. In their multivariable analysis, Lyu et al [30] reported that energy intake could explain 24% of the variation in weight retention at 6 months postpartum, and suggested the reduction in dietary energy intake as a strategy to prevent unhealthy weight retention and obesity after delivery.…”

Section: Discussionmentioning

confidence: 99%

“…The potential adverse health impacts of excessive PWR highlights the importance of identifying modifiable risk factors for weight retention after childbirth [16]. Available evidence suggests that excess gestational weight gain (GWG) [6,17] is an important risk factor for greater PWR, while varied and discordant findings were reported for other risk factors such as parity [18,19], maternal age [20], pre-pregnancy BMI [21][22][23] and smoking cessation [24].…”

Section: Introductionmentioning

confidence: 99%

“…Most studies of PWR have focused on women living in Western or Asian countries, and hence findings may not be easily extrapolated to other contexts and settings [16] such as the Eastern Mediterranean region (EMR) [16,24,[29][30][31][32][33][34]. Countries of the EMR are witnessing the nutrition transition with its characteristic shifts in diet, lifestyle and a disquieting escalation in the prevalence of nutrition-related NCDs [35].…”

Section: Introductionmentioning

confidence: 99%

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Postpartum Weight Retention and Its Determinants in Lebanon and Qatar: Results of the Mother and Infant Nutrition Assessment (MINA) Cohort

Nasreddine

Ayoub

Abbas

et al. 2020

IJERPH

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Excessive Postpartum Weight Retention (PWR) is postulated to increase the risk of adverse health outcomes for mothers and offspring. Using data from the Mother and Infant Nutritional Assessment (MINA) cohort in Lebanon and Qatar, this study aimed to examine PWR and its determinants at 6 months after delivery. Pregnant women (n = 183) were recruited during their first trimester and were followed up through pregnancy and after delivery. During this period, face-to-face interviews as well as extraction from medical charts were conducted to collect data regarding the socioeconomic, anthropometric and dietary intake of participants. The mean PWR (kg) among participants was 3.1 ± 5.6 at delivery, and 3.3 ± 5.3 and 2.7 ± 4.7 at 4 and 6 months after delivery, respectively. Results of the multiple logistic regression analyses showed that a Qatari nationality and excessive GWG were associated with higher odds of a high PWR (above median) while an insufficient GWG had lower odds. After adjustment for energy, participants with a high PWR reported a greater intake of proteins, Trans fat, cholesterol, sodium and lower intakes of mono and polyunsaturated fat as compared to those with a low PWR (below median). These findings suggested priority areas for interventions to prevent excessive PWR amongst women of childbearing age in Lebanon and Qatar.

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Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Postpartum Weight Retention and Its Determinants in Lebanon and Qatar: Results of the Mother and Infant Nutrition Assessment (MINA) Cohort

Nasreddine

Ayoub

Abbas

et al. 2020

IJERPH

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“…Our findings are generally consistent with those of previous studies in the postpartum period. A prospective cohort study of 420 Malaysian mothers suggested that increasing postpartum PA (walking, moderate-, and vigorous-intensity activities) could lead to less weight retention [33]. Similarly, another prospective cohort study of 1432 women in Sweden showed that mothers with higher levels of postpartum PA (a combination of occupational and leisure activities) lost more weight when compared to others who were inactive [34].…”

Section: Discussionmentioning

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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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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Effect of aerobic and resistive exercise on lipid profile and quality of life in overweight breastfeeding women: A randomized controlled trial

Anany,

El‐Kosery,

Ashmawy

et al. 2024

Physiotherapy Res Intl

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BackgroundBreastfeeding provides benefits for both mothers and babies. However, many women experience postpartum weight gain, unfavorable lipid profiles, and other postpartum problems that can adversely impact their overall quality of life (QoL).ObjectiveTo examine the effect of adding aerobic and resistive exercise to faradic stimulation and nutritional counseling on lipid profile and QoL in overweight breastfeeding women.Subjects and MethodsFifty‐four breastfeeding women were randomly allocated into two equally sized groups. Group A underwent abdominal faradic stimulation along with nutritional counseling for 12 weeks, whereas Group B received identical faradic stimulation and nutritional counseling and engaged in a combined aerobic and resistive exercise program for the same duration. Before and after treatment, the following anthropometric measurements were evaluated: body mass index (BMI), waist‐to‐hip ratio (W/H); lipid profile analysis, such as high‐density lipoprotein (HDL), low‐density lipoprotein (LDL), and triglycerides (TG); and the Short Form 36 Health Survey Questionnaire (SF‐36).ResultsAll outcome measures demonstrated significant improvements within the two groups (p < 0.05). Group B showed more significant reductions in BMI, W/H ratio, and LDL, along with greater significant increases in the SF‐36 domain scores for physical functioning, physical health problems, bodily pain, general health, energy/fatigue, social activity, mental health, and the total SF‐36 score (p < 0.05) compared to group A post‐treatment. However, there were no significant differences in HDL, TG, and the score of the emotional wellbeing domain of the SF‐36 between the groups after treatment (p > 0.05).Conclusion12‐week aerobic and resistive exercise is effective in reducing the BMI, W/H ratio, and LDL levels and enhancing the QoL in overweight breastfeeding women.

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Predictors of postpartum weight retention among urban Malaysian mothers: A prospective cohort study

Cited by 35 publications

References 31 publications

Postpartum Weight Retention and Its Determinants in Lebanon and Qatar: Results of the Mother and Infant Nutrition Assessment (MINA) Cohort

Postpartum Weight Retention and Its Determinants in Lebanon and Qatar: Results of the Mother and Infant Nutrition Assessment (MINA) Cohort

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

Effect of aerobic and resistive exercise on lipid profile and quality of life in overweight breastfeeding women: A randomized controlled trial

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