Reducing Postpartum Weight Retention and Interpregnancy Weight Gain, an Important Goal Not Yet Realized

Vesco, Kimberly K.

doi:10.1002/oby.22398

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Our findings show that after childbirth may be a more effective time point to initiate weight control intervention studies. To date, interventions during pregnancy, particularly those in women with obesity, have led to little or no improvements in pregnancy outcomes or weight management both in pregnancy and postpartum . Furthermore, a Cochrane review reported that there remains a question of safety in intervening with pregnant women who have obesity as observational studies have found that some women with obesity lose weight during pregnancy and that this may be linked to an increase in small‐for‐gestational age births .…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Study of Maternal BMI in Successive Pregnancies

Reynolds

Egan

O’Malley

et al. 2020

Obesity

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Objective: This longitudinal observational study examined BMI changes between successive pregnancies. Methods: The computerized medical records of women who attended a large maternity hospital between 2009 and 2017 for their first and second singleton deliveries were analyzed. Women who had their weight first measured after 15 weeks of gestation in either pregnancy were excluded. Results: Of the 9,724 women, the incidence of obesity increased from 11.6% in the first pregnancy to 16.0% in the second. The mean interpregnancy interval was 32.5 ± 15.7 months, and median BMI change was +0.6 kg/m 2 (interquartile range 2.2; P < 0.001). Overall, 10.3% (1,006/9,724) developed overweight and 5.9% (571/9,724) developed obesity by the second pregnancy. Of the nulliparas in the overweight category, 20.6% (526/2,558) entered the obesity category. The development of obesity by the second pregnancy was independently associated with a longer interpregnancy interval, formula feeding at hospital discharge, taking antidepressants or anxiolytics, and postnatal depression. Professional/managerial employment was associated with a lower odds ratio of developing obesity. Conclusions: Maternal obesity increased between the first and second pregnancy, with one-fifth of nulliparas in the overweight category developing obesity. Pregnancy-related factors were identified as predictors of developing obesity. Further research is needed to assess whether interventions targeting these related factors could optimize maternal weight management between pregnancies.Obesity (2020) 28, 460-467.

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Section: Discussionmentioning

confidence: 99%

Longitudinal Study of Maternal BMI in Successive Pregnancies

Reynolds

Egan

O’Malley

et al. 2020

Obesity

View full text Add to dashboard Cite

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“…Four studies were conducted among women with overweight or obesity (17)(18)(19)(20), and only two showed a significant improvement on postpartum weight retention (18,19). Because of insufficient evidence, the authors called for more research to identify effective lifestyle interventions that intervene during both the pregnancy and postpartum periods to reduce postpartum weight retention (15,16,21).…”

Section: Introductionmentioning

confidence: 99%

Effects of a lifestyle intervention on postpartum weight retention among women with elevated weight

Liu

Wilcox

Hutto

et al. 2022

Obesity

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Objective: The effectiveness of a pregnancy and postpartum behavioral lifestyle intervention on postpartum weight retention was examined.Methods: Pregnant women with overweight and obesity in South Carolina were recruited into a theory-based randomized controlled trial (n = 112 intervention, n = 107 standard care), which was designed to reduce gestational weight gain and postpartum weight retention.Results: Participants (44% African American, 56% White) had a mean prepregnancy BMI of 32.3 kg/m 2 and were at 12.6 weeks' gestation at baseline. From prepregnancy to 6 months post partum, intervention participants retained less weight than standard care women (mean difference: À3.6 kg, 95% CI: À5.5 to À1.8). The intervention effect was maintained at 12 months post partum (mean difference: À2.4 kg, 95% CI: À4.3 to À0.5). Intervention women had 2.3 times higher odds of having no weight retention at 6 months post partum versus standard care women (95% CI: 1.2 to 4.4). Intervention participants also had lower odds of retaining ≥5% of their prepregnancy weight after delivery

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Reducing Postpartum Weight Retention and Interpregnancy Weight Gain, an Important Goal Not Yet Realized

Cited by 2 publications

References 7 publications

Longitudinal Study of Maternal BMI in Successive Pregnancies

Longitudinal Study of Maternal BMI in Successive Pregnancies

Effects of a lifestyle intervention on postpartum weight retention among women with elevated weight

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