Relationships between prenatal smoking cessation, gestational weight gain and maternal lifestyle characteristics

Adegboye, Amanda Rodrigues Amorim; Rössner, Stephan; Neovius, Martin; Lourenço, Paulo Maurício Campanha; Linné, Yvonne

doi:10.1016/j.wombi.2009.05.002

Cited by 23 publications

(23 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The majority of previous studies have investigated the effect of smoking habits either on total GWG [18–20] or on proportions of GWG categories (inadequate, adequate, excessive) as defined by the IOM guidelines from 1990 [21–24] or 2009 [25–27]. In contrast to our analyses, most of these studies were based on a single measure of total GWG.…”

Section: Discussionmentioning

confidence: 96%

Are women who quit smoking at high risk of excess weight gain throughout pregnancy?

Hulmán

Lutsiv

Park

et al. 2016

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundSmoking cessation has been reported to be associated with high total gestational weight gain (GWG), which itself is a risk factor for adverse maternal-infant outcomes. Recent studies have criticized conventional single measures of GWG, since they may lead to biased results. Therefore, we aimed to compare patterns of GWG based on serial antenatal weight measurements between women who: never smoked, quit during pregnancy, continued to smoke.MethodsParticipants (N = 509) of our longitudinal study were recruited from seven antenatal clinics in Southwestern Ontario. Serial GWG measurements were abstracted from medical charts, while information on smoking status was obtained from a self-administered questionnaire at a median gestational age of 32 (27–37) weeks. GWG patterns were assessed by fitting piecewise mixed-effects models. First trimester weight gains and weekly rates for the last two trimesters were compared by smoking status.ResultsDuring the first trimester, women who never smoked and those who quit during pregnancy gained on average 1.7 kg (95 % CI: 1.4–2.1) and 1.2 kg (0.3–2.1), respectively, whereas women who continued smoking gained more than twice as much (3.5 kg, 2.4–4.6). Weekly rate of gain in the second and third trimesters was highest in women who quit smoking (0.60 kg/week, 0.54–0.65), approximately 20 and 50 % higher than in women who never smoked and those who smoked during pregnancy, respectively.ConclusionsIn this longitudinal study to examine GWG by smoking status based on serial GWG measurements, we found that women who quit smoking experienced a rapid rate of gain during the last two trimesters, suggesting that this high-risk group may benefit from targeted interventions.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-1056-z) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 96%

Are women who quit smoking at high risk of excess weight gain throughout pregnancy?

Hulmán

Lutsiv

Park

et al. 2016

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…We controlled for pre-pregnancy BMI and age as both have been associated with GWG (Olson & Strawderman, 2003; Stotland et al, 2005). In addition, because our sample consisted of women who had quit smoking, which is associated with GWG (Adegboye et al, 2010; Groff et al, 1997; Mongoven et al, 1996; Washio, et al, 2011), we controlled for pre-pregnancy nicotine dependence. We also controlled for the time between assessment in pregnancy and actual delivery because women were assessed at a varying number of weeks prior to delivery.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, smoking status has been related to GWG. Women who quit smoking prenatally gain more weight during pregnancy and are more likely to gain excessive GWG than do those who continue to smoke or who have never smoked (Adegboye et al, 2010; Favaretto et al, 2007; Groff, Mullen, Mongoven, & Burau, 1997; Mongoven et al, 1996; Washio, et al, 2011). Although these demographic and behavioral predictors provide insight into factors associated with GWG; the potential influence of other modifiable behaviors that have been related to weight outside of pregnancy is unclear.…”

Section: Introductionmentioning

confidence: 99%

Association of Restraint and Disinhibition to Gestational Weight Gain among Pregnant Former Smokers

Slane

Levine

2015

Women's Health Issues

View full text Add to dashboard Cite

Gaining excessive weight during pregnancy is associated with immediate maternal and fetal complications as well as longer term obesity. Pre-pregnancy body mass index, age, and smoking cessation have been related to gestational weight gain (GWG); however, less is known about how eating behaviors, that may be amenable to modification and have been related to weight gain outside of pregnancy, affect GWG. The present study evaluated the relationship of dietary restraint and disinhibition to GWG in a sample of women (n=248) who quit smoking before or early in pregnancy. Women self-reported height and pre-pregnancy weight during their third trimester. GWG was calculated by subtracting pre-pregnancy weight from third-trimester weight. The Three-Factor Eating Questionnaire assessed restraint and disinhibition. Average GWG was 14.60 (+7.64) kg and 47% of women had a GWG above the Institute of Medicine recommendations. Linear regression models were used to examine restraint and disinhibition as correlates of GWG, and multinomial logistic regressions were utilized to determine whether eating behaviors were associated with inadequate or excessive GWG. Restraint was positively associated with total GWG but disinhibition was not associated with GWG. Thus, conscious attempts to restrict intake were associated with GWG beyond the influence of covariates. These findings highlight the potential influence of modifiable eating behaviors on GWG and demonstrate the need for additional research to determine how these behaviors relate to GWG over the course of pregnancy.

show abstract

“…[16, 17] Indeed, continuing to smoke during pregnancy has been linked to lower gestational weight gains, and quitting smoking, particularly quitting earlier in pregnancy, [18] has been related larger GWG. [19–21] …”

Section: Introductionmentioning

confidence: 99%

Psychiatric disorders and gestational weight gain among women who quit smoking during pregnancy

Levine

Cheng

Marcus

et al. 2015

Journal of Psychosomatic Research

View full text Add to dashboard Cite

Objective Pregnancy is a common time for women to quit using cigarettes and other substances. Such changes in substance use as well as other psychiatric and psychosocial changes during pregnancy can affect gestational weight gain (GWG). Thus, we evaluated the relationship between psychiatric disorders and GWG among pregnant women who had quit smoking. Methods Pregnant former smokers (n = 281) enrolled in a larger trial for postpartum relapse prevention completed semi-structured psychiatric interviews and measures of prepregnancy nicotine dependence and smoking behavior, and were weighed to estimate gestational weight gain. Using linear regression and mixed-effect models, the relationship between a lifetime prevalence of each psychiatric disorder and total GWG was evaluated, controlling for variables previously related to GWG. Results Average GWG was 15.6 (± 8.5) kg, and 56% (n = 157) of women exceeded the GWG recommended by the Institute of Medicine (IOM) according to prepregnancy BMI. Over one-third (34.3%) of pregnant former smokers had a history of at least one diagnosable psychiatric disorder. History of psychiatric disorder was unrelated to GWG, with one exception; lifetime history of alcohol use disorder was associated with significantly larger GWG. Conclusion Women who quit smoking during pregnancy gain a considerable amount of gestational weight, and a previous history of alcohol use disorder is related to GWG. However, the benefits of smoking cessation to maternal and fetal health likely outweigh the disadvantage of weight gain, and other psychiatric disorders are not linked to GWG.

show abstract

Relationships between prenatal smoking cessation, gestational weight gain and maternal lifestyle characteristics

Abstract: In this population, smoking cessation in early pregnancy doubled the likelihood of gaining excess weight. This finding highlights the need for supportive measures to help control weight gain among women who quit smoking during pregnancy.

Cited by 23 publications

References 28 publications

Are women who quit smoking at high risk of excess weight gain throughout pregnancy?

Are women who quit smoking at high risk of excess weight gain throughout pregnancy?

Association of Restraint and Disinhibition to Gestational Weight Gain among Pregnant Former Smokers

Psychiatric disorders and gestational weight gain among women who quit smoking during pregnancy

Contact Info

Product

Resources

About