The Impact of a Lifestyle Intervention on Postpartum Weight Retention Among At-Risk Hispanic Women

Palnati, Madhuri; Marcus, Bess H.; Pekow, Penelope S.; Rosal, Milagros C.; Manson, JoAnn E.; Chasan‐Taber, Lisa

doi:10.1016/j.amepre.2021.02.005

Cited by 12 publications

(16 citation statements)

References 49 publications

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“…Palnati et al 45 intervention used culturally tailored diet and exercise to target healthy behavior change and weight loss among Hispanic women, and measured the acculturation (Psychological Acculturation Scale) of study participants in order to compare participants within intervention and control groups. Acculturation was not found to be a significant factor in the Palnati et al 45 study, nor did the authors discuss acculturation in relation to their findings. Walker et al 49 made ethnic-specific adaptations for their intervention with Black, Hispanic, and white participants, accounting for the cultural norms, dietary preferences, and social support of participants.…”

Section: Bodymentioning

confidence: 99%

“…Overall, the six intervention studies have focused on Hispanic, Black, or a combination of Hispanic and Black and low-income birthing people, which also included white participants along with Black and Hispanic birthing people. Two of the interventions had no discussion about cultural tailoring of the programs to the samples, 22 , 26 while the other four 45 , 46 , 49 , 51 did state that the interventions were culturally and/or individually tailored to the participants’ preferences and needs. This tailoring, however, was discussed in varying degrees of transparency and often did not include stakeholder engagement.…”

Section: Bodymentioning

confidence: 99%

“…Interestingly, the two interventions 22 , 26 that did not discuss cultural tailoring of their programs did report significant differences between intervention and control groups, while the other interventions did not find significant differences. 45 , 46 , 49 , 51 …”

Section: Bodymentioning

confidence: 99%

“…These articles were then full text-screened, and an additional nine articles were identified during the full-text stage and included within the final list for data extraction. 11,12,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][39][40][41][42][43][44][45][46][48][49][50][51][52][53][54][55][56][57][58][59][60] Figure 1 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram illustrates the identification of records and the screening process for the literature included in this review. Next, the qualified articles were organized according to the levels and domains of influence.…”

Section: Searching the Literaturementioning

confidence: 99%

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Racial and ethnic disparities in postpartum weight retention: A narrative review mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework

Kent-Marvick

Cloyes

Meek

et al. 2023

Womens Health (Lond Engl)

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Three out of four people who give birth retain excess weight at 1-year postpartum. This is concerning, as postpartum weight retention is associated with increased morbidity risk. People from racial and ethnic minority groups are disproportionately affected by postpartum weight retention; 80% of Black and 69.5% of Hispanic/Latina/o/x birthing people begin pregnancy overweight or obese compared to 55% of white, non-Hispanic birthing people. Black and Hispanic/Latina/o/x birthing people also may be more likely to experience postpartum weight retention. Investigating these risks in people from racially/ethnically diverse backgrounds may be an important way to address disparities in morbidity and mortality. This narrative review uses an intersectional approach to the investigation of U.S.-based racial and ethnic disparities in postpartum weight retention, applying both the framework of Reproductive Justice and the National Institute on Minority Health and Health Disparities Research Framework. The results illustrate the Levels and Domains of research in this field of investigation, revealing that efforts have been focused at the Level of the Individual (i.e. diet, activity). Mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework reveals that gaps in research exist in areas recognized as key drivers of health and health disparities (e.g. the finding that no studies have investigated postpartum weight retention within the Healthcare System Domain). Furthermore, participant-driven insights into postpartum weight retention illuminated barriers to health behaviors encountered by birthing people. Among these insights is the need for postpartum weight retention efforts to address participants’ real-life circumstances and social settings so we may address structural factors that impact postpartum weight retention. Last, stakeholder engagement and further elucidation of the social-determinants-of-health contexts will be essential to the development of high-quality interventions. Researchers must consider how the intersections of the National Institute on Minority Health and Health Disparities Research Framework’s Levels and Domains can help to provide a route for understanding the complexities related to postpartum weight retention among minority-health and health-disparity populations. Plain Language Summary A Review of the Literature Using the National Institutes of Health, National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to Create a Roadmap of the Studies Investigating Racial and Ethnic Disparities in Excess Weight Retained After Pregnancy Why was this study done? Three out of four people who give birth retain excess weight at 1-year post-pregnancy. This is concerning, as weight that is retained following pregnancy is associated with increased risk for the development of disease. People from racial and ethnic minority groups experience weight retention more frequently post-pregnancy. Black and Hispanic/Latina/o/x birthing people are more likely to begin pregnancy overweight or obese. They are also more likely to retain excess weight following pregnancy. Investigating these risks in people from racially/ethnically diverse backgrounds may be an important way to address disparities in excess weight retained post-pregnancy. What did the researchers do? This review of the literature used a tool called the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to map the literature to date on racial and ethnic disparities in excess weight retained post-pregnancy. What did the researchers find? We used the NIMHD Research Framework as a visual guide of the existing research about excess weight retained following pregnancy. Results illustrate the levels and domains at which research has been investigated. These results reveal that efforts have been focused at the individual level, with most attention given to diet and activity. Mapping the literature to the NIMHD Research Framework sheds light on gaps in the research. What do the findings mean? Mapping the literature has revealed a need for investigations that make connections between the levels and domains of the Framework, so that we may understand underlying factors that contribute to health disparities.

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Section: Bodymentioning

confidence: 99%

Section: Bodymentioning

confidence: 99%

Section: Bodymentioning

confidence: 99%

Section: Searching the Literaturementioning

confidence: 99%

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Racial and ethnic disparities in postpartum weight retention: A narrative review mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework

Kent-Marvick

Cloyes

Meek

et al. 2023

Womens Health (Lond Engl)

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“…Postpartum weight retention, the weight change from pre-pregnancy to a period postpartum (typically > 6 months), is associated with a higher risk of overweight and obesity, cardiovascular disease, and diabetes [ 4 ]. Studies have shown that excessive postpartum weight retention is common one to two years postpartum [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding, socioeconomic status, and long-term postpartum weight retention

et al. 2023

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Background Almost half of all pregnant women in the United States gain weight above Institute of Medicine gestational weight gain guidelines. Breastfeeding has been shown to reduce weight retention in the first year postpartum; however, women with lower socioeconomic status (SES) tend to initiate breastfeeding less often than women with higher SES. We investigated associations between duration of breastfeeding with mother’s long-term postpartum weight status at 4–10 years and evaluated whether the associations varied by SES. Methods Maternal and infant dyads (N = 2144 dyads) are from the Geographic Research on Wellbeing survey (GROW), 2012–2013, a long-term, cross-sectional follow-up of the Maternal and Infant Health Assessment (MIHA) based in California, USA. Pre-pregnancy body mass index (BMI) was obtained from self-report of height and weight during MIHA, while breastfeeding history and self-report of current body weight was collected at the 4–10 year GROW postpartum visit. SES score was derived from a composite score of percent federal poverty level and education and was dichotomized into High and Low SES groups at a score of three. Multivariable linear regression was used to examine association between breastfeeding and maternal weight status, and to examine for effect modification by SES. Results Average long-term weight retention 4–10 years postpartum was 4.0 kg. Fewer lower SES vs. higher SES women breast fed at least six months (51% versus 70%, p < .001) or ever breastfed (74% versus 89%, P < .001). Women who breastfed at least six months had lower long-term postpartum weight retention compared to those who did not (b = -1.06 kg, (-1.93, 0.25); p = 0.01); however, these association did not vary by SES. Conclusion Six months of breastfeeding is associated with lower BMI at 4–10 years and lower body weight, and effects do not vary by SES. Future policies and guidelines should consider building an infrastructure that is supportive of longer breastfeeding duration. Moreover, further research is needed to identify the impact of additional behavioral and environmental factors on long-term maternal weight status. Understanding the drivers of excessive weight retention pospartum can help us not only improve the pregnant person’s health but the health of their children.

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The Impact of a Lifestyle Intervention on Cardiometabolic Risk Factors among Postpartum Hispanic Women with Overweight and Obesity in a Randomized Controlled Trial (Proyecto Mamá)

Wagner,

Pekow,

Marcus

et al. 2024

Matern Child Health J

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The Impact of a Lifestyle Intervention on Postpartum Weight Retention Among At-Risk Hispanic Women

Cited by 12 publications

References 49 publications

Racial and ethnic disparities in postpartum weight retention: A narrative review mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework

Racial and ethnic disparities in postpartum weight retention: A narrative review mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework

Breastfeeding, socioeconomic status, and long-term postpartum weight retention

The Impact of a Lifestyle Intervention on Cardiometabolic Risk Factors among Postpartum Hispanic Women with Overweight and Obesity in a Randomized Controlled Trial (Proyecto Mamá)

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