Weight retention within the puerperium in adolescents: a risk factor for obesity?

Thame, M; Jackson, Maria; Manswell, Inger P; Osmond, Clive; Antoine, Matthias G

doi:10.1017/s1368980009991352

Cited by 14 publications

(8 citation statements)

References 24 publications

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“…GWG is highly influenced by a range of biological, metabolic, and social factors, which include maternal pre-pregnancy body mass index (BMI) [6], multi-parity [6, 7], maternal age, smoking, educational status [3], healthy eating, physical activity [2], and adequate counseling of mothers on weight gain during pregnancy [8]. However, in developing countries, there is very little information about GWG and its determinants.…”

Section: Introductionmentioning

confidence: 99%

Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia

Asefa

Nemomsa²

2016

Reprod Health

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BackgroundGestational weight gain is an important factor that supports optimal outcome for mothers and their infant. Whereas women who do not gain enough weight during pregnancy have a risk of bearing a baby with low birth weight, those who gain excessive weight are at increased risk of preeclampsia and gestational diabetes. Nonetheless, data on gestational weight gain and its determinants are scarce in developing countries, as it is difficult to collect the information throughout the pregnancy period. Therefore, the aim of the study was to assess weight gain during pregnancy and its associated factors.MethodsThe study employed a health facility based quantitative cross-sectional study design in Harari Regional State. The study included 411 women who had given birth at health institutions from January to July of 2014. The researchers collected both primary and secondary data by using a structured questionnaire and a checklist. Using logistic regression, the factors associated with gestational weight gain were assessed and, based on the United States Institute of Medicine criteria, gestational weight gains were categorized as inadequate, adequate and excessive.ResultsThe study revealed that 69.3 %, 28 %, and 2.7 % of the women gained inadequate, adequate and excess gestational weight, respectively. The mean gestational weight gain was 8.96 (SD ±3.27) kg. The factors associated with adequate gestational weight gain were body mass index ≥ 25Kg/m2 at early pregnancy (AOR = 3.2, 95 % CI 1.6, 6.3); engaging in regular physical exercise (AOR = 2.1, 95 % CI 1.2, 3.6); Antenatal care visit of ≥4 times (AOR = 2.9, 95 % CI 1.7, 5.2); consuming fruit and vegetable (AOR = 2.7, 95 % CI 1.2, 6.6), and meat (AOR = 2.7, 95 % CI 1.1, 97.2).ConclusionsGenerally, a small proportion of the women gained adequate gestational weight. The women who were with higher body mass index at early pregnancy, who frequently visited Antenatal care visit, and who consumed diverse food items were more likely to measure adequate gestational weight.

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Section: Introductionmentioning

confidence: 99%

Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia

Asefa

Nemomsa²

2016

Reprod Health

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“…While some of these relationships likely reflect the complex psychosocial needs and life choices of women who experience early childbirth, others could have a physiological basis originating close to the initial pregnancy. For example, women who give birth during adolescence in the developed world are prone to greater weight retention and adiposity than adolescents who did not experience pregnancy and older pregnant women, and this may influence their metabolic health in later life (Gunderson et al 2009, Thame et al 2010.…”

Section: Maternal-fetal Competition For Nutrientsmentioning

confidence: 99%

Competition for nutrients in pregnant adolescents: consequences for maternal, conceptus and offspring endocrine systems

Wallace

2019

Journal of Endocrinology

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The competition for nutrients that arises when pregnancy coincides with continuing or incomplete growth in young adolescent girls increases the risk of preterm delivery and low birthweight with negative after-effects for mother and child extending beyond the perinatal period. Sheep paradigms involving nutritional management of weight and adiposity in young, biologically immature adolescents have allowed the consequences of differential maternal growth status to be explored. Although nutrient reserves at conception play a modest role, it is the dietary manipulation of the maternal growth trajectory thereafter which has the most negative impact on pregnancy outcome. Overnourishing adolescents to promote rapid maternal growth is particularly detrimental as placental growth, uteroplacental blood flows and fetal nutrient delivery are perturbed leading to a high incidence of fetal growth restriction and premature delivery of low birthweight lambs, whereas in undernourished adolescents further maternal growth is prevented, and depletion of the maternal body results in a small reduction in birthweight independent of placental size. Maternal and placental endocrine systems are differentially altered in both paradigms with downstream effects on fetal endocrine systems, organ development and body composition. Approaches to reverse these effects have been explored, predominantly targeting placental growth or function. After birth, growth-restricted offspring born to overnourished adolescents and fed to appetite have an altered metabolic phenotype which persists into adulthood, whereas offspring of undernourished adolescents are largely unaffected. This body of work using ovine paradigms has public health implications for nutritional advice offered to young adolescents before and during pregnancy, and their offspring thereafter.

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“…Therefore, these women are less likely to adopt weight self-management behaviors and successfully lose the weight they gained during pregnancy. These characteristics include being an adolescent or older than 35 years, being part of a minority group, having more than two children, having a low income, having less than a college education, and being single (Durham 2008;Gore, Brown, & West, 2003;Oken, Taveraas, Popoola, Rich-Edwards, & Gillman, 2007;Olson, Strawderman, Hinton, & Pearson, 2003;Rubio & Montgomery, 2003;Shrewsbury et al, 2009;Thame, Jackson, Manswell, Osmond, & Antoine, 2009;Walker et al, 2004).…”

Section: Inhibitors Of Weight Self-managementmentioning

confidence: 99%

Postpartum Weight Self-Management: A Concept Analysis

Ohlendorf

2013

Res Theory Nurs Pract

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This analysis provides a clarification of the process concept of postpartum weight self-management and its consequences, giving direction for measurement, clinical application, and further research. Future nursing interventions and research should be aimed at helping women to view the postpartum period as a normative transition in which they have the opportunity to take charge of their own health and the health of their family.

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Weight retention within the puerperium in adolescents: a risk factor for obesity?

Cited by 14 publications

References 24 publications

Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia

Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia

Competition for nutrients in pregnant adolescents: consequences for maternal, conceptus and offspring endocrine systems

Postpartum Weight Self-Management: A Concept Analysis

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