|Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women.|
|PMID: 20974459 Owner: NLM Status: MEDLINE|
|OBJECTIVE: Document weight change trajectories that lead to gestational weight gain or postpartum weight loss outside clinical recommendations established by the Institute of Medicine.
STUDY DESIGN: Women aged 14-25 receiving prenatal care and delivering singleton infants at term (n = 427). Medical record review and 4 structured interviews conducted: second and third trimester, 6- and 12-months postpartum. Longitudinal mixed modeling to evaluate weight change trajectories.
RESULTS: Only 22% of participants gained gestational weight within Institute of Medicine guidelines. There were 62% that exceeded maximum recommendations-more common among those overweight/obese (body mass index ≥25.0; P < .0001). 52% retained ≥10 lb 1-year postpartum. Increased weight gain and retention documented among smokers and women with pregnancy-induced hypertension; breastfeeding promoted postpartum weight loss (all P < .02). Body mass index by race interaction suggested healthier outcomes for Latinas (P = .02).
CONCLUSION: Excessive pregnancy weight gain and inadequate postpartum weight loss are highly prevalent among young low-income ethnic minority women. Pregnancy and postpartum are critical junctures for weight management interventions.
|Bonnie E Gould Rothberg; Urania Magriples; Trace S Kershaw; Sharon Schindler Rising; Jeannette R Ickovics|
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|Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural Date: 2010-10-25|
|Title: American journal of obstetrics and gynecology Volume: 204 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2011 Jan|
|Created Date: 2010-12-28 Completed Date: 2011-01-21 Revised Date: 2014-09-19|
Medline Journal Info:
|Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States|
|Languages: eng Pagination: 52.e1-11 Citation Subset: AIM; IM|
|Copyright Â© 2011 Mosby, Inc. All rights reserved.|
|APA/MLA Format Download EndNote Download BibTex|
European Continental Ancestry Group
Guidelines as Topic
Hypertension, Pregnancy-Induced / ethnology, physiopathology
Institute of Medicine (U.S.)
Obesity / ethnology, physiopathology
Overweight / ethnology, physiopathology
Postpartum Period / physiology
Poverty / ethnology*
Pregnancy Trimester, Second / ethnology, physiology
Pregnancy Trimester, Third / ethnology, physiology
Smoking / ethnology, physiopathology
Weight Gain / ethnology*, physiology
Weight Loss / ethnology*, physiology
|R01 MH/HD61175/HD/NICHD NIH HHS; R01 MH061175/MH/NIMH NIH HHS; R01 MH061175-01A1/MH/NIMH NIH HHS|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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