Document Detail


Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women.
MedLine Citation:
PMID:  20974459     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Bonnie E Gould Rothberg; Urania Magriples; Trace S Kershaw; Sharon Schindler Rising; Jeannette R Ickovics
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2010-10-25
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  204     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2011 Jan 
Date Detail:
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    
Other Details:
Languages:  eng     Pagination:  52.e1-11     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 Mosby, Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans
Connecticut
European Continental Ancestry Group
Female
Georgia
Guidelines as Topic
Hispanic Americans
Humans
Hypertension, Pregnancy-Induced / ethnology,  physiopathology
Institute of Medicine (U.S.)
Obesity / ethnology,  physiopathology
Overweight / ethnology,  physiopathology
Postpartum Period / physiology
Poverty / ethnology*
Pregnancy
Pregnancy Trimester, Second / ethnology,  physiology
Pregnancy Trimester, Third / ethnology,  physiology
Reference Values
Smoking / ethnology,  physiopathology
United States
Weight Gain / ethnology*,  physiology
Weight Loss / ethnology*,  physiology
Young Adult
Grant Support
ID/Acronym/Agency:
R01 MH/HD61175/HD/NICHD NIH HHS; R01 MH061175/MH/NIMH NIH HHS; R01 MH061175-01A1/MH/NIMH NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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