| Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women. | |
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MedLine Citation:
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PMID: 20974459 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Bonnie E Gould Rothberg; Urania Magriples; Trace S Kershaw; Sharon Schindler Rising; Jeannette R Ickovics |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural Date: 2010-10-25 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 204 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-28 Completed Date: 2011-01-21 Revised Date: 2012-01-04 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 52.e1-11 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2011 Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Pathology, Yale University School of Medicine, New Haven, CT, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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R01 MH/HD61175/HD/NICHD 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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