Document Detail


Post-partum weight change patterns in the WHO Multicentre Growth Reference Study.
MedLine Citation:
PMID:  21338469     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The interplay of factors that affect post-partum loss or retention of weight gained during pregnancy is not fully understood. The objective of this paper is to describe patterns of weight change in the six sites of the World Health Organization (WHO) Multicentre Growth Reference Study (MGRS) and explore variables that explain variation in weight change within and between sites. Mothers of 1743 breastfed children enrolled in the MGRS had weights measured at days 7, 14, 28 and 42 post-partum, monthly from 2 to 12 months and bimonthly thereafter until 24 months post-partum. Height, maternal age, parity and employment status were recorded and breastfeeding was monitored throughout the follow-up. Weight change patterns varied significantly among sites. Ghanaian and Omani mothers lost little or gained weight post-partum. In Brazil, India, Norway and USA, mothers on average lost weight during the first year followed by stabilization in the second year. Lactation intensity and duration explained little of the variation in weight change patterns. In most sites, obese mothers tended to lose less weight than normal-weight mothers. In Brazil and Oman, primiparous mothers lost about 1 kg more than multiparous mothers in the first 6 months. In India and Ghana, multiparous mothers lost about 0.6 kg more than primiparas in the second 6 months. Culturally defined mother-care practices probably play a role in weight change patterns among lactating women. This hypothesis should stimulate investigation into gestational weight gain and post-partum losses in different ethnocultural contexts.
Authors:
Adelheid W Onyango; Laurie Nommsen-Rivers; Amani Siyam; Elaine Borghi; Mercedes de Onis; Cutberto Garza; Anna Lartey; Anne Baerug; Nita Bhandari; Kathryn G Dewey; Cora Luiza Araújo; Ali Jaffer Mohamed; Jan Van den Broeck;
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-22
Journal Detail:
Title:  Maternal & child nutrition     Volume:  -     ISSN:  1740-8709     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101201025     Medline TA:  Matern Child Nutr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 Blackwell Publishing Ltd.
Affiliation:
Department of Nutrition for Health and Development, World Health Organization, Geneva 27, Switzerland Division of Neonatology, Cincinnati Children's Hospital, Cincinnati, Ohio 45229-3039, USA Boston College, Chestnut Hill, Massachusetts 02467, USA Department of Nutrition and Food Science, University of Ghana, Accra, Ghana Norwegian Resource Centre for Breastfeeding, Oslo University Hospital, 0154 Oslo, Norway Society for Applied Sciences, New Delhi 110016, India Department of Nutrition, Program in International and Community Nutrition, University of California, Davis, California 95616-8669, USA Faculty of Nutrition, Federal University of Pelotas, Rio Grande do Sul, Brazil Directorate General of Health Affairs, Ministry of Health, Muscat, Sultanate of Oman Centre for International Health, University of Bergen, N-5009 Bergen, Norway.
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