Determinants of postpartum weight variation in a cohort of adult women; a hierarchical approach

Retention of the weight gained during pregnancy or the weight gain postpartum has been associated with increased prevalence of obesity in women of childbearing age. To identify determinants of weight variation at 24 months postpartum in women from 2 towns in Bahia, Brazil. Dynamic cohort data of 325...

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Published in:	Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral Vol. 28; no. 3; pp. 660 - 670
Main Authors:	Monteiro da Silva, Maria da Conceição, Marlúcia Oliveira, Ana, Pereira Magalhães de Oliveira, Lucivalda, Silva dos Santos Fonseca, Dra Nedja, Portela de Santana, Mônica Leila, de Araújo Góes Neto, Edgar, Rodrigues Porto da Cruz, Thomaz
Format:	Journal Article
Language:	English
Published:	Spain Grupo Arán 01-05-2013 Arán Ediciones, S. L
Subjects:	Adult Body Weight Enfoque jerárquico Factores de riesgo Female Humans Mujeres adultas cohorte del estudio Nutrition & Dietetics Obesity - prevention & control Overweight - prevention & control Peso posparto Postpartum Period Time Factors Weight Gain Young Adult Peso posparto Mujeres adultas cohorte del estudio Cohort study Postpartum weight Factores de riesgo Hierarchical approach Risk factors Adult women Enfoque jerárquico
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Summary:	Retention of the weight gained during pregnancy or the weight gain postpartum has been associated with increased prevalence of obesity in women of childbearing age. To identify determinants of weight variation at 24 months postpartum in women from 2 towns in Bahia, Brazil. Dynamic cohort data of 325 adult women were collected for 24 months postpartum. Weight variation at 24 months postpartum was considered a response variable. Socioeconomic, demographic, reproductive, related with childbirth variables and lifestyle conditions were considered exposure variables. A linear mixed-effects regression model with a hierarchical approach was used for data analysis. Suitable sanitary conditions in the household (2.175 kg; p = 0.001) and participation social programs for income transfer (1.300 kg; p = 0.018) contributed to weight gain in distal level of determinants, while at intermediate level, pre gestational overweight and surgical delivery had effects on postpartum weight, causing an average increase of 3.380 kg (p < 0.001) and loss of 2.451 kg (p < 0.001), respectively. At proximal level, a score point increase for breastfeeding yielded an average postpartum loss of 70 g (p = 0.002). Our results indicate the need to promote weight control during and after pregnancy, encourage extended breastfeeding, and improve living conditions through intersectoral interventions.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1699-5198 0212-1611 1699-5198
DOI:	10.3305/nh.2013.28.3.6391