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Epidemiologic Trends and Maternal Risk Factors Predicting Postpartum Weight Retention

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Obesity During Pregnancy in Clinical Practice

Abstract

Over the past decade, women have become heavier at the time of conception, gain more weight during pregnancy, and are a greater risk of postpartum weight retention. Excessive weight gain during pregnancy is a key predictor of postpartum weight retention. Characterizing trends in postpartum weight retention can help to identify high-risk women who are susceptible to substantial weight retention postpartum and accelerated weight gain trajectories in midlife. Understanding postpartum weight trajectories can inform our efforts for primary prevention of obesity and help to reduce long-term obesity and its associated consequences.

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References

  1. Hubert HB, Feinleib M, McNamara PM, Castelli WP. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation. 1983;67(5):968–77.

    Article  PubMed  CAS  Google Scholar 

  2. Manson JE, Colditz GA, Stampfer MJ, et al. A prospective study of obesity and risk of coronary heart disease in women. N Engl J Med. 1990;322(13):882–9.

    Article  PubMed  CAS  Google Scholar 

  3. Manson JE, Willett WC, Stampfer MJ, et al. Body weight and mortality among women. N Engl J Med. 1995;333(11):677–85.

    Article  PubMed  CAS  Google Scholar 

  4. Willett WC, Manson JE, Stampfer MJ, et al. Weight, weight change, and coronary heart disease in women. Risk within the ‘normal’ weight range. JAMA. 1995;273(6):461–5.

    Article  PubMed  CAS  Google Scholar 

  5. Hytten FE, Leitch I. The physiology of pregnancy. 2nd ed. Oxford/London/Edinburgh: Blackwell Scientific Publications; 1971.

    Google Scholar 

  6. Gunderson EP, Quesenberry Jr CP, Lewis CE, et al. Development of overweight associated with childbearing depends on smoking habit: the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Obes Res. 2004;12(12):2041–53.

    Article  PubMed  Google Scholar 

  7. Gunderson EP, Jacobs Jr DR, Chiang V, et al. Childbearing is associated with higher incidence of the metabolic syndrome among women of reproductive age controlling for measurements before pregnancy: the CARDIA study. Am J Obstet Gynecol. 2009;201(2):177.e1–9.

    Article  Google Scholar 

  8. Colditz GA, Willett WC, Stampfer MJ, Rosner B, Speizer FE, Hennekens CH. A prospective study of age at menarche, parity, age at first birth, and coronary heart disease in women. Am J Epidemiol. 1987;126(5):861–70.

    PubMed  CAS  Google Scholar 

  9. Stuebe AM, Rich-Edwards JW, Willett WC, Manson JE, Michels KB. Duration of lactation and incidence of type 2 diabetes. JAMA. 2005;294(20):2601–10.

    Article  PubMed  CAS  Google Scholar 

  10. Gunderson EP, Lewis CE, Wei GS, Whitmer RA, Quesenberry CP, Sidney S. Lactation and changes in maternal metabolic risk factors. Obstet Gynecol. 2007;109(3):729–38.

    Article  PubMed  Google Scholar 

  11. Gunderson EP, Jacobs Jr DR, Chiang V, et al. Duration of lactation and incidence of the metabolic syndrome in women of reproductive age according to gestational diabetes mellitus status: a 20-year prospective study in CARDIA (Coronary Artery Risk Development in Young Adults). Diabetes. 2010;59(2):495–504.

    Article  PubMed  CAS  Google Scholar 

  12. Gunderson EP, Hedderson MM, Chiang V, et al. Lactation intensity and postpartum maternal glucose tolerance and insulin resistance in women with recent GDM: the SWIFT cohort. Diabetes Care. 2012;35(1):50–6.

    Article  PubMed  CAS  Google Scholar 

  13. Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA. 2012;307(5):491–7. doi: 10.1001/jama.2012.39. Epub 2012 Jan 17. PubMed PMID: 22253363.

  14. Center for Disease Control & Prevention. Pediatric & pregnancy nutrition surveillance system. 2011, http://www.cdc.gov/pednss/pnss_tables/tables_numeric.htm.

  15. Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight gain during pregnancy: reexamining the guidelines. Washington, DC: National Academies Press (US); 2009.

    Google Scholar 

  16. Catalano PM. Increasing maternal obesity and weight gain during pregnancy: the obstetric problems of plentitude. Obstet Gynecol. 2007;110(4):743–4.

    Article  PubMed  Google Scholar 

  17. Galtier-Dereure F, Boegner C, Bringer J. Obesity and pregnancy: complications and cost. Am J Clin Nutr. 2000;71(5 Suppl):1242S–8.

    PubMed  CAS  Google Scholar 

  18. American College of Obstetricians and Gynecologists. ACOG Committee Opinion number 315, September 2005. Obesity in pregnancy. Obstet Gynecol. 2005;106(3):671–5.

    Article  Google Scholar 

  19. Gunderson EP, Abrams B. Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiol Rev. 1999;21(2):261–75.

    Article  PubMed  CAS  Google Scholar 

  20. Gunderson EP, Abrams B, Selvin S. Does the pattern of postpartum weight change differ according to pregravid body size? Int J Obes Relat Metab Disord. 2001;25(6):853–62.

    Article  PubMed  CAS  Google Scholar 

  21. Institute of Medicine. Nutrition during pregnancy. Washington, DC: National Academy of Sciences; 1990.

    Google Scholar 

  22. Schmitt NM, Nicholson WK, Schmitt J. The association of pregnancy and the development of obesity – results of a systematic review and meta-analysis on the natural history of postpartum weight retention. Int J Obes (Lond). 2007;31(11):1642–51.

    Article  CAS  Google Scholar 

  23. Stevens-Simon C, Roghmann KJ, McAnarney ER. Relationship of self-reported prepregnant weight and weight gain during pregnancy to maternal body habitus and age. J Am Diet Assoc. 1992;92(1):85–7.

    PubMed  CAS  Google Scholar 

  24. Rowland ML. Self-reported weight and height. Am J Clin Nutr. 1990;52(6):1125–33.

    PubMed  CAS  Google Scholar 

  25. Gunderson EP, Murtaugh MA, Lewis CE, Quesenberry CP, West DS, Sidney S. Excess gains in weight and waist circumference associated with childbearing: the Coronary Artery Risk Development in Young Adults Study (CARDIA). Int J Obes Relat Metab Disord. 2004;28(4):525–35.

    Article  PubMed  CAS  Google Scholar 

  26. Smith DE, Lewis CE, Caveny JL, Perkins LL, Burke GL, Bild DE. Longitudinal changes in adiposity associated with pregnancy. The CARDIA Study. Coronary Artery Risk Development in Young Adults Study. JAMA. 1994;271(22):1747–51.

    Article  PubMed  CAS  Google Scholar 

  27. Rosenberg L, Palmer JR, Wise LA, Horton NJ, Kumanyika SK, Adams-Campbell LL. A prospective study of the effect of childbearing on weight gain in African-American women. Obes Res. 2003;11(12):1526–35.

    Article  PubMed  Google Scholar 

  28. Gunderson EP, Abrams B, Selvin S. The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy. Int J Obes Relat Metab Disord. 2000;24(12):1660–8.

    Article  PubMed  CAS  Google Scholar 

  29. Nehring I, Schmoll S, Beyerlein A, Hauner H, von KR. Gestational weight gain and long-term postpartum weight retention: a meta-analysis. Am J Clin Nutr. 2011;94(5):1225–31.

    Article  PubMed  CAS  Google Scholar 

  30. Rode L, Kjaergaard H, Ottesen B, Damm P, Hegaard HK. Association between gestational weight gain according to body mass index and postpartum weight in a large cohort of Danish women. Matern Child Health J. 2012;16(2):406–13.

    Article  PubMed  Google Scholar 

  31. Siega-Riz AM, Herring AH, Carrier K, Evenson KR, Dole N, Deierlein A. Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months postpartum. Obesity (Silver Spring). 2010;18(10):1996–2003.

    Article  Google Scholar 

  32. Gould Rothberg BE, Magriples U, Kershaw TS, Rising SS, Ickovics JR. Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women. Am J Obstet Gynecol. 2011;204(1):52.e1–11.

    Article  Google Scholar 

  33. Olson CM, Strawderman MS, Hinton PS, Pearson TA. Gestational weight gain and postpartum behaviors associated with weight change from early pregnancy to 1 y postpartum. Int J Obes Relat Metab Disord. 2003;27(1):117–27.

    Article  PubMed  CAS  Google Scholar 

  34. Gunderson EP, Rifas-Shiman SL, Oken E, et al. Association of fewer hours of sleep at 6 months postpartum with substantial weight retention at 1 year postpartum. Am J Epidemiol. 2008;167(2):178–87.

    Article  PubMed  Google Scholar 

  35. Gunderson EP. Childbearing and obesity in women: weight before, during, and after pregnancy. Obstet Gynecol Clin North Am. 2009;36(2):317–32; ix.

    Article  PubMed  Google Scholar 

  36. Linne Y, Rossner S. Interrelationships between weight development and weight retention in subsequent pregnancies: the SPAWN study. Acta Obstet Gynecol Scand. 2003;82(4):318–25.

    PubMed  Google Scholar 

  37. Rooney BL, Schauberger CW, Mathiason MA. Impact of perinatal weight change on long-term obesity and obesity-related illnesses. Obstet Gynecol. 2005;106(6):1349–56.

    Article  PubMed  Google Scholar 

  38. Amorim AR, Rossner S, Neovius M, Lourenco PM, Linne Y. Does excess pregnancy weight gain constitute a major risk for increasing long-term BMI? Obesity (Silver Spring). 2007;15(5):1278–86.

    Article  Google Scholar 

  39. Brawarsky P, Stotland NE, Jackson RA, et al. Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain. Int J Gynaecol Obstet. 2005;91(2):125–31.

    Article  PubMed  CAS  Google Scholar 

  40. Taffel SM, Keppel KG, Jones GK. Medical advice on maternal weight gain and actual weight gain. Results from the 1988 National Maternal and Infant Health Survey. Ann N Y Acad Sci. 1993;678:293–305.

    Article  PubMed  CAS  Google Scholar 

  41. Cogswell ME, Serdula MK, Hungerford DW, Yip R. Gestational weight gain among average-weight and overweight women–what is excessive? Am J Obstet Gynecol. 1995;172(2 Pt 1):705–12.

    Article  PubMed  CAS  Google Scholar 

  42. Wells CS, Schwalberg R, Noonan G, Gabor V. Factors influencing inadequate and excessive weight gain in pregnancy: Colorado, 2000-2002. Matern Child Health J. 2006;10(1):55–62.

    Article  PubMed  Google Scholar 

  43. Chasan-Taber L, Schmidt MD, Pekow P, Sternfeld B, Solomon CG, Markenson G. Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity (Silver Spring). 2008;16(7):1657–66.

    Article  Google Scholar 

  44. Keppel KG, Taffel SM. Pregnancy-Related Weight Gain and Retention: Implications of the 1990 Institute of Medicine Guidelines. Am J Public Health. 1993;83(8):1100–1103.

    Google Scholar 

  45. Boardley DJ, Sargent RG, Coker AL, Hussey JR, Sharpe PA. The relationship between diet, activity, and other factors, and postpartum weight change by race. Obstet Gynecol. 1995;86(5):834–8.

    Article  PubMed  CAS  Google Scholar 

  46. Greene GW, Smiciklas-Wright H, Scholl TO, Karp RJ. Postpartum weight change: how much of the weight gained in pregnancy will be lost after delivery? Obstet Gynecol. 1988;71(5):701–7.

    PubMed  CAS  Google Scholar 

  47. Schauberger CW, Rooney BL, Brimer LM. Factors that influence weight loss in the puerperium. Obstet Gynecol. 1992;79(3):424–9.

    Article  PubMed  CAS  Google Scholar 

  48. Ohlin A, Rossner S. Maternal body weight development after pregnancy. Int J Obes. 1990;14(2):159–73.

    PubMed  CAS  Google Scholar 

  49. Kac G, Benicio MH, Velasquez-Melendez G, Valente JG, Struchiner CJ. Gestational weight gain and prepregnancy weight influence postpartum weight retention in a cohort of Brazilian women. J Nutr. 2004;134(3):661–6.

    PubMed  CAS  Google Scholar 

  50. Parker JD, Abrams B. Differences in postpartum weight retention between black and white mothers. Obstet Gynecol. 1993;81(5 ( Pt 1)):768–74.

    PubMed  CAS  Google Scholar 

  51. Mamun AA, Kinarivala M, O’Callaghan MJ, Williams GM, Najman JM, Callaway LK. Associations of excess weight gain during pregnancy with long-term maternal overweight and obesity: evidence from 21 y postpartum follow-up. Am J Clin Nutr. 2010;91(5):1336–41.

    Article  PubMed  CAS  Google Scholar 

  52. Soltani H, Fraser RB. A longitudinal study of maternal anthropometric changes in normal weight, overweight and obese women during pregnancy and postpartum. Br J Nutr. 2000;84(1):95–101.

    Article  PubMed  CAS  Google Scholar 

  53. Sidebottom AC, Brown JE, Jacobs Jr DR. Pregnancy-related changes in body fat. Eur J Obstet Gynecol Reprod Biol. 2001;94(2):216–23.

    Article  PubMed  CAS  Google Scholar 

  54. Sohlstrom A, Forsum E. Changes in adipose tissue volume and distribution during reproduction in Swedish women as assessed by magnetic resonance imaging. Am J Clin Nutr. 1995;61(2):287–95.

    PubMed  CAS  Google Scholar 

  55. Troisi RJ, Wolf AM, Mason JE, Klingler KM, Colditz GA. Relation of body fat distribution to reproductive factors in pre- and postmenopausal women. Obes Res. 1995;3(2):143–51.

    PubMed  CAS  Google Scholar 

  56. den Tonkelaar I, Seidell JC, van Noord PA, Baanders-van Halewijn EA, Ouwehand IJ. Fat distribution in relation to age, degree of obesity, smoking habits, parity and estrogen use: a cross-sectional study in 11,825 Dutch women participating in the DOM-project. Int J Obes. 1990;14(9):753–61.

    Google Scholar 

  57. Kaye SA, Folsom AR, Prineas RJ, Potter JD, Gapstur SM. The association of body fat distribution with lifestyle and reproductive factors in a population study of postmenopausal women. Int J Obes. 1990;14(7):583–91.

    PubMed  CAS  Google Scholar 

  58. Gunderson EP, Sternfeld B, Wellons MF, et al. Childbearing may increase visceral adipose tissue independent of overall increase in body fat. Obesity (Silver Spring). 2008;16(5):1078–84.

    Article  Google Scholar 

  59. Linne Y, Dye L, Barkeling B, Rossner S. Weight development over time in parous women–the SPAWN study–15 years follow-up. Int J Obes Relat Metab Disord. 2003;27(12):1516–22.

    Article  PubMed  CAS  Google Scholar 

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Grant and Acknowledgment

Funding is provided by the National Institute of Diabetes and Digestive and Kidney Diseases (K01 DK059944 and R01 DK090047).

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Authors and Affiliations

  1. Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA

    Erica P. Gunderson PhD

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  1. Erica P. Gunderson PhD
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Correspondence to Erica P. Gunderson PhD .

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Editors and Affiliations

  1. Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA

    Wanda Nicholson

  2. School of Nursing, Pennsylvania State University, Hershey, Pennsylvania, USA

    Kesha Baptiste-Roberts

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Gunderson, E.P. (2014). Epidemiologic Trends and Maternal Risk Factors Predicting Postpartum Weight Retention. In: Nicholson, W., Baptiste-Roberts, K. (eds) Obesity During Pregnancy in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-2831-1_5

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  • DOI: https://doi.org/10.1007/978-1-4471-2831-1_5

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