Abstract
This study explored the developmental trajectories of postpartum weight from 0.5 to 3 years after childbirth, and aimed to determine the associations between postpartum weight trajectories and prepregnancy body mass index and adequacy of gestational weight gain (GWG). Data from the Norwegian Mother and Child Cohort study were used, following 49,528 mothers 0.5, 1.5, and 3 years after childbirth. Analyses were performed using latent growth mixture modeling. Three groups of developmental trajectories of postpartum weight were found, with most women (85.9 %) having a low level of weight retention initially and slight gain over 3 years, whereas 5.6 % of women started at a high postpartum weight retention (on average 7.56 kg) at 0.5 years but followed by a marked weight loss over time (2.63 kg per year on average), and the third trajectory represented women (8.5 %) who had high weight retention high initially (on average 4.67 kg at 0.5 years) and increasing weight over time (1.43 kg per year on average). Prepregnancy overweight and obesity and excessive GWG significantly predicted a high postpartum weight trend. Women had substantial variability in postpartum weight development—both initially after birth and in their weight trajectories over time. Early preventive interventions may be designed to assist women with prepregnancy overweight and obesity and excessive GWG, which helps to reduce the increasing trend for postpartum weight.
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Davis, E. M., Stange, K. C., & Horwitz, R. I. (2012). Childbearing, stress and obesity disparities in women: A public health perspective. Maternal and Child Health Journal, 16(1), 109–118.
Siega-Riz, A. M., Evenson, K. R., & Dole, N. (2004). Pregnancy-related weight gain—A link to obesity? Nutrition Reviews, 62(7 Pt 2), S105–S111.
Linne, Y., Dye, L., Barkeling, B., et al. (2003). Weight development over time in parous women—The SPAWN study—15 years follow-up. International Journal of Obesity and Related Metabolic Disorders, 27(12), 1516–1522.
Schmitt, N. M., Nicholson, W. K., & Schmitt, J. (2007). 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. International Journal of Obesity, 31(11), 1642–1651.
Gore, S. A., Brown, D. M., & West, D. S. (2003). The role of postpartum weight retention in obesity among women: A review of the evidence. Annals of Behavioral Medicine, 26(2), 149–159.
Linne, Y., Barkeling, B., & Rossner, S. (2002). Long-term weight development after pregnancy. Obesity Reviews, 3(2), 75–83.
Gunderson, E. P. (2009). Childbearing and obesity in women: Weight before, during, and after pregnancy. Obstetrics and Gynecology Clinics of North America, 36(2), 317–332.
Linne, Y., Dye, L., Barkeling, B., et al. (2004). Long-term weight development in women: A 15-year follow-up of the effects of pregnancy. Obesity Research, 12(7), 1166–1178.
Nehring, I., Schmoll, S., Beyerlein, A., et al. (2011). Gestational weight gain and long-term postpartum weight retention: A meta-analysis. American Journal of Clinical Nutrition, 94(5), 1225–1231.
Mamun, A. A., Kinarivala, M., O’Callaghan, M. J., et al. (2010). Associations of excess weight gain during pregnancy with long-term maternal overweight and obesity: Evidence from 21 y postpartum follow-up. American Journal of Clinical Nutrition, 91(5), 1336–1341.
Magnus, P., Irgens, L. M., Haug, K., et al. (2006). Cohort profile: The Norwegian Mother and Child Cohort Study (MoBa). International Journal of Epidemiology, 35(5), 1146–1150.
Nilsen, R. M., Vollset, S. E., Gjessing, H. K., et al. (2009). Self-selection and bias in a large prospective pregnancy cohort in Norway. Paediatric and Perinatal Epidemiology, 23(6), 597–608.
Webb, J. B., Siega-Riz, A. M., & Dole, N. (2009). Psychosocial determinants of adequacy of gestational weight gain. Obesity (Silver Spring), 17(2), 300–309.
Bodnar, L. M., Siega-Riz, A. M., Simhan, H. N., et al. (2010). Severe obesity, gestational weight gain, and adverse birth outcomes. American Journal of Clinical Nutrition, 91(6), 1642–1648.
Perrin, E. M., Von Holle, A., Zerwas, S., et al. (2014). Weight-for-length trajectories in the first year of life in children of mothers with eating disorders in a large Norwegian cohort. International Journal of Eating Disorders. doi:10.1002/eat.22290.
Irgens, L., Bergsjø, P., & Lie, R. (2000). The Medical Birth Registry of Norway. Epidemiological research and surveillance throughout 30 years. Acta Obstetricia et Gynecologica Scandinavica, 79, 435–439.
Muthén, B. (2004). Latent variable analysis: Growth mixture modeling and related techniques for longitudinal data. In D. Kaplan (Ed.), Handbook of quantitative methodology for the social sciences (pp. 345–368). Thousand Oaks, CA: Sage.
Muthén, L. K., & Muthén, B. O. (2010). Mixture modeling with longitudinal data. Mplus User’s Guide (pp. 197–232). Los Angeles, CA: Muthén & Muthén.
Nylund, K. L., Asparouhov, T., & Muthén, B. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling, 14(4), 535–569.
Siega-Riz, A. M., Herring, A. H., Carrier, K., et al. (2010). Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months postpartum. Obesity, 18(10), 1996–2003.
Meyer, H. E., & Tverdal, A. (2005). Development of body weight in the Norwegian population. Prostaglandins Leukotrienes and Essential Fatty Acids, 73(1), 3–7.
Ng, M., Fleming, T., Robinson, M., et al. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet. doi:10.1016/s0140-6736(14),60460-8.
Olson, C. M., Strawderman, M. S., Hinton, P. S., et al. (2003). Gestational weight gain and postpartum behaviors associated with weight change from early pregnancy to 1 y postpartum. International Journal of Obesity and Related Metabolic Disorders, 27(1), 117–127.
Pedersen, P., Baker, J. L., Henriksen, T. B., et al. (2011). Influence of psychosocial factors on postpartum weight retention. Obesity, 19(3), 639–646.
Rooney, B. L., Schauberger, C. W., & Mathiason, M. A. (2005). Impact of perinatal weight change on long-term obesity and obesity-related illnesses. Obstetrics and Gynecology, 106(6), 1349–1356.
Krause, K. M., Lovelady, C. A., Peterson, B. L., et al. (2010). Effect of breast-feeding on weight retention at 3 and 6 months postpartum: Data from the North Carolina WIC Programme. Public Health Nutrition, 13(12), 2019–2026.
Ostbye, T., Krause, K. M., Swamy, G. K., et al. (2010). Effect of breastfeeding on weight retention from one pregnancy to the next: Results from the North Carolina WIC program. Preventive Medicine, 51(5), 368–372.
IOM, NRC. (2009). Weight gain during pregnancy: Reexamining the guidelines. Washington, DC: The National Academies Press.
Spencer, E. A., Appleby, P. N., Davey, G. K., et al. (2002). Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutrition, 5(4), 561–565.
Acknowledgments
We are grateful to all the participating families in Norway who take part in this ongoing cohort study. This research analysis was funded by the Research Council of Norway (Grant No. 196226V50). Dr. Zerwas is supported by the CTSA (UL1RR025747), the NIH Building Interdisciplinary Careers in Women’s Health Award (K12-HD01441), and K01MH100435. MoBa was funded by Norwegian Ministry of Health and the Ministry of Education and Research, NIH/NIEHS (Contract No. N01-ES-75558) and NIH/NINDS (Grant No. 1 UO1 NS 047537-01 and Grant No. 2 UO1 NS 047537-06A1).
Conflict of interest
Dr. Bulik is a consultant for Shire Pharmaceuticals and an author for Walker Books and Pearson.
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Abebe, D.S., Von Soest, T., Von Holle, A. et al. Developmental Trajectories of Postpartum Weight 3 Years After Birth: Norwegian Mother and Child Cohort Study. Matern Child Health J 19, 917–925 (2015). https://doi.org/10.1007/s10995-014-1593-x
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DOI: https://doi.org/10.1007/s10995-014-1593-x