Developmental trajectories of postpartum weight 3 years after birth: Norwegian Mother And Child Cohort study.

Developmental trajectories of postpartum weight 3 years after birth: Norwegian Mother And Child Cohort study.
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产后体重的发育轨迹出生后3年:挪威母亲和儿童队列研究。

DOI:
10.1007/s10995-014-1593-x
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发表时间:
2015-04
影响因子:
2.3
通讯作者:
Bulik CM
Bulik CM
中科院分区:
医学4区
文献类型:
--
作者:
Abebe DS;Von Soest T;Von Holle A;Zerwas SC;Torgersen L;Bulik CM

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本研究探讨了产后0.5 ~ 3年的产后体重发展轨迹,旨在确定产后体重轨迹与孕前体重指数和妊娠体重增加充分性(GWG)之间的关系。数据来自挪威母亲和儿童队列研究,随访49,528名母亲在分娩后0.5、1.5和3年。使用潜在生长混合物模型进行分析。发现了三组产后体重的发展轨迹,大多数妇女(85.9%)最初的体重保持水平较低,3年后略有增加,而5.6%的妇女在产后0.5年开始时体重保持很高(平均7.56公斤),但随着时间的推移体重明显下降(平均每年2.63公斤)。第三条轨迹代表了女性(8.5%),她们的体重保持度很高——最初(0.5年平均4.67公斤),随着时间的推移体重增加(平均每年1.43公斤)。孕前超重、肥胖、GWG超标显著预测产后高体重趋势。女性在产后体重发展方面有很大的差异——无论是刚出生时还是随着时间的推移,她们的体重轨迹都是如此。早期预防干预可用于帮助孕前超重、肥胖和GWG过多的妇女,这有助于减少产后体重增加的趋势。
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 pre-pregnancy 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). Pre-pregnancy 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 pre-pregnancy overweight and obesity and excessive GWG, which helps to reduce the increasing trend for postpartum weight.
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