Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women.
Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women.
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DOI：
10.1016/j.ajog.2010.08.028
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发表时间：
2011-01
影响因子：
9.8
通讯作者：
Ickovics JR
中科院分区：
文献类型：
--
作者：
Gould Rothberg BE;Magriples U;Kershaw TS;Rising SS;Ickovics JR
记录体重变化轨迹，导致妊娠期体重增加或产后体重减轻，超出医学研究所（IOM）建立的临床建议。14-25岁接受产前护理和足月分娩单胎婴儿的妇女（N=427）。医疗记录审查和四次结构化访谈：妊娠中期和晚期，产后6个月和12个月。纵向混合建模评估权重变化轨迹。只有22%的参与者在IOM的指导下增加了孕期体重。62%超过了最大推荐值——在超重/肥胖人群中更为常见（BMI≥25.0;p<0.0001）。52%的患者产后1年体重保留≥10磅。吸烟和妊高征妇女体重增加和滞留；母乳喂养促进产后体重减轻（均p< 0.02）。种族相互作用的BMI表明拉丁裔的结果更健康（p=0.02）。怀孕期间体重增加过多和产后体重减轻不足在低收入的少数民族年轻妇女中非常普遍。怀孕和产后是体重管理干预的关键时刻。
Document weight change trajectories that lead to gestational weight gain or postpartum weight loss outside clinical recommendations established by Institute of Medicine (IOM). Women aged 14-25 receiving prenatal care and delivering singleton infants at term (N=427). Medical record review and four structured interviews conducted: second and third trimester, 6- and 12-months postpartum. Longitudinal mixed modeling to evaluate weight change trajectories. Only 22% of participants gained gestational weight within IOM guidelines. 62% exceeded maximum recommendations -- more common among those overweight/obese (BMI≥25.0; p<0.0001). 52% retained ≥10 pounds one-year postpartum. Increased weight gain and retention documented among smokers and women with pregnancy-induced hypertension; breastfeeding promoted postpartum weight loss (all p<.02). BMI by race interaction suggested healthier outcomes for Latinas (p=0.02). Excessive pregnancy weight gain and inadequate postpartum weight loss are highly prevalent among young low-income ethnic minority women. Pregnancy and postpartum are critical junctures for weight management interventions.
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影响因子：
7.2
作者：
Caulfield, LE;Witter, FR;Stoltzfus, RJ
通讯作者：
Stoltzfus, RJ
DOI：
10.1097/00005721-200603000-00009
发表时间：
2006-03-01
影响因子：
2.4
作者：
Groth, S
通讯作者：
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影响因子：
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作者：
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通讯作者：
MERMELSTEIN, R
影响因子：
4.9
作者：
Linne, Y.;Neovius, M.
通讯作者：
Neovius, M.
影响因子：
4.9
作者：
Olson, CM;Strawderman, MS;Pearson, TA
通讯作者：
Pearson, TA