Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA)
Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA)
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DOI：
10.1038/sj.ijo.0802551
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发表时间：
2004-04-01
影响因子：
4.9
通讯作者：
Sidney, S
中科院分区：
文献类型：
--
作者：
Gunderson, EP;Murtaugh, MA;Sidney, S
目的：为了研究生育与体重和腰围（WC）变化的关系，我们在随访期间比较了怀孕或未分娩的妇女。研究设计：一项超过10年的多中心纵向观察研究。按随访期间妊娠和分娩次数定义的对照组：P0（0次妊娠，未妊娠），P1（1次以上流产或流产，“短”妊娠），B1（1次分娩）和B2（2次以上分娩）。P1、B1和B2组相对于P0的体重和腰围的平均变化分别按种族（黑白）、基线胎次（未产和已产）和基线体重状况（正常体重；BMI = 25 kg/m(2)）进行检查。对象：在1985 - 1986年和1995 - 1996年期间，对来自阿拉巴马州伯明翰、芝加哥、伊利诺伊州、明尼阿波利斯、明尼苏达州和加利福尼亚州奥克兰的2070名年龄在18 - 30岁的女性（1053名黑人和1017名白人）进行了五次以人群为基础的抽样调查。测量：在基线和第2、5、7和10年的检查中使用标准化方案获得体重和腰围测量。在基线和随访检查中评估社会人口学、生殖和行为特征。结果：与妊娠和生育相关的体重和体重增加因种族而异(P
OBJECTIVE: To examine the association of childbearing with weight and waist circumference ( WC) changes, we compared women with and without pregnancies or births during follow-up.STUDY DESIGN: A multicenter, longitudinal observational study over 10 years. Comparison groups defined by the number of pregnancies and births during follow-up: P0 ( 0 pregnancies; nongravid), P1 ( 1+ miscarriages or abortions; 'short' pregnancies), B1 ( 1 birth), and B2 (2+ births). Mean changes in weight and WC for P1, B1 and B2 groups vs P0 were examined separately by race ( black and white), baseline parity ( nulliparous and parous) and baseline weight status ( normal weight; BMI = 25 kg/m(2)).SUBJECTS: A population-based sample of 2070 women aged 18 - 30 y at baseline (1053 black subjects and 1017 white subjects) from Birmingham, Alabama, Chicago, Illinois, Minneapolis, Minnesota, and Oakland, California were examined five times between 1985 - 1986 and 1995 - 1996.MEASURMENTS: Weight and WC measurements were obtained using standardized protocol at baseline and examinations at years 2, 5, 7 and 10. Sociodemographic, reproductive, and behavioral attributes were assessed at baseline and follow-up examinations.RESULTS: Gains in weight and WC associated with pregnancy and childbearing varied by race ( P