Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months postpartum.
Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months postpartum.
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DOI：
10.1038/oby.2009.458
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发表时间：
2010-10
期刊：
影响因子：
--
通讯作者：
Deierlein A
中科院分区：
文献类型：
--
作者：
Siega-Riz AM;Herring AH;Carrier K;Evenson KR;Dole N;Deierlein A
产后体重保持在导致育龄妇女肥胖的途径中起着重要作用。本研究的目的是使用来自前瞻性妊娠队列的数据来检查中度（1-10磅）和高度（>10磅）产后体重保持的预测因素，该队列随访妇女进入产后期; n=688和550名妇女分别在3个月和12个月时。分析包括描述性统计和使用对数二项式技术的预测建模。该人群产后3个月和12个月的平均体重分别为9.4 lbs（SD=11.4）和5.7 lbs（SD=13.2）。在产后3个月，孕前体重、妊娠期体重增加和夜间睡眠时间与中度或高度体重保持相关，而婴儿回家后住院，饮食态度测试得分在第75百分位数以上，仅与高度体重保持相关。在产后12个月，孕前体重，妊娠期体重增加和母亲的教育与中度体重保持和妊娠期体重增加，母亲的年龄，种族，就业状况，并有一个婴儿在出生时住院与高体重保持。这项研究的结果说明了孕前体重和妊娠期体重增加在预测产后体重保持方面的重要性。此外，鉴于迄今为止缺乏成功的干预研究来帮助妇女在产后期间减肥，这项研究的结果可能有助于为未来的干预提供信息，这些干预措施侧重于睡眠时间，处理与住院婴儿相关的压力以及非临床饮食失调症。
Postpartum weight retention plays an important role in the pathway leading to obesity among women of childbearing age. The objective of this study was to examine predictors of moderate (1–10 pounds) and high (>10 pounds) postpartum weight retention using data from a prospective pregnancy cohort that followed women into the postpartum period; n=688 and 550 women at 3 and 12 months, respectively. Analysis included descriptive statistics and predictive modeling using log-binomial techniques. The average weight retained at 3 and 12 months postpartum in this population was 9.4 lbs (SD=11.4) and 5.7 lbs (SD=13.2) respectively. At 3- months postpartum, prepregnancy weight, gestational weight gain, and hours slept during the night were associated with moderate or high weight retention while having an infant hospitalized after going home and scoring in the upper 75th percentile of the eating attitudes test were associated only with high weight retention. At 12- months postpartum, prepregnancy weight, gestational weight gain and maternal education were associated with moderate weight retention and gestational weight gain, maternal age, race, employment status, and having an infant hospitalized at birth were associated with high weight retention. The results of this study illustrate the importance of prepregnancy weight and gestational weight gain in predicting postpartum weight retention. Furthermore, given the lack of successful intervention studies that exist to date to help women lose weight in the postpartum period, the results of this study may help to inform future interventions that focus on such aspects as hours of sleep, dealing with stress associated with a hospitalized infant, and non-clinical eating disorder symptomatology.
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影响因子：
6.9
作者：
GARNER, DM;OLMSTED, MP;GARFINKEL, PE
通讯作者：
GARFINKEL, PE
DOI：
10.1038/oby.2004.146
发表时间：
2004-07-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Linné, Y;Dye, L;Rössner, S
通讯作者：
Rössner, S
影响因子：
5.5
作者：
Gunderson, EP;Abrams, B
通讯作者：
Abrams, B
影响因子：
39.2
作者：
COLDITZ, GA;WILLETT, WC;MANSON, JE
通讯作者：
MANSON, JE
影响因子：
7.2
作者：
BOARDLEY, DJ;SARGENT, RG;SHARPE, PA
通讯作者：
SHARPE, PA