THE RELATIONSHIP BETWEEN DIET, ACTIVITY, AND OTHER FACTORS, AND POSTPARTUM WEIGHT CHANGE BY RACE
THE RELATIONSHIP BETWEEN DIET, ACTIVITY, AND OTHER FACTORS, AND POSTPARTUM WEIGHT CHANGE BY RACE
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DOI：
10.1016/0029-7844(95)00283-w
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发表时间：
1995-11-01
影响因子：
7.2
通讯作者：
SHARPE, PA
中科院分区：
文献类型：
--
作者：
BOARDLEY, DJ;SARGENT, RG;SHARPE, PA
目的：确定饮食摄入量和活动水平对产后体重变化的影响。方法：对产后7-12个月参加妇女、婴儿和儿童特殊补充喂养计划的白色和黑人妇女（n = 224）的饮食摄入量、活动水平、体重和其他母亲特征进行评估。结果：对于黑人和白色妇女来说，预测产后体重减轻的最重要变量是孕前体重、妊娠期体重增加、产次和产前锻炼。在控制了这些因素后，种族预测黑人女性比白色女性多保留6.4磅。这些结果可能是由于发现黑人妇女报告的平均能量摄入量显着较高（2039与1552千卡，P < .001），饮食中脂肪百分比较高（41%对38%，P < .001），产前和产后活动量明显减少。与白色母亲相比，黑人产后母亲的能量摄入量更高，活动水平更低，这可能是黑人母亲肥胖率明显更高的原因。这项研究表明，需要在产前和产后阶段采取干预措施，以帮助那些有风险保持怀孕期间体重增加的人。
Objective: To identify the impact of dietary intake and activity level on postpartum weight change.Methods: White (n = 121) and black (n = 224) women, 7-12 months postpartum, participating in the Special Supplemental Feeding Program for Women, infants, and Children were assessed for dietary intake, activity level, body weight, and other maternal characteristics.Results: For both black and white women, the most important variables in predicting postpartum weight loss were pre-pregnancy weight, gestational weight gain, parity, and prenatal exercise. After these factors were controlled, race predicted that black women retained 6.4 lb more than white women. These results may be due to the finding that black women reported significantly higher mean energy intake (2039 versus 1552 kcal, P < .001), higher percent fat in diet (41 versus 38%, P < .001), and significantly lower amounts of prenatal and postpartum activity.Conclusion: Higher energy intake and lower activity levels in black postpartum mothers compared with white mothers may contribute to the significantly higher rates of obesity found in black mothers. This study suggests the need for intervention strategies in the prenatal and postpartum periods to help those at risk of retaining weight gained during pregnancy.