학술논문

Weight gain trajectories patterns from pregnancy to early postpartum: identifying women at risk and timing to prevent weight regain
Document Type
article
Source
BMC Pregnancy and Childbirth, Vol 22, Iss 1, Pp 1-10 (2022)
Subject
Weight gain
Maternal
Pregnancy
Postpartum
Trajectories
Women of reproductive age
Gynecology and obstetrics
RG1-991
Language
English
ISSN
1471-2393
Abstract
Abstract Background Woman's weight changes during pregnancy and postpartum contribute to obesity and health outcomes later in life. This study aimed to identify and characterize weight change trajectories from pregnancy to one year postpartum among adult women. Methods We used data from an ongoing cohort of healthy adult women (n = 819) with singleton pregnancies from 2007 – 2011. Sociodemographic data, pre-pregnancy body weight, and sedentary and breastfeeding practices were collected using questionaries applied by trained professionals. We applied a group-based trajectory modeling to distinguish weight change measured in the second and third trimesters of pregnancy and at one month, six, and 12 months postpartum. Multinomial regression models were run to characterize each trajectory. Results We identified six weight change trajectories with the main difference in the patterns followed after one month of delivery. One in three women (36.7%) was classified in some of the three postpartum weight gain trajectories and regained weight from the second trimester of the first year postpartum. Women who followed some of these trajectories were more likely to have higher age, obesity before pregnancy,