Associations of excess weight gain during pregnancy with long-term maternal overweight and obesity: evidence from 21 y postpartum follow-up

被引:233
作者
Mamun, Abdullah A. [1 ]
Kinarivala, Mansey [1 ]
O'Callaghan, Michael J. [2 ,4 ]
Williams, Gail M. [1 ]
Najman, Jake M. [1 ,3 ]
Callaway, Leonie K. [2 ,5 ]
机构
[1] Univ Queensland, Sch Populat Hlth, Brisbane, Qld, Australia
[2] Univ Queensland, Sch Med, Brisbane, Qld, Australia
[3] Univ Queensland, Sch Social Sci, Brisbane, Qld, Australia
[4] Univ Queensland, Mater Childrens Hosp, Brisbane, Qld 4101, Australia
[5] Royal Brisbane & Womens Hosp, Brisbane, Qld, Australia
基金
英国医学研究理事会;
关键词
COHORT PROFILE; BIRTH COHORT; YOUNG-ADULTS; WOMEN; CHILDBEARING; RETENTION; IMPACT; LACTATION; HEALTH; RISK;
D O I
10.3945/ajcn.2009.28950
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: The contribution of gestational weight gain (GWG) to the development of obesity may have important implications for mothers in their later lives. However, whether GWG is a strong predictor of body mass index (BMI) 2 decades after the index pregnancy is unknown. Objective: We examined the long-term effect of GWG by using a community-based birth cohort study. Design: We followed a subsample of 2055 women from an original cohort of 7223 women who gave birth in Brisbane, Australia, between 1981 and 1983. Multivariable regression and multinomial regression were used to examine the independent associations of GWG per gestational week and Institute of Medicine (IOM) categories of combined prepregnancy BMI and GWG with BMI and its categories 21 y after the index pregnancy. Results: In analyses using GWG per week as a continuous exposure variable, maternal BMI (in kg/m(2)) increased, on average, by 0.52 (95% CI: 0.31, 0.73) for a 0.1-kg/wk greater GWG. This association became stronger when adjusted for maternal prepregnancy BMI. Analyses with IOM categories showed a greater postnatal increase in BMI for women defined as having excessive GWG (3.72, on average; 95% CI: 3.12, 4.31) than for women with adequate GWG. The women who gained excess weight during pregnancy had increased odds of being overweight [odds ratio (OR): 2.15; 95% CI: 1.64, 2.82] or obese (OR: 4.49; 95% CI; 3.42, 5.89) 21 y after the index pregnancy. These associations were independent of other potential factors. Conclusion: Weight gain during pregnancy independently predicts the long-term weight gain and obesity of women. Am J Clin Nutr 2010;91:1336-41.
引用
收藏
页码:1336 / 1341
页数:6
相关论文
共 45 条
[1]   Does childhood sexual abuse have an effect on young adults' nicotine disorder (dependence or withdrawal)? Evidence from a birth cohort study [J].
Al Mamun, Abdullah ;
Alati, Rosa ;
O'Callaghan, Michael ;
Hayatbakhsh, Mohammad R. ;
O'Callaghan, Frances V. ;
Najman, Jake M. ;
Williams, Gail M. ;
Bor, William .
ADDICTION, 2007, 102 (04) :647-654
[2]   Does excess pregnancy weight gain constitute a major risk for increasing long-term BMI? [J].
Amorim, Amanda R. ;
Rossner, Stephan ;
Neovius, Martin ;
Lourenco, Paulo M. ;
Linne, Yvonne .
OBESITY, 2007, 15 (05) :1278-1286
[3]  
Baker HWG, 1998, ENDOCRIN METAB CLIN, V27, P831
[4]  
Bedford A., 1978, Delusions-Symptoms-States Inventory state of anxiety and depression
[5]   THE RELATIONSHIP BETWEEN DIET, ACTIVITY, AND OTHER FACTORS, AND POSTPARTUM WEIGHT CHANGE BY RACE [J].
BOARDLEY, DJ ;
SARGENT, RG ;
COKER, AL ;
HUSSEY, JR ;
SHARPE, PA .
OBSTETRICS AND GYNECOLOGY, 1995, 86 (05) :834-838
[6]   Gestational diabetes mellitus [J].
Buchanan, TA ;
Xiang, AH .
JOURNAL OF CLINICAL INVESTIGATION, 2005, 115 (03) :485-491
[7]   Body composition changes during lactation are highly variable among women [J].
Butte, NF ;
Hopkinson, JM .
JOURNAL OF NUTRITION, 1998, 128 (02) :381S-385S
[8]   Diabetes mellitus in the 21 years after a pregnancy that was complicated by hypertension: findings from a prospective cohort study [J].
Callaway, Leonie K. ;
Lawlor, Debbie A. ;
O'Callaghan, Michael ;
Williams, Gail M. ;
Najman, Jake M. ;
McIntyre, David .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2007, 197 (05) :492.e1-492.e7
[9]   Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA) [J].
Gunderson, EP ;
Murtaugh, MA ;
Lewis, CE ;
Quesenberry, CP ;
West, DS ;
Sidney, S .
INTERNATIONAL JOURNAL OF OBESITY, 2004, 28 (04) :525-535
[10]   Epidemiology of gestational weight gain and body weight changes after pregnancy [J].
Gunderson, EP ;
Abrams, B .
EPIDEMIOLOGIC REVIEWS, 2000, 22 (02) :261-274