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Trends in eating patterns, physical activity and socio-demographic factors in relation to postpartum body weight development

Published online by Cambridge University Press:  09 March 2007

Agneta Öhlin
Affiliation:
Obesity Unit, Karolinska Hospital, and Health Behaviour Research, Karolinska Institute, S-171 76, Stockholm, Sweden
Stephan RÖssner
Affiliation:
Obesity Unit, Karolinska Hospital, and Health Behaviour Research, Karolinska Institute, S-171 76, Stockholm, Sweden
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Abstract

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‘The Stockholm Pregnancy and Weight Development Study’ was conducted to identify risk factors for postpartum weight retention, such as dietary habits, physical activity and socio-demographic factors. The body weight development of 1423 pregnant women was studied prospectively from the beginning of the pregnancy until 1 year postpartum. Data were collected from routine pregnancy records and from questionnaires 6 and 12 months postpartum. Mean weight retention 1 year postpartum was 0.5 kg compared with the prepregnancy body weight. A ‘trend method’ was constructed to identify a number of pre-defined major patterns of behaviour. The weight retention 1 year postpartum was greater in women who (a) increased their energy intake during and after pregnancy, (b) increased their snack eating after pregnancy tc three or more snacks/d, and (c) decreased their lunch frequency starring during or after the pregnancy. Women who had retained > 5 kg 1 year postpartum were more seldom physically active in their leisure time throughout the study period compared with women with a smaller weight gain. Postpartum weight retention correlated negatively with the degree of physical activity in the second half year postpartum. These results indicate that postpartum weight retention is more affected by a change in lifestyle during, and above all after, pregnancy than by factors before pregnancy.

Type
Dietary intake and other factors affecting postpartum development
Copyright
Copyright © The Nutrition Society 1994

References

REFERENCES

Abitbol, M. (1969). Weight gain in pregnancy. American Journal of Obstetrics and Gynecology 104, 140157.CrossRefGoogle ScholarPubMed
Abraham, S. (1989). Problems with weight control during pregnancy. Medical Journal of Australia 151, 237.CrossRefGoogle ScholarPubMed
Ancri, G., Morse, E. H. & Clarke, R. P. (1977). Comparison of nutritional status of pregnant adolescents with adult pregnant women. III. Maternal protein and calorie intake and weight gain in relation to size of infant at birth. American Journal of Clinical Nutrition 30, 568572.CrossRefGoogle ScholarPubMed
Ash, S. (1986). Energy balance in pregnancy. In Recent Advances in Clinical Nutrition, vol. 2, pp. 109115 [Wahlquist, M. L. and Truswell, A. S., editors]. London: John Libbey.Google Scholar
Baric, L. & MacArthur, C. (1977). Health norms in pregnancy. British Journal of Preventive and Social Medicine 31, 3038.Google ScholarPubMed
Beal, V. A. (1971 a). Nutritional studies during pregnancy. I. Changes in intakes of calories, carbohydrate, fat, protein, and calcium. Journal of the American Dietetic Association 58, 312320.CrossRefGoogle ScholarPubMed
Beal, V. A. (1971 b). Nutritional studies during pregnancy. II. Dietary intake, maternal weight gain, and size of infant. Journal of the American Dietetic Association 58, 321326.CrossRefGoogle ScholarPubMed
Beazley, J. M. & Swinhoe, R. (1979). Body weight in parous women: is there any alteration between successive pregnancies? Acta Obstetrica et Gynecologica Scandinavica 58, 4547.CrossRefGoogle ScholarPubMed
Block, G. (1982). A review of validations of dietary assessment methods. American Journal of Epidemiology 4, 492505.CrossRefGoogle Scholar
Bradley, P. J. (1989). Does pregnancy cause obesity? Medical Journal of Australia 151, 543544.CrossRefGoogle ScholarPubMed
Callmer, E., Haraldsdottir, J., Löken, J., Seppänen, R. & Solvoll, K. (1985). Selecting a method for a dietary survey. Naringsforskning 29, 243252.Google Scholar
Craddock, D. (1978). Obesity and its Management. Edinburgh: Churchill Livingstone.Google Scholar
Dugdale, E. A. & Eaton-Evans, J. (1989). The effect of lactation and other factors on post-partum changes in body-weight and triceps skinfold thickness. British Journal of Nutrition 61, 149153.CrossRefGoogle ScholarPubMed
Endres, J., Dunning, S., Poon, S.-W., Welch, P. & Duncan, H. (1987). Older pregnant women and adolescents: Nutrition data after enrolment in WIC. Journal of the American Dietetic Association 8, 10111019.CrossRefGoogle Scholar
Fidanza, A. A. & Fidanza, R. (1986). A nutrition study involving a group of pregnant women in Assisi, Italy. Internarional Journal for Vitamin and Nutrition Research 56, 373380.Google ScholarPubMed
Frische, G., Olsen, J. & Jørgensen, F. (1984). Gravides levevaner. Et pilotprojekt om kost, alkohol og tobak (Pregnant womens' habits. A pilot project on diet, alcohol and tobacco). Ugeskrift for Laeger 33, 24972500.Google Scholar
Greene, G. W., Smiciklas-Wright, H., Scholl, T. O. & Karp, R. J. (1988). Postpartum weight change: how much of the weight gained in pregnancy will be lost after delivery? Obstetrics and Gynecology 71, 701707.Google Scholar
Haworth, J. C., Ellestad-Sayed, J. J., King, J. & Dilling, L. A. (1980). Fetal growth retardation in cigarette smoking mothers is not due to decreased maternal food intake. American Journal of Obstetrics and Gynecology 137, 719723.CrossRefGoogle Scholar
Heliövaara, M. & Aromaa, A. (1981). Parity and obesity. Journal of Epidemiology and Community Health 35, 197199.CrossRefGoogle ScholarPubMed
King, J. C., Cohenour, S. H., Calloway, D. H. & Jacobson, H. N. (1972). Assessment of nutritional status of teenage pregnant girls. I. Nutrient intake and pregnancy. American Journal of Clinical Nutrition 25, 916925.CrossRefGoogle ScholarPubMed
Krebs-Smith, S. & Clark, D. (1989). Validation of a nutrient adequacy score for use with women and children. Journal of the American Dietetic Association 89, 775783.CrossRefGoogle ScholarPubMed
Langhoff-Roos, J., Lindmark, G., Kylberg, E. & Gebre-Medihn, M. (1987). Energy intake and physical activity during pregnancy in relation to maternal fat accretion and infant birth weight. British Journal of Obstetrics and Gynaecology 94, 11781185.CrossRefGoogle Scholar
Lunell, N.-O., Persson, B. & Sterky, G. (1969). Dietary habits during pregnancy. A pilot study. Acta Obstetrica et Gynecologica Scandinavica 48, 187194.CrossRefGoogle ScholarPubMed
Midtvedt, T., Johansson, G., Carlstedt-Duke, B., Midtvedt, A.-C., Norin, K. E. & Gustafsson, J.-Å. (1990). The effect of a shift from a mixed diet to a lacto-vegetarian diet on some intestinal microflora associated characteristics. Microbial Ecology in Health and Disease 3, 3338.CrossRefGoogle Scholar
Newcombe, R. G. (1982). Development of obesity in parous women. Journal of Epidemiology and Community Health 36, 306309.CrossRefGoogle ScholarPubMed
Nobman, E. D. & Adams, S. (1970). Survey of changes in food habits during pregnancy. Public Health Reports 85, 11211127.CrossRefGoogle Scholar
Öhlin, A. (1991). Graviditet och övervikt. En undersöknine av faktorer relaterade till viktutveckline efter graviditet hos 1423 kvinnor (Pregnancy and overweight. A study of factors related to postpartum body weight development in 1423 women). PhD Thesis, Karolinska Institute, Stockholm.Google Scholar
Öhlin, A. & Rössner, S. (1990). Maternal body weight development after pregnancy. International Journal of Obesity 14, 159173.Google Scholar
Olsen, J., Frische, G., Poulsen, A. O. & Kirchheiner, H. (1989). Changing smoking, drinking and eating behaviour among pregnant women in Denmark. Evaluation of a health campaign in a local region. Scandinavian Journal of Social Medicine 17, 217280.CrossRefGoogle Scholar
Parham, E. S., Astrom, M. F. & King, S. H. (1990). The association of pregnancy weight gain with the mothers postpartum weight. Journal of the American Dietetic Association 90, 550554.CrossRefGoogle ScholarPubMed
Picone, T. A., Lindsay, H. A., Schramm, M. M. & Olsen, P. N. (1982). Pregnancy outcome in North American women. I. Effects of diet, cigarette smoking, and psychological stress on maternal weight gain. American Journal of Clinical Nutrition 36, 12051213.CrossRefGoogle Scholar
Pietinen, P., Hartman, A., Haapa, E., Räsänen, L., Happakoski, J., Palmgren, J., Albanes, D., Virtamo, J. & Huttonen, J. (1988). Reproducibility and validity of dietary assessment instruments. II. A qualitative food frequency questionnaire. American Journal of Epidemiology 3, 667676.CrossRefGoogle Scholar
Rimm, I. & Rimm, A. (1974). Association between socioeconomic status and obesity in 59 556 women. Preventive Medicine 3, 543–512.CrossRefGoogle Scholar
Rookus, M. A., Rokebrand, P., Burema, J. & Deurenberg, P. (1987). The effect of pregnancy on the body mass index 9 months postpartum in 49 women. International Journal of Obesity 11, 609618.Google ScholarPubMed
Russ, C. S., Ciavarella, P. A. & Atkinson, R. L. (1984). A comprehensive outpatient weight reduction program: Dietary patterns, psychological considerations, and treatment principles. Journal of the American Dietetic Association 4, 444446.CrossRefGoogle Scholar
Samuelsson, G., Osland-Johansson, T. & Persson, L.-.Å (1983). Kvinnans kostvanor och näringsintag under graviditet (Dietary habits and nutrient intake during pregnancy). Näringsforskning 27, 2225.Google Scholar
Schofield, C., Wheeler, E. & Stewart, J. (1987). The diets of pregnant and post-pregnant women in different social groups in London and Edinburgh: energy, protein, fat and fibre. British Journal of Nutrition 58, 369381.CrossRefGoogle ScholarPubMed
Sheldon, J. H. (1949). Maternal obesity. Lancet 6585, 869873.CrossRefGoogle Scholar
Statistics Sweden (1984). Socioekonomisk indelning (SEI). Meddelanden i samordningsfrågor, 1982:4 (Swedish socioeconomic classification. Reports on statistical coordination, 1982: 4). Stockholm, Sweden: Statistiska centralbyrån.Google Scholar
Svdnberg, B., Rossander, L. & Isaksson, B. (1985). Studies of dietary habits in pregnancy with special reference to the intake of iron. Acta Obstetrica et Gynecologica Scandinavica 48, Suppl., 2942.Google Scholar