Format

Send to

Choose Destination
See comment in PubMed Commons below
Prev Med. 2014 Mar;60:77-82. doi: 10.1016/j.ypmed.2013.12.018. Epub 2013 Dec 24.

Pregnancy and post-delivery maternal weight changes and overweight in preschool children.

Author information

1
University of California -San Francisco, School of Medicine, San Francisco, CA, USA; University of California -Berkeley, School of Public Health, Division of Epidemiology, Berkeley, CA, USA.
2
University of California -Berkeley, School of Public Health, Division of Epidemiology, Berkeley, CA, USA.
3
Stanford University School of Medicine, Division of General Medical Disciplines, Stanford, CA, USA.
4
University of California -Berkeley, School of Public Health, Division of Community Health and Human Development, Berkeley, CA, USA.
5
University of California -Berkeley, Atkins Center for Weight and Health, Berkeley, CA, USA.
6
University of California -Berkeley, School of Public Health, Division of Biostatistics, Berkeley, CA, USA.
7
University of California -Berkeley, School of Public Health, Division of Epidemiology, Berkeley, CA, USA; University of California -Berkeley, School of Public Health, Division of Community Health and Human Development, Berkeley, CA, USA. Electronic address: babrams@berkeley.edu.

Abstract

OBJECTIVES:

High maternal weight before and during pregnancy contributes to child obesity. To assess the additional role of weight change after delivery, we examined associations between pre- and post-pregnancy weight changes and preschooler overweight.

METHODS:

SAMPLE:

4359 children from the Children and Young Adults of the 1979 National Longitudinal Survey of Youth (NLSY) born to 2816 NLSY mothers between 1979 and 2006 and followed to age 4-5years old.

EXPOSURES:

gestational weight gain (GWG) and post-delivery maternal weight change (PDWC).

OUTCOME:

child overweight (body mass index (BMI) ≥85th percentile).

RESULTS:

Adjusted models suggested that both increased GWG (OR: 1.08 per 5kg GWG, 95% CI: 1.01, 1.16) and excessive GWG (OR: 1.29 versus adequate GWG, 95% CI: 1.06, 1.56) were associated with preschooler overweight. Maternal weight change after delivery was also independently associated with child overweight (OR: 1.12 per 5kg PDWC, 95% CI: 1.04, 1.21). Associations were stronger among children with overweight or obese mothers.

CONCLUSIONS:

Increased maternal weight gain both during and after pregnancy predicted overweight in preschool children. Our results suggest that healthy post-pregnancy weight may join normal pre-pregnancy BMI and adequate GWG as a potentially modifiable risk factor for child overweight.

KEYWORDS:

Body mass index; Child; Longitudinal studies; Mothers; Obesity; Overweight; Postpartum period; Pregnancy; Weight gain; Weight loss

PMID:
24370455
PMCID:
PMC4069123
DOI:
10.1016/j.ypmed.2013.12.018
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Support Center