ABSTRACT
Objective To explore the risk factors affecting the postpartum weight retention among women.Methods Six hundred eight postpartum women were involved to establish a baseline at 42 days of postpartum in Hefei Maternal and Child Health Center of Anhui province.Information regarding pre-pregnancy weight and weight gain during pregnancy and childbirth were obtained from the Maternal Information Management System.Results Women that under study were followed up at 3,6,9,and 12 months after childbirth,with 502,476,469 and 434 available copies of valid data,respectively.Indicators of physical activity were observed.Relationship between postpartum weight retention and physical activities were analyzed by mixed-effect model,together with repeated measure-analysis on related variances.The pre-pregnancy average weight of the study objects was (54.26 ± 8.11) kg,with postpartum average weight retention as (7.83 ± 5.12),(6.58 ± 5.21),(5.10 ± 5.19),(4.07 ±+ 4.96) and (3.43 ±+ 4.98) kg in 42 days,3,6,9,12 months,respectively.Rates of weight retention was significantly different at different times of repeated measures analysis on variance (P＜0.001).Physical activities were also significantly different at different time spans (P＜ 0.001).Results from the mixed-effects model showed that physical activity and postpartum weight retention were statistically associated when adjustments were made on factors as:pre-pregnancy BMI,ways of feeding,mode of delivery and other confounders (P＜0.001) while results from the mixed-effects model showed that these data were stable from step adjustment on confounding factors.Conclusion It seemed that the strength of physical activity play an important role on postpartum weight retention.
ABSTRACT
<p><b>OBJECTIVE</b>To study the impact of maternal weight gain during pregnancy on the risk of infant obesity within 1 year old.</p><p><b>METHODS</b>A total of 785 infants who were born in Hefei and participated children medical care in one district health center and their mothers were chosen as the research subjects from September 2010 to September 2011. Three groups were classified by weight gain during pregnancy according to the percentiles: excessive pregnancy weight gain group of 126 pairs, adequate pregnancy weight gain group of 542 pairs and inadequate pregnancy weight gain group of 117 pairs. Mother's general demographic information was collected. The height and weight were measured when the infant was 42 days, 3, 6, 9, and 12 months of physical examination. Z score was calculated. The differences of Z score in different groups were compared and the RR values of different weight gain during pregnancy on infant obesity were computed.</p><p><b>RESULTS</b>The weight-for-age Z score (WAZ) of infant at 42 days 3, 6, 9 and 12 months in excessive pregnancy weight gain group were 0.23 ± 0.93, 0.25 ± 1.03, 0.23 ± 0.99, 0.28 ± 1.09, 0.26 ± 1.14, respectively, all higher than that of the corresponding age in adequate pregnancy weight gain group (-0.04 ± 1.02, -0.07 ± 0.99, -0.05 ± 0.98, -0.06 ± 0.97, -0.07 ± 0.95, respectively). The differences were statistically significant (all P values < 0.05). In excessive pregnancy weight gain group, infant body mass index (BMI) at 9 months ((18.01 ± 0.15) kg/m(2)) and 12 months ((17.66 ± 0.15) kg/m(2)) were higher than that of adequate pregnancy weight gain group ((17.63 ± 0.13) and (17.22 ± 0.15) kg/m(2), respectively). The differences were statistically significant (all P values < 0.05). Differences of infant Height-for-age Z score (HAZ) among three groups were not statistically significant (all P values > 0.05). Compared to adequate pregnancy weight gain group, RR (95%CI) value of infant obesity in excessive pregnancy weight gain group was 1.86 (1.14 - 3.03).</p><p><b>CONCLUSION</b>Excessive maternal weight gain during pregnancy increased the risk of infant obesity within 1 year old.</p>