Britz Sarah E, McDermott Kelly C, Pierce Christopher B, Blomquist Joan L, Handa Victoria L
University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Womens Health (Lond). 2012 Sep;8(5):513-9. doi: 10.2217/whe.12.35.
The objective of this study was to identify maternal, obstetrical and reproductive factors associated with long-term changes in maternal weight after delivery.
MATERIALS & METHODS: Participants were enrolled in a longitudinal cohort study of maternal health 5-10 years after childbirth. Data were obtained from obstetrical records and a self-administered questionnaire. Weight at the time of first delivery (5-10 years prior) was obtained retrospectively and each woman's weight at the time of her first delivery was compared with her current weight.
Among 948 women, obesity was associated with race, parity, education, history of diabetes and history of cesarean at the time of first delivery. On average, the difference between weight at the time of first delivery and weight 5-10 years later was -11 kg (11 kg weight loss). In a multivariate model, black race and diabetes were associated with significantly less weight loss. Cesarean delivery, parity and breastfeeding were not associated with changes in maternal weight.
Black women and those with a history of diabetes may be appropriate targets for interventions that promote a long-term healthy weight after childbirth.
本研究的目的是确定与产后母亲体重长期变化相关的母亲、产科和生殖因素。
参与者被纳入一项产后5至10年的母亲健康纵向队列研究。数据来自产科记录和一份自我填写的问卷。首次分娩时（5至10年前）的体重通过回顾性获取，并将每位女性首次分娩时的体重与其当前体重进行比较。
在948名女性中，肥胖与首次分娩时的种族、产次、教育程度、糖尿病史和剖宫产史有关。平均而言，首次分娩时的体重与5至10年后的体重之差为-11千克（体重减轻11千克）。在多变量模型中，黑人种族和糖尿病与体重减轻显著较少有关。剖宫产、产次和母乳喂养与母亲体重变化无关。
黑人女性和有糖尿病史的女性可能是促进产后长期健康体重干预措施的合适目标人群。
