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The Role of Parity in Gestational Weight Gain and Postpartum Weight Retention.胎次在孕期体重增加和产后体重滞留中的作用。
Womens Health Issues. 2016 Jan-Feb;26(1):123-9. doi: 10.1016/j.whi.2015.09.012. Epub 2015 Nov 3.
2
Gestational weight gain and risks for adverse perinatal outcomes: A retrospective cohort study based on the 2009 Institute of Medicine guidelines.孕期体重增加与不良围产期结局风险:一项基于2009年医学研究所指南的回顾性队列研究。
Taiwan J Obstet Gynecol. 2015 Aug;54(4):421-5. doi: 10.1016/j.tjog.2015.06.010.
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Factors associated with postpartum weight retention in a Brazilian cohort.巴西队列中与产后体重滞留相关的因素。
Rev Bras Ginecol Obstet. 2015 Apr;37(4):164-71. doi: 10.1590/SO100-720320150005186.
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Breast-feeding and postpartum weight retention: a systematic review and meta-analysis.母乳喂养与产后体重滞留:一项系统评价与荟萃分析。
Public Health Nutr. 2015 Dec;18(18):3308-16. doi: 10.1017/S1368980015000828. Epub 2015 Apr 21.
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Postpartum weight retention risk factors and relationship to obesity at 1 year.产后体重滞留的风险因素及其与 1 年后肥胖的关系。
Obstet Gynecol. 2015 Jan;125(1):144-152. doi: 10.1097/AOG.0000000000000565.
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Pre-pregnancy BMI, gestational weight gain and postpartum weight retention: a meta-analysis of observational studies.孕前体重指数、孕期体重增加与产后体重滞留:观察性研究的荟萃分析
Public Health Nutr. 2015 Aug;18(12):2172-82. doi: 10.1017/S1368980014002523. Epub 2014 Nov 20.
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The impact of obesity on US mortality levels: the importance of age and cohort factors in population estimates.肥胖对美国死亡率水平的影响:人口估计中年龄和队列因素的重要性。
Am J Public Health. 2013 Oct;103(10):1895-901. doi: 10.2105/AJPH.2013.301379. Epub 2013 Aug 15.
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Association between weight gain during pregnancy and postpartum weight retention and obesity: a bias-adjusted meta-analysis.妊娠期间体重增加与产后体重滞留和肥胖的关系:一项经过偏差调整的荟萃分析。
Nutr Rev. 2013 Jun;71(6):343-52. doi: 10.1111/nure.12034. Epub 2013 May 2.
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Comparison of gestational weight gain-related pregnancy outcomes in American primiparous and multiparous women.美国初产妇和经产妇的妊娠结局与妊娠期体重增加的比较。
Am J Clin Nutr. 2013 May;97(5):1100-6. doi: 10.3945/ajcn.112.052258. Epub 2013 Apr 3.
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Prepregnancy body mass index and gestational weight gain with the outcome of pregnancy: a 13-year study of 292,568 cases in China.孕前体重指数和孕期体重增加与妊娠结局的关系:中国 292568 例 13 年的研究。
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台湾队列研究中产后体重滞留的危险因素。

Postpartum Weight Retention Risk Factors in a Taiwanese Cohort Study.

机构信息

MacKay Memorial Hospital, Taipei City, Taiwan.

出版信息

Obes Facts. 2018;11(1):37-45. doi: 10.1159/000484934. Epub 2018 Feb 7.

DOI:10.1159/000484934
PMID:29402791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5869379/
Abstract

OBJECTIVE

Excess postpartum weight retention (PPWR) is related to long-term weight gain. Therefore, this study was conducted to identify the risk factors for PPWR to provide guidance for preventive strategies.

METHODS

This cohort study surveyed 461 women who gave birth at a medical center between March 2014 and March 2016. The participants completed a questionnaire within 1 month of delivery, and their 6-month postpartum weight was tracked.

RESULTS

The results showed that the mean pre-pregnancy BMI was 21.4 ± 3.3 kg/m2, and the mean gestational weight gain (GWG) was 12.8 ± 4.1 kg. The mean PPWR was 4.6 ± 3.5 kg at 1 month and 2.1 ± 3.3 kg at 6 months. Multivariate analysis revealed that GWG (adjusted OR: 1.92 (1.70-2.17)), pre-pregnancy BMI (adjusted OR: 0.85 (0.77-0.94)), and exclusive breastfeeding (adjusted OR: 0.55 (0.32-0.94)) were significantly correlated with a 1-month PPWR higher than the median value. In addition, GWG (adjusted OR: 1.30 (1.22-1.39)) and exclusive breastfeeding (adjusted OR: 0.37 (0.24-0.58)) were significantly correlated with a 6-month PPWR higher than the median value.

CONCLUSION

Our findings indicate that the key to reducing PPWR is to control GWG and engage in exclusive breastfeeding.

摘要

目的

产后体重滞留过多(PPWR)与长期体重增加有关。因此,本研究旨在确定 PPWR 的风险因素,为预防策略提供指导。

方法

本队列研究调查了 2014 年 3 月至 2016 年 3 月在一家医疗中心分娩的 461 名妇女。参与者在分娩后 1 个月内完成了一份问卷,并跟踪了她们产后 6 个月的体重。

结果

结果显示,参与者的孕前 BMI 平均值为 21.4 ± 3.3 kg/m2,妊娠期体重增加(GWG)平均值为 12.8 ± 4.1 kg。1 个月时的平均 PPWR 为 4.6 ± 3.5 kg,6 个月时为 2.1 ± 3.3 kg。多变量分析显示,GWG(调整后的 OR:1.92(1.70-2.17))、孕前 BMI(调整后的 OR:0.85(0.77-0.94))和纯母乳喂养(调整后的 OR:0.55(0.32-0.94))与 1 个月时 PPWR 高于中位数显著相关。此外,GWG(调整后的 OR:1.30(1.22-1.39))和纯母乳喂养(调整后的 OR:0.37(0.24-0.58))与 6 个月时 PPWR 高于中位数显著相关。

结论

我们的研究结果表明,降低 PPWR 的关键是控制 GWG 和进行纯母乳喂养。