Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut 110236, Lebanon.
Primary Health Care Corporation, Doha 26555, Qatar.
Int J Environ Res Public Health. 2020 Oct 27;17(21):7851. doi: 10.3390/ijerph17217851.
Excessive Postpartum Weight Retention (PWR) is postulated to increase the risk of adverse health outcomes for mothers and offspring. Using data from the Mother and Infant Nutritional Assessment (MINA) cohort in Lebanon and Qatar, this study aimed to examine PWR and its determinants at 6 months after delivery. Pregnant women ( = 183) were recruited during their first trimester and were followed up through pregnancy and after delivery. During this period, face-to-face interviews as well as extraction from medical charts were conducted to collect data regarding the socioeconomic, anthropometric and dietary intake of participants. The mean PWR (kg) among participants was 3.1 ± 5.6 at delivery, and 3.3 ± 5.3 and 2.7 ± 4.7 at 4 and 6 months after delivery, respectively. Results of the multiple logistic regression analyses showed that a Qatari nationality and excessive GWG were associated with higher odds of a high PWR (above median) while an insufficient GWG had lower odds. After adjustment for energy, participants with a high PWR reported a greater intake of proteins, Trans fat, cholesterol, sodium and lower intakes of mono and polyunsaturated fat as compared to those with a low PWR (below median). These findings suggested priority areas for interventions to prevent excessive PWR amongst women of childbearing age in Lebanon and Qatar.
产后体重滞留过多（PWR）被认为会增加母亲和后代不良健康结果的风险。本研究使用黎巴嫩和卡塔尔母婴营养评估（MINA）队列的数据，旨在检查产后 6 个月时的 PWR 及其决定因素。在妊娠早期招募了孕妇（n=183），并在妊娠期间和产后进行随访。在此期间，通过面对面访谈以及从病历中提取数据，收集了参与者的社会经济、人体测量和饮食摄入数据。参与者在分娩时的平均 PWR（kg）为 3.1±5.6，在产后 4 个月和 6 个月时分别为 3.3±5.3 和 2.7±4.7。多因素逻辑回归分析结果显示，卡塔尔国籍和 GWG 过多与 PWR 较高（高于中位数）的几率较高有关，而 GWG 不足的几率较低。在调整能量摄入后，与 PWR 较低（低于中位数）的参与者相比，PWR 较高的参与者报告蛋白质、反式脂肪、胆固醇、钠的摄入量更大，而单不饱和脂肪和多不饱和脂肪的摄入量较小。这些发现表明，在黎巴嫩和卡塔尔，有必要优先针对育龄妇女开展干预措施，以预防产后体重滞留过多。
