Quaderer S, Brandstetter S, Köninger A, Melter M, Kabesch M, Apfelbacher C, Fill Malfertheiner S
Department of Gynecology and Obstetrics, Hospital St. Hedwig of the Order of St. John, University Medical Center Regensburg, Steinmetzstrasse 1‑3, 93049, Regensburg, Germany.
University Children's Hospital Regensburg (KUNO), Hospital St. Hedwig of the Order of St. John, Steinmetzstrasse 1‑3, 93049, Regensburg, Germany.
Arch Gynecol Obstet. 2025 Apr;311(4):997-1006. doi: 10.1007/s00404-024-07795-6. Epub 2024 Nov 27.
Postpartum weight retention (PPWR) increases the risk of overweight and obesity. This study aims to identify risk factors for substantial weight retention (≥ 5 kg) at 1 year postpartum.
Data were obtained from N = 747 mothers participating in the KUNO-Kids birth cohort study. The following variables were analyzed: sociodemographic variables, pre-pregnancy body mass index, postpartum weight retention at 6 months, gestational weight gain, parity, breastfeeding, mode of delivery, gestational diabetes mellitus, physical activity, diet, alcohol consumption, smoking, sleep, and depression. Variables that showed an association of p < 0.2 with substantial postpartum weight retention (SPPWR) in univariable logistic regression analyses were included in the multivariable logistic regression analysis. Statistical analyses were performed using IBM SPSS.28.
One year after delivery, mean PPWR was 1.5 kg (SD 5.2 kg), and 21.6% of the women had SPPWR. The multivariable logistic regression model showed a significant negative association of SPPWR with an intermediate educational status compared to a low educational status (OR = 0.27 [95% CI 0.11-0.69]). In addition, PPWR at 6 months was positively associated with SPPWR (OR = 1.55 [95% CI 1.43-1.69]) at 1 year. None of the other associations reached statistical significance.
Postpartum weight retention may lead to weight gain. Losing weight in the first few months after delivery may prevent substantial postpartum weight retention. Women of low education may particularly benefit from weight loss support.
产后体重滞留（PPWR）会增加超重和肥胖的风险。本研究旨在确定产后1年大量体重滞留（≥5千克）的风险因素。
数据来自参与库诺儿童出生队列研究的N = 747名母亲。分析了以下变量：社会人口统计学变量、孕前体重指数、产后6个月的体重滞留、孕期体重增加、产次、母乳喂养、分娩方式、妊娠期糖尿病、身体活动、饮食、饮酒、吸烟、睡眠和抑郁。在单变量逻辑回归分析中显示与大量产后体重滞留（SPPWR）有p < 0.2关联的变量被纳入多变量逻辑回归分析。使用IBM SPSS.28进行统计分析。
分娩后1年，平均PPWR为1.5千克（标准差5.2千克），21.6%的女性有SPPWR。多变量逻辑回归模型显示，与低教育水平相比，中等教育水平与SPPWR有显著负相关（OR = 0.27 [95% CI 0.11 - 0.69]）。此外，6个月时的PPWR与1年时的SPPWR呈正相关（OR = 1.55 [95% CI 1.43 - 1.69]）。其他关联均未达到统计学显著性。
产后体重滞留可能导致体重增加。在分娩后的头几个月减肥可能会防止大量产后体重滞留。低教育水平的女性可能特别受益于减肥支持。
