Nine months postpartum weight retention predictors for Brazilian women.
OBJECTIVE
To identify factors potentially associated with weight retention measured 9 months after childbirth.


METHODS
Prospective study with four follow-up waves in time (0.5, 2, 6 and 9 months postpartum).


METHODS
Rio de Janeiro, Brazil.


METHODS
Two hundred and sixty-six Brazilian women of childbearing age. Analysis was based on hierarchical logistic regression. The dependent variable was weight retention and was defined as the difference between weight at 9 months postpartum and pre-pregnancy weight, with a dichotomised cut-off at 7.5 kg. Covariates included demographic and socio-economic data, obstetric history, anthropometric data, and data on the infant. These data were grouped in blocks and ordered according to their influence on the dependent variable.


RESULTS
Of the women studied, 19.2% presented weight retention values > or =7.5 kg. According to the logistic regression analysis, the following variables remained associated with weight retention > or =7.5 kg: total family income, difficulty or inability to read a letter, age category > or =30 years, age at first childbirth <23 years, gestational weight gain > or =12 kg, body fat at baseline > or =30% and infant birth weight <3500 g. Infant hospitalisation was only marginally significant.


CONCLUSIONS
Determinant factors identified by the analysis highlight the need for nutritional intervention policies during pregnancy and in the first months postpartum as a way of minimising obesity and the diseases resulting from it.
Kac
Gilberto
G
Department of Social and Applied Nutrition, Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, RJ 21941-590, Brazil. gkac@gbl.com.br
Benicio
Maria H D A
MH
Velásquez-Meléndez
Gustavo
G
Valente
Joaquim G
JG
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001823:Body Composition / Q000502:physiology; D015992:Body Mass Index; D001835:Body Weight / Q000502:physiology; D001938:Brazil / Q000453:epidemiology; D015984:Causality; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology*; D016017:Odds Ratio; D049590:Postpartum Period / Q000502:physiology*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012959:Socioeconomic Factors; D015430:Weight Gain / Q000502:physiology*