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Please use this identifier to cite or link to this item: http://repositorio.ufba.br/ri/handle/ri/13753

Title: Determinants of postpartum weight variation in a cohort of adult women: a hierarchical approach
Other Titles: Nutrición Hospitalaria
Authors: Silva, Maria da Conceição Monteiro da
Assis, Ana Marlucia de Oliveira
Oliveira, Lucivalda Pereira Magalhães de
Fonseca, Nedja Silva dos Santos
Santana, Mônica Leila Portela de
Góes Neto, Edgar de Araújo
Cruz, Thomaz Rodrigues Porto da
Keywords: Postpartum weight;Risk factors;Hierarchical approach;Adult women;Cohort study;Peso posparto;Factores de riesgo;Enfoque jerárquico;Mujeres adultas cohorte del estudio
Issue Date: 2013
Publisher: Nutrición Hospitalaria
Abstract: Introduction: Retention of the weight gained during pregnancy or the weight gain postpartum has been associated with increased prevalence of obesity in women of childbearing age. Objective: To identify determinants of weight variation at 24 months postpartum in women from 2 towns in Bahia, Brazil. Methods: Dynamic cohort data of 325 adult women were collected for 24 months postpartum. Weight variation at 24 months postpartum was considered a response variable. Socioeconomic, demographic, reproductive, related with childbirth variables and lifestyle conditions were considered exposure variables. A linear mixedeffects regression model with a hierarchical approach was used for data analysis. Results: Suitable sanitary conditions in the household (2.175 kg; p = 0.001) and participation social programs for income transfer (1.300 kg; p = 0.018) contributed to weight gain in distal level of determinants, while at intermediate level, pre gestational overweight and surgical delivery had effects on postpartum weight, causing an average increase of 3.380 kg (p < 0.001) and loss of 2.451 kg (p < 0.001), respectively. At proximal level, a score point increase for breastfeeding yielded an average postpartum loss of 70 g (p = 0.002). Conclusion: Our results indicate the need to promote weight control during and after pregnancy, encourage extended breastfeeding, and improve living conditions through intersectoral interventions.
Description: p. 660-670
URI: http://repositorio.ufba.br/ri/handle/ri/13753
ISSN: 0212-1611
Appears in Collections:Artigos Publicados em Periódicos (Nutrição)

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