Author(s): 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
Date: 2013
Origin: Oasisbr
Subject(s): Postpartum weight; Risk factors; Hierarchical approach; Adult women; Cohort study; Peso posparto; Factores de riesgo; Enfoque jerárquico; Mujeres adultas cohorte del estudio
p. 660-670
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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.
Salvador
