Anxiety during early pregnancy predicts postpartum weight retention in obese mothers

A.F.L. Bogaerts, B.R.H. Van den Bergh, I. Witters, R. Devlieger

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective
We aimed to describe the weight status of obese mothers 6 months after delivery and examine its relationship to important sociodemographical, behavioral, and psychological variables.
Design and Methods
Postpartum data from an interventional trial in obese pregnant women (n = 197), conducted in three regional hospitals, between March 2008 and June 2012, were available from 150 mothers. Obesity was defined as body mass index (BMI) ≥ 29 kg/m2. Predictors were examined from the pregnancy and postpartum period. Descriptive statistics were performed and linear regression models constructed.
Results
Postpartum weight retention (PPWR) 6 months after delivery ranges from −17 to + 19 kg with a mean of −1.28 kg (SD 6.05). Thirty-nine percent showed PPWR (>0 kg) and 13% of obese mothers reported a high PPWR (≥5 kg). Gestational weight gain (GWG) and psychological discomfort were significantly higher in obese mothers with PPWR compared to those with no or low PPWR. Mean duration of breastfeeding in this cohort of obese mothers was 9.5 weeks (SD 8.7), with 17.3% breastfeeding for at least 6 months. At 6 months after delivery, prepregnancy BMI (β = −0.283; P = 0.001), GWG (β = 0.337; P = 0.001), and maternal trait anxiety in the first trimester of pregnancy (β = 0.255; P = 0.001) were significantly associated with PPWR in obese mothers.
Conclusion
PPWR in obese mothers is associated with psychological discomfort during early pregnancy. Besides the importance of adequate prenatal weight management, focused psychological support should be an important cue to action in obese women, to prevent maternal obesity on the long run.
Original languageEnglish
Pages (from-to)1942-1949
JournalObesity
Volume21
Issue number9
DOIs
Publication statusPublished - 2013

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Mothers
Weights and Measures
Weight Gain
Linear Models
Body Mass Index
Cues

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Bogaerts, A. F. L., Van den Bergh, B. R. H., Witters, I., & Devlieger, R. (2013). Anxiety during early pregnancy predicts postpartum weight retention in obese mothers. Obesity, 21(9), 1942-1949. https://doi.org/10.1002/oby.20352
Bogaerts, A.F.L. ; Van den Bergh, B.R.H. ; Witters, I. ; Devlieger, R. / Anxiety during early pregnancy predicts postpartum weight retention in obese mothers. In: Obesity. 2013 ; Vol. 21, No. 9. pp. 1942-1949.
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title = "Anxiety during early pregnancy predicts postpartum weight retention in obese mothers",
abstract = "ObjectiveWe aimed to describe the weight status of obese mothers 6 months after delivery and examine its relationship to important sociodemographical, behavioral, and psychological variables.Design and MethodsPostpartum data from an interventional trial in obese pregnant women (n = 197), conducted in three regional hospitals, between March 2008 and June 2012, were available from 150 mothers. Obesity was defined as body mass index (BMI) ≥ 29 kg/m2. Predictors were examined from the pregnancy and postpartum period. Descriptive statistics were performed and linear regression models constructed.ResultsPostpartum weight retention (PPWR) 6 months after delivery ranges from −17 to + 19 kg with a mean of −1.28 kg (SD 6.05). Thirty-nine percent showed PPWR (>0 kg) and 13{\%} of obese mothers reported a high PPWR (≥5 kg). Gestational weight gain (GWG) and psychological discomfort were significantly higher in obese mothers with PPWR compared to those with no or low PPWR. Mean duration of breastfeeding in this cohort of obese mothers was 9.5 weeks (SD 8.7), with 17.3{\%} breastfeeding for at least 6 months. At 6 months after delivery, prepregnancy BMI (β = −0.283; P = 0.001), GWG (β = 0.337; P = 0.001), and maternal trait anxiety in the first trimester of pregnancy (β = 0.255; P = 0.001) were significantly associated with PPWR in obese mothers.ConclusionPPWR in obese mothers is associated with psychological discomfort during early pregnancy. Besides the importance of adequate prenatal weight management, focused psychological support should be an important cue to action in obese women, to prevent maternal obesity on the long run.",
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Bogaerts, AFL, Van den Bergh, BRH, Witters, I & Devlieger, R 2013, 'Anxiety during early pregnancy predicts postpartum weight retention in obese mothers', Obesity, vol. 21, no. 9, pp. 1942-1949. https://doi.org/10.1002/oby.20352

Anxiety during early pregnancy predicts postpartum weight retention in obese mothers. / Bogaerts, A.F.L.; Van den Bergh, B.R.H.; Witters, I.; Devlieger, R.

In: Obesity, Vol. 21, No. 9, 2013, p. 1942-1949.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Anxiety during early pregnancy predicts postpartum weight retention in obese mothers

AU - Bogaerts, A.F.L.

AU - Van den Bergh, B.R.H.

AU - Witters, I.

AU - Devlieger, R.

PY - 2013

Y1 - 2013

N2 - ObjectiveWe aimed to describe the weight status of obese mothers 6 months after delivery and examine its relationship to important sociodemographical, behavioral, and psychological variables.Design and MethodsPostpartum data from an interventional trial in obese pregnant women (n = 197), conducted in three regional hospitals, between March 2008 and June 2012, were available from 150 mothers. Obesity was defined as body mass index (BMI) ≥ 29 kg/m2. Predictors were examined from the pregnancy and postpartum period. Descriptive statistics were performed and linear regression models constructed.ResultsPostpartum weight retention (PPWR) 6 months after delivery ranges from −17 to + 19 kg with a mean of −1.28 kg (SD 6.05). Thirty-nine percent showed PPWR (>0 kg) and 13% of obese mothers reported a high PPWR (≥5 kg). Gestational weight gain (GWG) and psychological discomfort were significantly higher in obese mothers with PPWR compared to those with no or low PPWR. Mean duration of breastfeeding in this cohort of obese mothers was 9.5 weeks (SD 8.7), with 17.3% breastfeeding for at least 6 months. At 6 months after delivery, prepregnancy BMI (β = −0.283; P = 0.001), GWG (β = 0.337; P = 0.001), and maternal trait anxiety in the first trimester of pregnancy (β = 0.255; P = 0.001) were significantly associated with PPWR in obese mothers.ConclusionPPWR in obese mothers is associated with psychological discomfort during early pregnancy. Besides the importance of adequate prenatal weight management, focused psychological support should be an important cue to action in obese women, to prevent maternal obesity on the long run.

AB - ObjectiveWe aimed to describe the weight status of obese mothers 6 months after delivery and examine its relationship to important sociodemographical, behavioral, and psychological variables.Design and MethodsPostpartum data from an interventional trial in obese pregnant women (n = 197), conducted in three regional hospitals, between March 2008 and June 2012, were available from 150 mothers. Obesity was defined as body mass index (BMI) ≥ 29 kg/m2. Predictors were examined from the pregnancy and postpartum period. Descriptive statistics were performed and linear regression models constructed.ResultsPostpartum weight retention (PPWR) 6 months after delivery ranges from −17 to + 19 kg with a mean of −1.28 kg (SD 6.05). Thirty-nine percent showed PPWR (>0 kg) and 13% of obese mothers reported a high PPWR (≥5 kg). Gestational weight gain (GWG) and psychological discomfort were significantly higher in obese mothers with PPWR compared to those with no or low PPWR. Mean duration of breastfeeding in this cohort of obese mothers was 9.5 weeks (SD 8.7), with 17.3% breastfeeding for at least 6 months. At 6 months after delivery, prepregnancy BMI (β = −0.283; P = 0.001), GWG (β = 0.337; P = 0.001), and maternal trait anxiety in the first trimester of pregnancy (β = 0.255; P = 0.001) were significantly associated with PPWR in obese mothers.ConclusionPPWR in obese mothers is associated with psychological discomfort during early pregnancy. Besides the importance of adequate prenatal weight management, focused psychological support should be an important cue to action in obese women, to prevent maternal obesity on the long run.

U2 - 10.1002/oby.20352

DO - 10.1002/oby.20352

M3 - Article

VL - 21

SP - 1942

EP - 1949

JO - Obesity

JF - Obesity

SN - 1930-7381

IS - 9

ER -

Bogaerts AFL, Van den Bergh BRH, Witters I, Devlieger R. Anxiety during early pregnancy predicts postpartum weight retention in obese mothers. Obesity. 2013;21(9):1942-1949. https://doi.org/10.1002/oby.20352