Predictors and consequences of weight retention in the early and late postpartum period in women with gestational diabetes.

Details

Serval ID
serval:BIB_0ECC732767FE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Predictors and consequences of weight retention in the early and late postpartum period in women with gestational diabetes.
Journal
Diabetes research and clinical practice
Author(s)
Quansah D.Y., Gross J., Gilbert L., Arhab A., Horsch A., Puder J.J.
ISSN
1872-8227 (Electronic)
ISSN-L
0168-8227
Publication state
Published
Issued date
07/2020
Peer-reviewed
Oui
Volume
165
Pages
108238
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To assist preventive strategies, we investigated the predictors and consequences of postpartum weight retention (PPWR) in the early and late postpartum period in women with gestational diabetes (GDM).
862 women with GDM between 2011 and 2019 were prospectively included. We investigated PPWR at 6-8 weeks (n = 862) and at 1-year (n = 259) postpartum. Potential predictors included gestational weight gain (GWG), weight, BMI, and glucose control parameters during and after pregnancy.
Mean PPWR at 6-8 weeks and 1-year postpartum were 4.6 ± 5.7 kg and 4.0 ± 7.4 kg. The proportion of women with PPWR at 6-8 weeks and at 1-year postpartum were 81% and 66.4% respectively. At 6-8 weeks postpartum, women with PPWR had higher pre-pregnancy weight, 7.5 ± 0.2 kg higher GWG and higher postpartum weight (all p ≤ 0.02), without presenting metabolic differences. At 1-year postpartum, there were no differences in anthropometric parameters before and during pregnancy between women with or without PPWR, except for a 4 ± 0.4 kg higher GWG (p < 0.001). However, women with PPWR had increased postpartum weight and BMI, higher fasting glucose and more pronounced increase in Δfasting glucose and ΔHbA1c at 1-year postpartum (all p ≤ 0.03). GWG predicted higher PPWR at both 6-8 weeks and at 1-year postpartum (all p < 0.001).
Women with PPWR had increased anthropometric parameters and adverse metabolic consequences at 1-year postpartum. GWG was the most relevant predictor of PPWR.
Keywords
Adult, Body Mass Index, Diabetes, Gestational/physiopathology, Female, Gestational Weight Gain/physiology, Humans, Postpartum Period, Pregnancy, Prospective Studies, Anthropometric, Gestational diabetes mellitus, Gestational weight gain, Metabolic consequences, Postpartum weight retention, Predictors
Pubmed
Web of science
Create date
10/06/2020 19:57
Last modification date
29/09/2020 5:25
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