Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan women
Objectives To examine the patterns of fat mass gain in pregnancy and fat loss in the early postpartum period relative to women’s pre-pregnancy body mass index (BMI) and by adherence to Institute of Medicine’s gestational weight gain (GWG) recommendations.Design Prospective cohort study with three to...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2019-07-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/7/e026908.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846148622637334528 |
|---|---|
| author | Mary Barker Nicole Letourneau Catherine J Field Fatheema B Subhan Lisa Shulman Linda J McCargar Linglong Kong Rhonda C Bell Bonnie J Kaplan Deborah Dewey Francois Bernier Marja Cantell Linda Casey Misha Eliasziw Anna Farmer Lisa Gagnon Gerry Giesbrecht Laki Goonewardene Libbe Kooistra Donna Mance Jon Martin Linda Mccargar Maeve O’brien Victor Pop Nalini Singhal Brenda Leung Rhonda Bell Paula Robson Maria Mayan Terri Miller Ellen Toth Richard Oster Kim Raine Dolly Bondarianzadeh Iiona Csizmadi Venu Jain Kara Narenberg Carla Prado Arya Sharma Sheile Tyminski Kristi Adamo Elizabeth Adams Michelle Berlin Sally Bowman Hilde Brekke Wemdy Lawrence Christine Olson Sara Wilson-Wolfe Sue Woodbury |
| author_facet | Mary Barker Nicole Letourneau Catherine J Field Fatheema B Subhan Lisa Shulman Linda J McCargar Linglong Kong Rhonda C Bell Bonnie J Kaplan Deborah Dewey Francois Bernier Marja Cantell Linda Casey Misha Eliasziw Anna Farmer Lisa Gagnon Gerry Giesbrecht Laki Goonewardene Libbe Kooistra Donna Mance Jon Martin Linda Mccargar Maeve O’brien Victor Pop Nalini Singhal Brenda Leung Rhonda Bell Paula Robson Maria Mayan Terri Miller Ellen Toth Richard Oster Kim Raine Dolly Bondarianzadeh Iiona Csizmadi Venu Jain Kara Narenberg Carla Prado Arya Sharma Sheile Tyminski Kristi Adamo Elizabeth Adams Michelle Berlin Sally Bowman Hilde Brekke Wemdy Lawrence Christine Olson Sara Wilson-Wolfe Sue Woodbury |
| author_sort | Mary Barker |
| collection | DOAJ |
| description | Objectives To examine the patterns of fat mass gain in pregnancy and fat loss in the early postpartum period relative to women’s pre-pregnancy body mass index (BMI) and by adherence to Institute of Medicine’s gestational weight gain (GWG) recommendations.Design Prospective cohort study with three to four study visits.Setting This study is a part of the prospective longitudinal birth cohort, ‘The Alberta Pregnancy Outcomes and Nutrition Study’ (APrON) that recruited pregnant women from the cities of Edmonton and Calgary in Alberta.Participants 1820 pregnant women were recruited and followed through their pregnancy and at 3 months postpartum.Outcome measures Body weight and skinfold thicknesses were measured during pregnancy and early postpartum in women. Body density was calculated from sum of skinfold thickness (biceps, triceps, subscapula and suprailiac), and total fat mass accretion during pregnancy was calculated using Van Raaij’s equations and at postpartum using Siri’s equation. Differences in total fat mass gain, fat mass loss and fat retention according to pre-pregnancy BMI categories and GWG categories were tested using two-way analysis of variance and post hoc comparisons.Results Most women (64%) had a normal pre-pregnancy BMI, and overall 49% women exceeded the GWG recommendations. Obese women gained significantly less total fat mass, had lower fat mass loss and had lower postpartum fat retention than normal-weight women (p<0.05). Women with excessive GWG gained higher total fat mass and had higher postpartum fat mass retention (p<0.03) than women who met the GWG recommendations. Total GWG was positively correlated with total fat gain (r=0.61, p<0.01) and total fat retention (r=0.31, p<0.05).Conclusion Excessive GWG is the significant risk factor for higher fat mass accretion during pregnancy and higher postpartum fat retention, irrespective of pre-pregnancy BMI. |
| format | Article |
| id | doaj-art-a72a5497f39246f3a2dbc6c5b578a8de |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a72a5497f39246f3a2dbc6c5b578a8de2024-11-30T19:15:11ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2018-026908Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan womenMary Barker0Nicole Letourneau1Catherine J Field2Fatheema B Subhan3Lisa Shulman4Linda J McCargar5Linglong Kong6Rhonda C Bell7Bonnie J KaplanDeborah Dewey8Francois Bernier9Marja CantellLinda CaseyMisha EliasziwAnna FarmerLisa GagnonGerry GiesbrechtLaki GoonewardeneLibbe KooistraDonna ManceJon MartinLinda MccargarMaeve O’brienVictor Pop10Nalini Singhal11Brenda Leung12Rhonda BellPaula RobsonMaria MayanTerri MillerEllen TothRichard Oster13Kim RaineDolly BondarianzadehIiona CsizmadiVenu JainKara NarenbergCarla PradoArya SharmaSheile TyminskiKristi Adamo14Elizabeth Adams15Michelle BerlinSally BowmanHilde BrekkeWemdy LawrenceChristine OlsonSara Wilson-WolfeSue WoodburyMRC Lifecourse Epidemiology Centre, University of Southampton, Faculty of Medicine, Southampton, UK8 Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada3 Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB, Canada1 Department of AFNS, University of Alberta, Edmonton, Alberta, Canada2 Department of Mathematical & Statistical Sciences, University of Alberta, Edmonton, Alberta, Canada1 Department of AFNS, University of Alberta, Edmonton, Alberta, Canada2 Department of Mathematical & Statistical Sciences, University of Alberta, Edmonton, Alberta, CanadaDepartment of Agricultural, Food and Nutritional Sciences, University of Alberta, Edmonton, Alberta, CanadaOwerko Centre at the Alberta Children`s Hospital Research Institute and Departments of Pediatrics and Community Health Sciences, The University of Calgary, Calgary, Alberta, CanadaDepartment of Medical Genetics, Alberta Children`s Hospital, Calgary, Alberta, CanadaDepartment of Medical Health Psychology, Tilburg University, Tilburg, The NetherlandsPediatrics, University of Calgary, Calgary, Alberta, CanadaUniversity of Lethbridge, Lethbridge, Alberta, CanadaDepartment of Agricultural, Food & Nutritional Sciences, University of Alberta, Edmonton, Alberta, CanadaFaculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada1 Hussman School of Journalism and Media, University of North Carolina, Chapel Hill, North Carolina, USAObjectives To examine the patterns of fat mass gain in pregnancy and fat loss in the early postpartum period relative to women’s pre-pregnancy body mass index (BMI) and by adherence to Institute of Medicine’s gestational weight gain (GWG) recommendations.Design Prospective cohort study with three to four study visits.Setting This study is a part of the prospective longitudinal birth cohort, ‘The Alberta Pregnancy Outcomes and Nutrition Study’ (APrON) that recruited pregnant women from the cities of Edmonton and Calgary in Alberta.Participants 1820 pregnant women were recruited and followed through their pregnancy and at 3 months postpartum.Outcome measures Body weight and skinfold thicknesses were measured during pregnancy and early postpartum in women. Body density was calculated from sum of skinfold thickness (biceps, triceps, subscapula and suprailiac), and total fat mass accretion during pregnancy was calculated using Van Raaij’s equations and at postpartum using Siri’s equation. Differences in total fat mass gain, fat mass loss and fat retention according to pre-pregnancy BMI categories and GWG categories were tested using two-way analysis of variance and post hoc comparisons.Results Most women (64%) had a normal pre-pregnancy BMI, and overall 49% women exceeded the GWG recommendations. Obese women gained significantly less total fat mass, had lower fat mass loss and had lower postpartum fat retention than normal-weight women (p<0.05). Women with excessive GWG gained higher total fat mass and had higher postpartum fat mass retention (p<0.03) than women who met the GWG recommendations. Total GWG was positively correlated with total fat gain (r=0.61, p<0.01) and total fat retention (r=0.31, p<0.05).Conclusion Excessive GWG is the significant risk factor for higher fat mass accretion during pregnancy and higher postpartum fat retention, irrespective of pre-pregnancy BMI.https://bmjopen.bmj.com/content/9/7/e026908.full |
| spellingShingle | Mary Barker Nicole Letourneau Catherine J Field Fatheema B Subhan Lisa Shulman Linda J McCargar Linglong Kong Rhonda C Bell Bonnie J Kaplan Deborah Dewey Francois Bernier Marja Cantell Linda Casey Misha Eliasziw Anna Farmer Lisa Gagnon Gerry Giesbrecht Laki Goonewardene Libbe Kooistra Donna Mance Jon Martin Linda Mccargar Maeve O’brien Victor Pop Nalini Singhal Brenda Leung Rhonda Bell Paula Robson Maria Mayan Terri Miller Ellen Toth Richard Oster Kim Raine Dolly Bondarianzadeh Iiona Csizmadi Venu Jain Kara Narenberg Carla Prado Arya Sharma Sheile Tyminski Kristi Adamo Elizabeth Adams Michelle Berlin Sally Bowman Hilde Brekke Wemdy Lawrence Christine Olson Sara Wilson-Wolfe Sue Woodbury Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan women BMJ Open |
| title | Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan women |
| title_full | Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan women |
| title_fullStr | Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan women |
| title_full_unstemmed | Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan women |
| title_short | Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan women |
| title_sort | association of pre pregnancy bmi and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum a prospective study of albertan women |
| url | https://bmjopen.bmj.com/content/9/7/e026908.full |
| work_keys_str_mv | AT marybarker associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT nicoleletourneau associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT catherinejfield associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT fatheemabsubhan associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT lisashulman associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT lindajmccargar associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT linglongkong associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT rhondacbell associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT bonniejkaplan associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT deborahdewey associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT francoisbernier associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT marjacantell associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT lindacasey associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT mishaeliasziw associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT annafarmer associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT lisagagnon associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT gerrygiesbrecht associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT lakigoonewardene associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT libbekooistra associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT donnamance associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT jonmartin associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT lindamccargar associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT maeveobrien associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT victorpop associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT nalinisinghal associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT brendaleung associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT rhondabell associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT paularobson associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT mariamayan associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT terrimiller associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT ellentoth associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT richardoster associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT kimraine associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT dollybondarianzadeh associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT iionacsizmadi associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT venujain associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT karanarenberg associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT carlaprado associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT aryasharma associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT sheiletyminski associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT kristiadamo associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT elizabethadams associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT michelleberlin associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT sallybowman associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT hildebrekke associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT wemdylawrence associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT christineolson associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT sarawilsonwolfe associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen AT suewoodbury associationofprepregnancybmiandgestationalweightgainwithfatmassdistributionandaccretionduringpregnancyandearlypostpartumaprospectivestudyofalbertanwomen |