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dc.contributor.authorHutchins, Franya
dc.contributor.authorAbrams, Barbara
dc.contributor.authorBrooks, Maria
dc.contributor.authorColvin, Alicia
dc.contributor.authorMoore Simas, Tiffany A.
dc.contributor.authorRosal, Milagros C
dc.contributor.authorSternfeld, Barbara
dc.contributor.authorCrawford, Sybil L.
dc.date2022-08-11T08:10:19.000
dc.date.accessioned2022-08-23T17:04:04Z
dc.date.available2022-08-23T17:04:04Z
dc.date.issued2019-11-27
dc.date.submitted2020-01-29
dc.identifier.citation<p>Hutchins F, Abrams B, Brooks M, Colvin A, Moore Simas T, Rosal M, Sternfeld B, Crawford S. The Effect of Gestational Weight Gain Across Reproductive History on Maternal Body Mass Index in Midlife: The Study of Women's Health Across the Nation. <em>J Womens Health (Larchmt)</em>. 2019 Nov 27;10.1089/jwh.2019.7839. doi: 10.1089/jwh.2019.7839. [Epub ahead of print]. PMID: 31794347. <a href="https://doi.org/10.1089/jwh.2019.7839">Link to article on publisher's site</a></p>
dc.identifier.issn1540-9996 (Linking)
dc.identifier.doi10.1089/jwh.2019.7839
dc.identifier.pmid31794347
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44562
dc.description.abstractBackground: Excessive weight gain during pregnancy is common and has been shown to be associated with increased long-term maternal weight. However, less is known on whether there is a cumulative effect of excessive gestational weight gain (GWG) over multiple pregnancies. Methods: Data from the Study of Women's Health Across the Nation were used, restricted to parous women with no history of stillbirth or premature birth. The effect of the number of excessive GWG pregnancies on body mass index (BMI) in midlife (age 42-53) was analyzed using multivariable linear regression. Fully adjusted models included parity, inadequate GWG, demographic, and behavioral characteristics. Results: The 1181 women included in this analysis reported a total of 2693 births. Overall, 466 (39.5%) were categorized as having at least one pregnancy with excessive GWG. The median BMI at midlife was 26.0 kg/m(2) (interquartile range 22.5-31.1). In fully adjusted models, each additional pregnancy with excessive GWG was associated with 0.021 higher estimated log BMI (p = 0.031). Among women with 1-3 births, adjusted mean (95% confidence interval) BMI for those with 0, 1, 2, and 3 excessive GWG pregnancies was 25.4 (24.9-25.9), 26.8 (26.1-27.5), 27.5 (26.6-28.4), and 28.8 (27.3-30.5), respectively. Conclusions: In this multiethnic study of women with a history of term live births, the number of pregnancies with excessive GWG was associated with increased maternal BMI in midlife. Our findings suggest that prevention of excessive GWG at any point in a woman's reproductive history can have an impact on long-term maternal health.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=31794347&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1089/jwh.2019.7839
dc.subjectbody mass index
dc.subjectgestational weight gain
dc.subjectmidlife
dc.subjectobesity
dc.subjectpregnancy
dc.subjectrace and ethnicity
dc.subjectFemale Urogenital Diseases and Pregnancy Complications
dc.subjectMaternal and Child Health
dc.subjectObstetrics and Gynecology
dc.subjectPreventive Medicine
dc.subjectWomen's Health
dc.titleThe Effect of Gestational Weight Gain Across Reproductive History on Maternal Body Mass Index in Midlife: The Study of Women's Health Across the Nation
dc.typeJournal Article
dc.source.journaltitleJournal of women's health (2002)
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prc_pubs/156
dc.identifier.contextkey16372898
html.description.abstract<p>Background: Excessive weight gain during pregnancy is common and has been shown to be associated with increased long-term maternal weight. However, less is known on whether there is a cumulative effect of excessive gestational weight gain (GWG) over multiple pregnancies.</p> <p>Methods: Data from the Study of Women's Health Across the Nation were used, restricted to parous women with no history of stillbirth or premature birth. The effect of the number of excessive GWG pregnancies on body mass index (BMI) in midlife (age 42-53) was analyzed using multivariable linear regression. Fully adjusted models included parity, inadequate GWG, demographic, and behavioral characteristics.</p> <p>Results: The 1181 women included in this analysis reported a total of 2693 births. Overall, 466 (39.5%) were categorized as having at least one pregnancy with excessive GWG. The median BMI at midlife was 26.0 kg/m(2) (interquartile range 22.5-31.1). In fully adjusted models, each additional pregnancy with excessive GWG was associated with 0.021 higher estimated log BMI (p = 0.031). Among women with 1-3 births, adjusted mean (95% confidence interval) BMI for those with 0, 1, 2, and 3 excessive GWG pregnancies was 25.4 (24.9-25.9), 26.8 (26.1-27.5), 27.5 (26.6-28.4), and 28.8 (27.3-30.5), respectively.</p> <p>Conclusions: In this multiethnic study of women with a history of term live births, the number of pregnancies with excessive GWG was associated with increased maternal BMI in midlife. Our findings suggest that prevention of excessive GWG at any point in a woman's reproductive history can have an impact on long-term maternal health.</p>
dc.identifier.submissionpathprc_pubs/156
dc.contributor.departmentPrevention Research Center
dc.contributor.departmentDepartment of Medicine
dc.contributor.departmentDivision of Preventive and Behavioral Medicine
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.contributor.departmentDepartment of Obstetrics and Gynecology


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