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dc.contributor.authorNg, Shu-Kay
dc.contributor.authorCameron, Cate M
dc.contributor.authorHills, Andrew P
dc.contributor.authorMcClure, Roderick J
dc.contributor.authorScuffham, Paul A
dc.date.accessioned2017-05-03T15:42:13Z
dc.date.available2017-05-03T15:42:13Z
dc.date.issued2014
dc.identifier.issn1471-2393
dc.identifier.doi10.1186/1471-2393-14-314
dc.identifier.urihttp://hdl.handle.net/10072/65031
dc.description.abstractBackground Long-term obesity after pregnancy is associated with obesity prior to pregnancy and retention of weight postpartum. This study aims to identify socioeconomic differences in prepregnancy body mass index, quantify the impact of prepregnancy obesity on birth outcomes, and identify determinants of postpartum weight retention. Methods A total of 2231 pregnant women, recruited from three public hospitals in Southeast Queensland in Australia during antenatal clinic visits, completed a questionnaire to elicit information on demographics, socioeconomic and behavioural characteristics. Perinatal information was extracted from hospital records. A follow-up questionnaire was completed by each participant at 12 months after the birth to obtain the mother's postpartum weight, breastfeeding pattern, dietary and physical activity characteristics, and the child's health and development information. Multivariate logistic regression method was used to model the association between prepregnancy obesity and outcomes. Results Being overweight or obese prepregnancy was strongly associated with socioeconomic status and adverse behavioural factors. Obese women (18% of the cohort) were more likely to experience gestational diabetes, preeclampsia, cesarean delivery, and their children were more likely to experience intensive- or special-care nursery admission, fetal distress, resuscitation, and macrosomia. Women were more likely to retain weight postpartum if they consumed three or fewer serves of fruit/vegetables per day, did not engage in recreational activity with their baby, spent less than once a week on walking for 30 minutes or more or spent time with friends less than once per week. Mothers who breastfed for more than 3 months had reduced likelihood of high postpartum weight retention. Conclusions Findings provide additional specificity to the increasing evidence of the predisposition of obesity prepregnancy on adverse maternal and perinatal outcomes. They may be used to target effective behavioural change interventions to address obesity in women.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent513577 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom314-1
dc.relation.ispartofpageto314-15
dc.relation.ispartofjournalBMC pregnancy and childbirth
dc.relation.ispartofvolume14
dc.relation.urihttp://purl.org/au-research/grants/NHMRC/428254
dc.relation.grantID428254
dc.relation.fundersNHMRC
dc.rights.retentionY
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchFoetal development and medicine
dc.subject.fieldofresearchReproductive medicine
dc.subject.fieldofresearchMidwifery
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode321501
dc.subject.fieldofresearchcode3215
dc.subject.fieldofresearchcode4204
dc.titleSocioeconomic disparities in prepregnancy BMI and impact on maternal and neonatal outcomes and postpartum weight retention: the EFHL longitudinal birth cohort study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/2.0
gro.facultyGriffith Health, School of Medicine
gro.description.notepublicPage numbers are not for citation purposes. Instead, this article has the unique article number of 314.
gro.rights.copyright© 2014 Ng et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorScuffham, Paul A.
gro.griffith.authorNg, Shu Kay Angus


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