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Related Experiment Videos

Interrelationships between weight development and weight retention in subsequent pregnancies: the SPAWN study.

Yvonne Linné1, Stephan Rössner

  • 1Obesity Unit, Huddinge University Hospital, Stockholm, Sweden. Yvonne.Linne@medhs.ki.se

Acta Obstetricia Et Gynecologica Scandinavica
|April 29, 2003
PubMed
Summary

Postpartum weight retention is common, but high weight gain during pregnancy predicts future weight gain. Women with high weight gain or retention after the first pregnancy are at higher risk for subsequent pregnancies.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health and Nutrition
  • Reproductive Health

Background:

  • Pregnancy often leads to postpartum weight retention, with studies indicating 0.5-3.8 kg gain up to 2.5 years post-delivery.
  • A significant percentage of women, particularly those in obesity clinics, report substantial weight gain (>10 kg) after pregnancy, viewing it as a trigger.
  • This study aimed to investigate long-term correlations in weight gain and retention following pregnancy.

Purpose of the Study:

  • To examine the long-term correlations in maternal weight gain and postpartum weight retention.
  • To identify factors influencing weight development across multiple pregnancies.
  • To provide insights for managing weight changes associated with childbearing.

Main Methods:

  • The Stockholm Pregnancy and Women's Nutrition (SPAWN) study followed 2342 women from 1984-85, collecting data via questionnaires and anthropometric measurements.

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  • A subset of 1423 women completed 1-year postpartum follow-up, with 563 participating in a 15-year follow-up.
  • Data analysis involved grouping participants based on pre-pregnancy BMI, pregnancy weight gain, and 1-year postpartum weight retention.

    • Main Results:

    • No significant differences in weight gain or retention were observed based on the time interval between pregnancies (>2 years vs. <2 years).
    • Overweight women before pregnancy did not show higher risks for weight gain or retention compared to normal-weight women.
    • High weight gain during pregnancy was strongly associated with greater weight retention at 1 year postpartum and predicted weight gain in subsequent pregnancies.

    Conclusions:

    • Long-term follow-up indicates that pre-pregnancy weight status does not increase postpartum weight retention risk.
    • Weight gain during pregnancy and retention at 1 year postpartum are significant predictors of weight development in subsequent pregnancies.
    • Intervention strategies should target women with high gestational weight gain or postpartum retention to mitigate risks in future pregnancies.