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Body composition changes in the postpartum: a systematic review on measurements and predictors
Malith Kumarasinghe1, Andrew P Hills1, Kiran Dk Ahuja2
1School of Health Sciences, UTAS Health, University of Tasmania (UTAS), The Shed, 80, Cimitiere Street, Inveresk, Launceston, TAS, 7250, Australia.
Maternal body composition changes postpartum, with waist circumference reducing significantly in the first month. Integrating body composition assessments beyond BMI is crucial for long-term maternal health management.
Area of Science:
- Reproductive Health
- Maternal Medicine
- Body Composition Analysis
Background:
- Postpartum period is characterized by significant physiological changes.
- Understanding maternal body composition shifts is vital for long-term health.
- Existing research often focuses on Body Mass Index (BMI) alone.
Purpose of the Study:
- To systematically review changes in maternal body composition and anthropometric indices postpartum.
- To identify factors influencing these postpartum body composition changes.
- To evaluate the current methodologies for assessing postpartum body composition.
Main Methods:
- Systematic review of longitudinal observational studies with multiple postpartum measurements.
- Searched multiple databases (Medline/PubMed, Scopus, EMBASE, CINAHL, Web of Science, ProQuest) up to September 2025.
- Assessed risk of bias and synthesized data on body composition changes and influencing factors.
Main Results:
- 86 studies were included, analyzing 73 different body composition and anthropometric indices.
- Fat mass ratio/percentage was the most frequently reported measure.
- Waist circumference showed a significant reduction within the first month postpartum.
Conclusions:
- Postpartum body composition changes are complex and highly variable.
- Assessing body composition beyond BMI is essential due to links with adverse maternal health outcomes.
- Extended postpartum follow-up (beyond one year) could enhance clinical management of adiposity.
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