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Age at childbirth and change in BMI across the life-course: evidence from the INCAP Longitudinal Study.
Mazariegos, Mónica; Varghese, Jithin Sam; Kroker-Lobos, Maria F; DiGirolamo, Ann M; Ramirez-Zea, Manuel; Ramakrishnan, Usha; Stein, Aryeh D.
Afiliação
  • Mazariegos M; INCAP Research Center for the Prevention of Chronic Diseases (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), 6 Avenida 6-25 zona 11, Guatemala City, Guatemala.
  • Varghese JS; Nutrition and Health Sciences Doctoral Program, Laney Graduate School, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE #7007, GA, 30322, Atlanta, USA.
  • Kroker-Lobos MF; INCAP Research Center for the Prevention of Chronic Diseases (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), 6 Avenida 6-25 zona 11, Guatemala City, Guatemala.
  • DiGirolamo AM; Georgia Health Policy Center, Georgia State University, 33 Gilmer Street SE, GA, 30303, Atlanta, USA.
  • Ramirez-Zea M; INCAP Research Center for the Prevention of Chronic Diseases (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), 6 Avenida 6-25 zona 11, Guatemala City, Guatemala.
  • Ramakrishnan U; Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE #7007, GA, 30322, Atlanta, USA.
  • Stein AD; Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE #7007, GA, 30322, Atlanta, USA. aryeh.stein@emory.edu.
BMC Pregnancy Childbirth ; 22(1): 151, 2022 Feb 24.
Article em En | MEDLINE | ID: mdl-35209869
BACKGROUND: Parity has been associated with both short- and long-term weight gain in women. However, it is not clear if timing of parity across the reproductive age has different associations with BMI. METHODS: To prospectively assess the association between age at childbirth and maternal change in BMI, we analyzed data from the ongoing INCAP Longitudinal Study, which started in 1969 in four villages in Guatemala. Cohort women (n=778) provided information on reproductive history and anthropometric measures were measured in 1988-89 (adolescence, 15 to 25y), 2002-04 (early adulthood, 26 to 36y) and 2015-17 (mid adulthood, 37 to 55y). We evaluated the associations of number of live births in the period preceding each study wave (1969-77 to 1988-89, 1988-89 to 2002-04 and 2002-04 to 2015-17) with BMI change in the same period using multivariable linear regression models. RESULTS: Number of live births between 1988 and 89 and 2002-04 was positively associated with increased BMI, while there was not an association between number of live births and BMI in the other intervals. Women who had one, two, or three or more children between 1988 and 89 and 2002-04 had 0.90 (kg/m2, 95% CI: -0.55, 2.35), 2.39 (kg/m2, 95% CI: 1.09, 3.70) and 2.54 (kg/m2, 95% CI: 1.26, 3.82) higher BMI, respectively, than women who did not give birth in the same period. CONCLUSIONS: Our findings suggest that women who had three or more children during early adulthood gained more weight compared to women who had no children in the same period. In contrast, women who had children earlier or later in their reproductive lives did not gain additional weight compared to those who did not have children during that period. Childbirth may have different associations with BMI based on the mother's age.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paridade / Índice de Massa Corporal / Idade Materna / Nascido Vivo Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Região como assunto: America central / Guatemala Idioma: En Revista: BMC Pregnancy Childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Guatemala País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paridade / Índice de Massa Corporal / Idade Materna / Nascido Vivo Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Região como assunto: America central / Guatemala Idioma: En Revista: BMC Pregnancy Childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Guatemala País de publicação: Reino Unido