Healthy excessive weight in Portuguese women 4 years after delivery of a liveborn

• Tipo: Artigo em Revista Científica Internacional
• Data: 2015

Autores

Henriques, A (Autor) Outra; Santos AC (Autor) FMUP; guimaraes, jt (Autor) FMUP; Barros H (Autor) FMUP; Azevedo A (Autor) FMUP

Revista

Título: Preventive Medicine

Vol. 75

Páginas: 49-55

ISSN: 0091-7435

Editora: Elsevier

Indexação

ISI Web of Knowledge - 1 Citação

Scopus - 1 Citação

Outras Informações

ID Authenticus: P-00A-ATD

DOI: 10.1016/j.ypmed.2015.03.009

Abstract (EN): Objective. To quantify the prevalence of healthy excessive weight and determinants of metabolic profile, considering women's reproductive life. Methods. We evaluated 1847 mothers of a birth cohort assembled after delivery and reevaluated 4 years later. A healthy profile was defined as the absence of hypertension, diabetes, dyslipidemia, C-reactive protein <3 mg/l and being below the second tertile of HOMA-IR. Adjusted odds ratios (OR) and confidence intervals (95% CI) were computed using multinomial logistic regression, taking women with normal BMI as the reference category of the outcome. Results. Four years after delivery, 47% of women had normal BMI, 33% were overweight and 20% obese. In each BMI class, 61%, 33% and 12% presented a healthy metabolic profile, respectively. Family history of CVD/cardiometabolic risk factors was associated with a higher probability of obesity with a not healthy metabolic profile (OR = 1.39 95% CI: 0.98-1.98). Women who breastfed the enrolled child for >26 weeks and practiced physical exercise were less likely to be obese and metabolically unhealthy (OR = 039 95% CI: 0.23-0.68; OR = 0.48 95% CI: 0.33-0.70, respectively), with no effect on healthy excessive weight. Conclusions. These results support the existence of a healthy excessive weight phenotype in women after motherhood, influenced by anthropometrics, genetic and lifestyles characteristics.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 7