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- Title
Prevalence and Predictors of Substantial Postpartum Weight Retention Among Participants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Southern California.
- Authors
Yusuf, Hanan M.; Koleilat, Maria; Whaley, Shannon E.
- Abstract
Purpose: Identify the prevalence and predictors of substantial postpartum weight retention (SPPWR) among WIC mothers in Southern California during their first postpartum year. Design: Secondary data analysis. Setting: The 2020 Los Angeles County WIC Survey. Subjects: Mothers of children up to 1-year-old (N = 1019). Measures: Outcome variable: SPPWR (≥5 kg above pre-pregnancy weight). Predictors: child's age, mother's age, race, education, employment status since having child, healthcare coverage, food insecurity, depressed mood, instrumental support, emotional support, spouse's participation in child's life, gestational weight gain (GWG), pre-pregnancy BMI, any breastfeeding, and gestational diabetes. Analysis: Weighted descriptive statistics and binary logistic regression. Results: The prevalence of SPPWR was 31%. We found that for every 1 month increase in the child's age (proxy for postpartum duration), the likelihood of SPPWR increased by 9% (AOR = 1.09, CI = 1.04-1.15). Mothers were more likely to have SPPWR when they exceeded GWG guidelines (AOR = 3.43, CI = 2.46-4.79). Compared to mothers with normal pre-pregnancy BMIs, mothers with overweight (AOR =.64, CI =.44-.94) and obese (AOR =.39, CI =.26-.58) pre-pregnancy BMIs were less likely to experience SPPWR. Conclusion: Postpartum duration and maternal anthropometric characteristics were associated with SPPWR during the first postpartum year. Extending WIC eligibility for postpartum mothers to 2 years through the Wise Investment in Children Act may give WIC providers the opportunity to work closely with Southern California WIC mothers to achieve a healthy weight after pregnancy.
- Subjects
SOUTHERN California; LOS Angeles (Calif.); BREASTFEEDING promotion; NUTRITION services; PUERPERIUM; COMPULSIVE eating; CO-sleeping; INFANTS; WEIGHT gain; SECONDARY analysis
- Publication
American Journal of Health Promotion, 2023, Vol 37, Issue 5, p675
- ISSN
0890-1171
- Publication type
Article
- DOI
10.1177/08901171221148840