산후 3개월 동안 체중저류 양상과 관련요인 = Postpartum Weight Retention: Patterns and Related Factors during 3 months Postpartum

다국어 초록 (Multilingual Abstract)

Objectives : The purpose of this prospective study was to explore the pattern of
postpartum weight retention during 3 months postpartum period and to examine demographic and obstetric factors that influence weight retention in the postpartum.
Methods : The study used a correlational, longitudinal design to address the questions
posed. After delivery, a convenience sample of 77 mothers with newborn infants was
recruited at three hospitals in P city and followed for 3 months postpartum. The mothers' postpartum weight loss and obstetric and demographic variables were measured at three time points: during hospitalization (T1: 1∼2 days following delivery), 6 weeks (T2), and 3 months (T3) postpartum.
Results : Mean total weight gain during pregnancy was 12.8±3.4㎏ (range: 6∼24㎏). At 6 weeks (T2) weight loss compared to weight at term pregnancy was 8.7±2.3㎏ and range was wide from 5 to 15㎏. Weight retention was 4.1±3.0㎏ at 6 weeks and 2.6±3.3㎏ at 3 months postpartum. The difference in body weight between 6 weeks and 3 months bodyweight was only 1.6㎏, indicating weight loss was progressed very slowly after the 6 weeks of postpartum. Weight change was different by measurement time and group of Body Mass Index (BMI) at pre-pregnancy. Weight retention at 6 weeks postpartum was greater when woman was primipara, and woman had low or normal BMI at pre-pregnancy, infants with no health problem, and breastfeeding. Significant predictors for more weight retention were greater weight gain during pregnancy and lower BMI at pre-pregnancy.
Conclusions : The first 6 weeks of postpartum is the most critical time to lose weight that gained during pregnancy and there is a need to develop well-designed weight control program for puerperal women in the context of Korean postpartum care style.

참고문헌 (Reference)

1 "화와 출산후 체중증가에 대한 전향적 연구." 22 (22): 895-903, 2001

2 "장기간운동이 비만여성의 생리 심리상태에 미치는 영향. 한국스포츠심리학회" 10 (10): 159-168, 1999

3 "임신중 체중변"

4 "임신결과와의 관계. 모자보건학회지" 2 (2): 171-180, 1998

5 "임산부의 신체비만지수에 따른 체중증가 양상과"

6 "여성의 건강상태와 산후조리 경험과의 관계 연구" 36 (36): 74-90,

7 "비만에서 임신과 출산." 9 (9): 25-27, 2000

8 "김행수. 임신중 산후비만도에 영향을 미치는 요인분석-임신중의 체중증가를 중심으로-." 9 (9): 136-143, 2000

9 "and immune status in postpartalwomen." 46 (46): 20-25, NursRes1997

10 "Weight change in the postpartum period.J Nurse Midwifery" 40 (40): 418-423, 1995

11 "Slade PD. The relationship betweenbody-image and body fat in adult women.Psychol Med 1988" 623-631,

12 "Pregnancy as a risk factor forobesity from the Stockholm pregnancy andweight development study." 3 : 267-275, ObesRes1995

13 "Parityassociated weight gain and its modification by sociodemographic and behavioral factors: a prospective analysis in US women." 21 : 802-810, IntJObes1997

14 "Ohlin A. Factors related to body weightchanges during and after pregnancy." 4 : 271-276, IntJObes1996

15 "Obesity and weight change related to parity and" 4 (4): 865-870, PublicHealthNutr2003

16 "Nommsen LA. Maternalweight loss patterns during prolongedlactation. Am J Clin Nutr 1993" 162-166,

17 "Monson RR et al. A prospective study ofobesity and risk of coronary heart disease inwomen. N Engl J Med 1990" 822-829,

18 "Lifestyle factorsrelated to postpartum weight gain and bodyimage in bottle-and breastfeeding women" 27-2, 1998

19 "Johnston EM. Weight changes during pregnancy andthe postpartum period. Prog Food Sci1991" 117-157,

20 "How dose maternal employment affect preterm infants?." 22 (22): 204-208, MCNAmJMaternChildNurs1997

21 "Gestational weight gain, pregnancy" 86 (86): 423-427, ObstetGynecol1995

22 "Claude B et al.Recruitment for an intervention study and aselected description of the obese state. Int JObes 1992" 465-479,

23 "Caulfield L. Psychosocial influences on weight gain attitudes and behaviors during pregnancy." 103 (103): 1314-1319, JAmDietAssoc2003

24 "Brimer LM. Factorsthat influence weight loss in thepuerperium. Obstet Gynecol 1992" 424-429,

25 "Bradley PJ. Conditions recalled to have beenassociated with weight gain and adulthood.Appetite 1985" 235-241,

26 "Birgisdottir BE. Different weight gainin women of normal weight beforepregnancy" 92 (92): 377-381, 1998