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Impact of a walking intervention during pregnancy on post-partum weight retention and infant anthropometric outcomes

Published online by Cambridge University Press:  04 March 2014

K. L. Kong ,
C. Campbell ,
K. Wagner ,
A. Peterson  and
L. Lanningham-Foster
K. L. Kong
Affiliation:
Department of Food Science and Human Nutrition, Iowa State University, Ames, USA
C. Campbell
Affiliation:
Department of Food Science and Human Nutrition, Iowa State University, Ames, USA
K. Wagner
Affiliation:
Department of Food Science and Human Nutrition, Iowa State University, Ames, USA
A. Peterson
Affiliation:
Department of Statistics, Iowa State University, Iowa, USA
L. Lanningham-Foster*
Affiliation:
Department of Food Science and Human Nutrition, Iowa State University, Ames, USA
*
*Address for correspondence: L. Lanningham-Foster, Department of Food Science and Human Nutrition, Iowa State University, 50011 Ames, USA. (Email lmlf@iastate.edu)
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Abstract

Few studies have investigated the impact of lifestyle interventions during pregnancy on post-partum weight retention and infant growth. Thirty seven previously non-exercising, overweight or obese pregnant women were randomly assigned to a walking intervention or non-intervention control. For the follow-up study, weight of the mother and weight, length and body composition of the infant were collected at 1 month post-partum (n=37) and 6 months post-partum (n=33). Analysis of variance and linear regression were conducted to determine the differences and association in maternal post-partum weight retention and child outcomes. At 6 months post-partum, weight retention of obese women in the intervention group (Int-OB) was −0.10±8.11 kg; while, obese women in the control group (Con-OB) was 6.35±7.47 kg. A significantly higher percentage of Con-OB women retained more than 5 kg at 6 months post-partum (P=0.046). Even though statistically non-significant between the groups, the growth trend observed among offspring of obese women in the control group was consistently higher than the offspring of obese women in the intervention group from birth to 6-months. Third trimester gestational weight gain rate significantly predicted 6-m weight-for-length z-score after controlling for birth weight, treatment group and pre-pregnancy body mass index (r2=0.31, β=1.75, P=0.03). The reduced post-partum weight retention observed among the obese women in the intervention group may be explained in part by the lifestyle modification during pregnancy.

Keywords

overweight/obese pregnant womenmoderate walkingweight retentioninfant body composition
Type
Fast Track
Information
Journal of Developmental Origins of Health and Disease , Volume 5 , Issue 3 , June 2014 , pp. 259 - 267
Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2014 

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