Body weight and fat trajectories of Black and White women in the first postpartum year

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

Black women were less likely than White women to lose weight and fat in the postpartum period. There was preferential retention of fat in the abdominal area.

Study context

Population
Black and White women after delivery of a singleton infant; body composition by dual-energy x-ray absorptiometry at 6 to 8 weeks, 6 months and 12 months postpartum
Participants
49 vs 85
Exposure
Black vs White women
  • Blackn = 49
  • Whiten = 85reference
Outcome
Changes in body weight and fat (fat mass, abdominal fat) during the first postpartum year
Follow-up
6 to 8 weeks to 12 months postpartum

Main finding

As reported in the abstract

Fat mass change, adjusted mean (SE) · 6 to 8 weeks to 12 months

Fat mass, White women: 6 to 8 weeks to 12 months

29.6 [1.3] to 26.9 [1.3] kg

Fat mass, Black women: 6 to 8 weeks to 12 months

34.5 [1.5] to 36.8 [1.8] kg

Observational data: associations, not effects.

Further findings

Fat mass, entire sample · 6 months vs 6 to 8 weeks

Fat mass higher at 6 months than at 6 to 8 weeks, independent of weight change

Visceral fat, entire sample

Visceral fat at 12 months (higher)
686 [45] g
Visceral fat at 6 to 8 weeks
611 [42] g
Visceral fat at 6 months
626 [43] g

Android fat, entire sample · 12 months vs 6 months

Android fat higher at 12 months than at 6 months, independent of fat change

Original publication

Body weight and fat trajectories of Black and White women in the first postpartum year. Obesity (Silver Spring). Published 11 May 2023. doi:10.1002/oby.23724

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