Obesity

Gestational weight gain, cardiometabolic health, and long‐term weight retention at 17 years post delivery

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

As women age into midlife, high GWG continues to be associated with higher adiposity, as well as weight gain more than 6 kg above prepregnancy weight, compared with those who gain within or below IOM guidelines.

Study context

Population
Black and Dominican women, followed to 17 years post delivery
Participants
210 participants
Exposure
Gestational weight gain (GWG) above Institute of Medicine (IOM) guidelines vs within or below
Outcome
Long-term postpartum adiposity and LPPWR
Follow-up
17 years post delivery

Main finding

As reported in the abstract

17 years post delivery

Β (fat mass (FM))

5.11 kg

95% CI 2.35–7.88

Above IOM guidelines

Β (waist circumference (WC))

4.95 cm

95% CI 2.07–7.83

Above IOM guidelines

Β (LPPWR from prepregnancy to 17 years)

6.10 kg

95% CI 2.46–9.75

Above IOM guidelines

Observational data: associations, not effects.

Further findings

GWG above IOM guidelines

Participants with GWG above IOM guidelines
60%

BMI at 17 years

Mean (SD) BMI
31.2 (6.7) kg/m²

GWG z scores

Positive associations between GWG z scores and body fat %, FM, fat-free mass, WC and LPPWR

Original publication

Gestational weight gain, cardiometabolic health, and long‐term weight retention at 17 years post delivery. Obesity (Silver Spring). Published 5 May 2025. doi:10.1002/oby.24276

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