Overweight/obesity, gestational weight gain, postpartum weight retention, and maternal/neonatal complications in the military
Main findingResult — go to the resultOdds ratio 0.73 95% CI 0.60–0.88Authors' conclusion
Excessive GWG is frequent among TRICARE beneficiaries, particularly active-duty personnel, and is strongly associated with costly maternal/neonatal complications. Substantial PPWR is also common in this population, with excessive GWG as a key risk factor.
Study context
- Population
- TRICARE (military) beneficiaries who gave birth in 2018 or 2019 in the United States
- Participants
- 48,391 participants
- Exposure
- Excessive gestational weight gain (GWG) vs non-excessive GWG; dependents vs active-duty women
- Outcome
- Prevalence of overweight/obesity and excessive GWG; associations with maternal/neonatal complications and substantial PPWR
Methodological detailslogistic regression and ANOVA
- Logistic regression and ANOVA
Main finding
As reported in the abstract
Odds ratio
0.73
95% CI 0.60–0.88
Dependentsvs Active-duty women
OR 0.73 (95% CI 0.60–0.88)
- Excessive GWG
- 75%
- Substantial PPWR
- 42%
Observational data: associations, not effects.
Further findings
Substantial PPWR by excessive GWG
| OR (95% CI) | ||
|---|---|---|
| Excessive GWGMore likely with excessive GWG | 3.57 (3.14–4.06) | |
| 0.20.5125Odds ratio (log scale) |
Maternal/neonatal complications by excessive GWG
- Excessive GWG more likely to have maternal/neonatal complications (e.g., pregnancy-induced hypertension, cesarean delivery)
Original publication
Overweight/obesity, gestational weight gain, postpartum weight retention, and maternal/neonatal complications in the military. Obesity (Silver Spring). Published 23 April 2024. doi:10.
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