Physical Activity, Dietary Quality, Breastfeeding and Weight Retention Among 6 Month Postpartum Mothers
Keywords:
physical activity, dietary quality, breastfeeding, weight retention, postpartum mothersAbstract
Postpartum weight retention is the increase in body weight following childbirth when compared to before pregnancy, which can have a negative effect on the physiology and psychology of postpartum mothers. The purpose of this descriptive correlation study was to explore the relationship between physical activity, dietary quality, breastfeeding, and weight retention, among 6 month postpartum mothers. The participants consisted of 102 six month postpartum mothers who were sampled randomly, had a greater postpartum weight than pre-pregnancy weight, and who brought their babies to receive vaccinations in the OutpatientPediatric Department of Phramongkutklao Hospital, and the Well Child Clinic at Queen Sirikit National Institute of Child Health, between October 2014 and May 2015. The research instruments used included the physical activity questionnaire modified from the pregnancy physical activity questionnaire of Bungorn Supavititpatana (Supavititpatana, 2010), by the researcher, a 24-hour dietary recall report form, and a breastfeeding questionnaire which the researcher developed from Baker et al. (2008). Data were analyzed using descriptive statistics and Pearson’s product moment correlation.
The results of this study were as follows: The proportion of participants who had a low physical activity level was 77.45 percent. The proportion of participants who had an appropriate diet was 59.80 percent. The proportion of participants who had exclusively breastfed for 6 months after childbirth was 47.06 percent. The proportion of participants who had a 6 month postpartum weight greater than or equal to 5 kilograms more than their pre-pregancy weight, was 35.29 percent. Physical activity had no correlation with 6-month postpartum weight retention. Dietary quality had a significantly high positive correlation with postpartum weight retention (r=.714, p=<.01). Breastfeeding had a significantly low negative correlation with postpartum weight retention (r=-.220, p=<.05).
The results of this study indicate that programs should be provided which promote knowledge of dietary quality and breastfeeding in relation to postpartum mothers in order to prevent postpartum weight retention.
References
females: A review of literature. Quest, 66(4), 448-467.
Ainsworth, B.E., Haskell, W.L., Whitt, M.C., Irwin, M.L., Swartz, A.M., Strath, S.J. (2000). Compendium of physical activities:
An update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9), s498-s516.
Al-Sahab, B., Lanes, A., Feldman, M., & Tamim, H. (2010). Prevalence and predictors of 6-month exclusive
breastfeeding among Canadian women: a national survey. BMC Pediatrics, 10(1), 20-28.
Althuizen, E., Poppel, M. N., Vries, J. H., Seidell, J. C., & Mechelen, W. (2011). Postpartum behaviour as predictor
of weight change from before pregnancy to one year postpartum. BMC Public Health, 11(1), 165.
Baker, J. L., Gamborg, M., Heitmann, B. L., Lissner, L., Sorensen, T., & Rasmussen, K. M. (2008). Breastfeeding
reduces postpartum weight retention. The American Journal of Clinical Nutrition, 88, 1543-1551.
Boardley, D. J., Sargent, R. G., Coker, A. L., Hussey, J. R., & Sharpe, P. A. (1995). The relationship between diet,
activity, and other factors, and postpartum weight change by race. Obstetrics & Gynecology, 86(5), 834-838.
Chasan-Taber, L., Schmidt, M. D., Roberts, D. E., Hosmer, D., Markenson, G., & Freedson, P. S. (2004). Development and validation
of a pregnancy physical activity questionnaire. Medicine and Science in Sports and Exercise, 36(10), 1750-1760.
Clark, A., Skouteris, H., Wertheim, H. E., Paxton, J. S., Milgrom, J. (2009). The relationship between
depression and body dissatisfaction across pregnancy and the postpartum: A prospective study.
Journal of Health Psychology, 14, 23–31.
Dewey, K. G., Heinig, M. J., & Nommsen, L. A. (1993). Maternal weight-loss patterns during prolonged
lactation. The American Journal of Clinical Nutrition, 58(2), 162-166.
Foster, G. .D., Wyatt, H. R., Hill, J. O., McGuckin, B. G., Brill, C., Mohammed, B. S., ..., & Klein, S. (2003). A
randomized trial of a low-carbohydrate diet for obesity. The New England Journal of medicine, 348, 2082-2090.
Gibson, R.S. (2005). Measuring food consumption of individuals. In R. S., Gibson, Principles of nutritional
assessment (2nd ed.). New York: Oxford University press
Gjerdingen, D., Fontaine, P., Crow, S., McGovern, P., Center, B., & Miner, M. (2009). Predictors of mothers'
postpartum body dissatisfaction. Women & health, 49(6), 491-504.
Gunderson, E. P., & Abrams, B. (2000). Epidemiology of gestational weight gain and body weight changes
after pregnancy. Epidemiologic Reviews, 22(2), 261-274.
Huang, T-T., & Dai, F-T. (2007). Weight retention predictors for Taiwanese women at six-month postpartum.
Journal of Nursing Research, 15(1), 11-20.
Huang, T-T., Wang, H-S., & Dai, F-T. (2010). Effect of pre-pregnancy body size on postpartum weight
retention. Midwifery, 26(2), 222-231.
Hulshof, K., Brussaard, J. H., Kruizinga, A. G. Telman, J., & Lowik, M. (2003). Socio-economic status, dietary intake and
10 y trends: The Dutch national food consumption survey. European Journal of Clinical Nutrition, 57, 128–137.
Institute of Medicine [IOM]. (2002). Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids,
cholesterol, protein and amino acids (macronutrients). Washington, DC: The national academics press.
Institute of Nutrition, Mahidol university(2007). Nutrient calculation computer software INMUCAL-Nutrients
V2 database NB1.Nakornpathom.
IOM. (2009). Weight gain during pregnancy: reexamining the guidelines. Washington, DC: The national academics press.
Krause, K. M., Lovelady, C. A., Peterson, B. L., Chowdhury, N., & Ostbye, T. (2010). Effect of breast-feeding
on weight retention at 3 and 6 months postpartum: data from the North Carolina WIC Programme.
Public Health Nutrition, 13(12), 2019-2026.
Krummel, D. A. (2006). Postpartum weight control: A Vicious cycle. Journal of Dietetic Association, 107(1), 37-40.
Lee, C. J., Hsieh, T. T., Chiu, T. H., Chen, K. C., Lo, L. M., & Hung, T. H. (2000). Risk factors for pre-eclampsia
in an Asian population. International Journal of Gynecology & Obstetrics, 70(3), 327-333.
Nordmann, A. J., Nordmann, A., Briel, M. Keller, U., Yancy Jr, W. S., Brehm, B. J., & Bucher, H. C., (2006).
Effects of low-carbohydrate vs low-fat diets on weight loss and cardiovascular risk factors: A Meta-analysis
of Randomized Controlled Trials. Archives of Internal Medicine, 166(3), 285-293.
Ohlin, A., & Rössner, S. (1990). Maternal body weight development after pregnancy. International Journal of
Obesity, 14(2), 159-173.
Oken, E., Taveras, M. E., Popoola, A. F., Rich-Edwards, W. J., &Gillman, W. M. (2007). Television, walking, and diet
associations with postpartum weight retention. American Journal of Preventive Medicine, 32(4), 305-311.
Pereira, M. A., Rifas-Shiman, S. L., Kleinman, K. P., Rich-Edwards, J. W., Peterson, K. E., & Gillman, M. W. (2007).
Predictors of change in physical activity during and after pregnancy: Project viva. American Journal
of Preventive Medicine, 32(4), 312–319.
Phillips, J., King, R., & Skouteris, H. (2012). A conceptual model of psychological predictors of postpartum
weight retention. Journal of Reproductive and Infant Psychology, 30(3), 278-288.
Rooney, B. L., & Schauberger, C. W. (2002). Excess pregnancy weight gain and long-term obesity: One
decade later. Obstetrics & Gynecology, 100(2), 245-252.
Supavititpatana, B. (2010). A Causal Model of Thai Women’s Physical Activity During Second Trimester of Pregnancy (Doctoral thesis, Faculty of nursing, Mahidol university, Bangkok).
Taheri, S. (2006). The link between short sleep duration and obesity: We should recommend more sleep to
prevent obesity. Archives of Disease in Childhood, 91(11), 881-884.
Theanansuk, M., & Lertbunnaphong, T. (2008). Postpartum weight retention in Thai singleton pregnant woman with
normal pre – pregnancy body mass index. Thai Journal of Obstetrics and Gynaecology, 16(4), 221–226.
Tongswas, T., Somboon, L. ,Prasitwattanaseree,P., (2013).Selected Factors Related to Weight Changes
among postpartum women .Nursing Journal,40(2),1-11
Wilkinson, S., Huang, C. M., Walker, L. O., Sterling, B. S., & Kim, M. (2004). Physical activity in low‐income
postpartum women. Journal of Nursing Scholarship, 36(2), 109-114.
Xuto, P., Sinsuksai, N., Piaseu, N., Nityasuddhi, D., & Phupong, V. (2012). A Causal Model of Postpartum
Weight Retention among Thais. Pacific Rim International Journal of Nursing Research, 16(1), 48-63.
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