TY - JOUR
T1 - Overweight/obesity, gestational weight gain, postpartum weight retention, and maternal/neonatal complications in the military
AU - Krukowski, Rebecca A.
AU - Solomon, Erin
AU - Lang, Juan
AU - Stone, Emily
AU - You, Wen
AU - Burns, Rosemary Estevez
AU - Copeland, Carol
AU - Bursac, Zoran
AU - Hare, Marion E.
AU - Waters, Teresa M.
N1 - Publisher Copyright:
© 2024 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society.
PY - 2024/5
Y1 - 2024/5
N2 - Objective: The objective of this study was to examine the prevalence of overweight/obesity and excessive gestational weight gain (GWG) among military beneficiaries and to assess associations of these risk factors with maternal/neonatal complications and substantial postpartum weight retention (PPWR). Methods: We obtained data for 48,391 TRICARE beneficiaries who gave birth in 2018 or 2019 in the United States. We used logistic regression and ANOVA to examine relationships among overweight/obesity, GWG, maternal/neonatal complications, and substantial PPWR. Results: Most TRICARE beneficiaries (75%) had excessive GWG, and 42% had substantial PPWR. Dependents were less likely than active-duty women to have excessive GWG (odds ratio [OR] = 0.73, 95% CI: 0.60–0.88). Women with excessive GWG were three times more likely to have substantial PPWR (OR = 3.57, 95% CI: 3.14–4.06). Those with excessive GWG were more likely to have maternal/neonatal complications (e.g., pregnancy-induced hypertension, cesarean delivery). Conclusions: 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.
AB - Objective: The objective of this study was to examine the prevalence of overweight/obesity and excessive gestational weight gain (GWG) among military beneficiaries and to assess associations of these risk factors with maternal/neonatal complications and substantial postpartum weight retention (PPWR). Methods: We obtained data for 48,391 TRICARE beneficiaries who gave birth in 2018 or 2019 in the United States. We used logistic regression and ANOVA to examine relationships among overweight/obesity, GWG, maternal/neonatal complications, and substantial PPWR. Results: Most TRICARE beneficiaries (75%) had excessive GWG, and 42% had substantial PPWR. Dependents were less likely than active-duty women to have excessive GWG (odds ratio [OR] = 0.73, 95% CI: 0.60–0.88). Women with excessive GWG were three times more likely to have substantial PPWR (OR = 3.57, 95% CI: 3.14–4.06). Those with excessive GWG were more likely to have maternal/neonatal complications (e.g., pregnancy-induced hypertension, cesarean delivery). Conclusions: 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.
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U2 - 10.1002/oby.24016
DO - 10.1002/oby.24016
M3 - Article
C2 - 38650523
AN - SCOPUS:85191073612
SN - 1930-7381
VL - 32
SP - 900
EP - 910
JO - Obesity
JF - Obesity
IS - 5
ER -