TY - JOUR
T1 - Maternal Childhood Adversity, Prepregnancy Obesity, and Gestational Weight Gain
AU - Ranchod, Yamini K.
AU - Headen, Irene E.
AU - Petito, Lucia Catherine
AU - Deardorff, Julianna K.
AU - Rehkopf, David H.
AU - Abrams, Barbara F.
N1 - Funding Information:
This study was supported by the National Institute of Minority Health and Health Disparities, (R01 MD006104, Dr. Barbara Abrams). All views expressed in this paper are those of the author and do not reflect the views or policies of the U.S. Bureau of Labor Statistics. The authors would like to thank Jeremy Coyle for his guidance and support with the statistical analyses of this study. Dr. Ranchod contributed to the conception and design of the study, analyzed and interpreted the data, and wrote the manuscript. Ms. Headen contributed to the data acquisition, data analysis, and revisions of the manuscript. Ms. Petito contributed to the statistical analysis and revisions of the manuscript. Dr. Deardorff contributed to the interpretation of the data and revision of the manuscript. Dr. Rehkopf contributed to the data acquisition and interpretation, and revision of the manuscript. Dr. Abrams contributed the conception and design of the study, data acquisition and interpretation, and drafting/revision of the manuscript. All authors read and approved the final version of the submitted manuscript.
Funding Information:
This study was supported by the National Institute of Minority Health and Health Disparities, (R01 MD006104, Dr. Barbara Abrams). All views expressed in this paper are those of the author and do not reflect the views or policies of the U.S. Bureau of Labor Statistics.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Introduction Growing evidence suggests that exposure to childhood adversity may influence obesity across the life course. High maternal weight complicates pregnancy and increases the risk of child obesity. This study examined the association between maternal childhood adversity and pregnancy-related weight in a large U.S. sample. Methods Data on 6,199 pregnancies from 2,873 women followed from 1979 to 2012 by the National Longitudinal Survey of Youth 1979 were analyzed in 2014. Associations between three adversity exposures before age 18 years (history of physical abuse, alcohol problems, or mental illness in the household) and two maternal weight outcomes (prepregnancy obesity and excessive gestational weight gain) were modeled separately using survey-adjusted log-binomial models. Results After adjusting for race/ethnicity and early-life socioeconomic factors, childhood physical abuse was associated with a 60% increase in the risk of prepregnancy obesity (adjusted risk ratio=1.6, 95% CI=1.1, 2.2). Household alcohol abuse was associated with a 30% increase in prepregnancy obesity (adjusted risk ratio=1.3, 95% CI=1.0, 1.7), as was household mental illness (adjusted risk ratio=1.3, 95% CI=0.8, 1.9), but the mental illness exposure was not significant. Physical abuse and household alcohol abuse were associated with a significant 20% increase in the risk of excessive gestational weight gain; mental illness was not. Conclusions Adversity in early life may affect maternal weight before and during pregnancy. Screening and treating women of reproductive age for childhood adversity and its negative effects could significantly reduce obesity-related health outcomes for women and their children.
AB - Introduction Growing evidence suggests that exposure to childhood adversity may influence obesity across the life course. High maternal weight complicates pregnancy and increases the risk of child obesity. This study examined the association between maternal childhood adversity and pregnancy-related weight in a large U.S. sample. Methods Data on 6,199 pregnancies from 2,873 women followed from 1979 to 2012 by the National Longitudinal Survey of Youth 1979 were analyzed in 2014. Associations between three adversity exposures before age 18 years (history of physical abuse, alcohol problems, or mental illness in the household) and two maternal weight outcomes (prepregnancy obesity and excessive gestational weight gain) were modeled separately using survey-adjusted log-binomial models. Results After adjusting for race/ethnicity and early-life socioeconomic factors, childhood physical abuse was associated with a 60% increase in the risk of prepregnancy obesity (adjusted risk ratio=1.6, 95% CI=1.1, 2.2). Household alcohol abuse was associated with a 30% increase in prepregnancy obesity (adjusted risk ratio=1.3, 95% CI=1.0, 1.7), as was household mental illness (adjusted risk ratio=1.3, 95% CI=0.8, 1.9), but the mental illness exposure was not significant. Physical abuse and household alcohol abuse were associated with a significant 20% increase in the risk of excessive gestational weight gain; mental illness was not. Conclusions Adversity in early life may affect maternal weight before and during pregnancy. Screening and treating women of reproductive age for childhood adversity and its negative effects could significantly reduce obesity-related health outcomes for women and their children.
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U2 - 10.1016/j.amepre.2015.08.032
DO - 10.1016/j.amepre.2015.08.032
M3 - Article
C2 - 26558699
AN - SCOPUS:84961142490
VL - 50
SP - 463
EP - 469
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
SN - 0749-3797
IS - 4
ER -