Gestational and Postpartum Weight Trajectories Among Women With and Without Asthma
Abstract Asthma leads to increased weight gain in nonpregnant populations, but studies have not examined this association within the context of pregnancy. The association between asthma and perinatal weight trajectories was examined in the Breathe—Wellbeing, Environment, Lifestyle, and Lung Function...
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| Veröffentlicht in: | American journal of epidemiology 2021-05, Vol.190 (5), p.744-754 |
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| creator | Stevens, Danielle R Grobman, William Kumar, Rajesh Lipsky, Leah M Hinkle, Stefanie N Chen, Zhen Williams, Andrew Rohn, Matthew C H Kanner, Jenna Sherman, Seth Mendola, Pauline |
| description | Abstract
Asthma leads to increased weight gain in nonpregnant populations, but studies have not examined this association within the context of pregnancy. The association between asthma and perinatal weight trajectories was examined in the Breathe—Wellbeing, Environment, Lifestyle, and Lung Function Study (2015–2019). Multilevel linear spline models were adjusted for age, race/ethnicity, income, marital status, education, cigarette smoking, parity, study site, and prepregnancy body mass index were used to examine differences in perinatal weight trajectories between women with (n = 299) and without (n = 101) asthma. Secondary analyses were conducted to assess whether associations differed by asthma phenotypes. At 40 weeks’ gestation, women with asthma gained 16.2 kg (95% confidence interval (CI): 14.6, 17.7) and women without asthma gained 13.1 kg (95% CI: 10.9, 15.4). At 3 months postpartum, women with asthma retained 10.4 kg (95% CI: 8.9, 11.9) and women without asthma retained 8.0 kg (95% CI: 5.9, 10.2). Among women with asthma, exercise-induced asthma and step 3 asthma medications were associated with excess gestational weight gain. These study findings suggest women with asthma gain and retain more weight during pregnancy and postpartum than do women without asthma. |
| doi_str_mv | 10.1093/aje/kwaa248 |
| format | Article |
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Asthma leads to increased weight gain in nonpregnant populations, but studies have not examined this association within the context of pregnancy. The association between asthma and perinatal weight trajectories was examined in the Breathe—Wellbeing, Environment, Lifestyle, and Lung Function Study (2015–2019). Multilevel linear spline models were adjusted for age, race/ethnicity, income, marital status, education, cigarette smoking, parity, study site, and prepregnancy body mass index were used to examine differences in perinatal weight trajectories between women with (n = 299) and without (n = 101) asthma. Secondary analyses were conducted to assess whether associations differed by asthma phenotypes. At 40 weeks’ gestation, women with asthma gained 16.2 kg (95% confidence interval (CI): 14.6, 17.7) and women without asthma gained 13.1 kg (95% CI: 10.9, 15.4). At 3 months postpartum, women with asthma retained 10.4 kg (95% CI: 8.9, 11.9) and women without asthma retained 8.0 kg (95% CI: 5.9, 10.2). Among women with asthma, exercise-induced asthma and step 3 asthma medications were associated with excess gestational weight gain. These study findings suggest women with asthma gain and retain more weight during pregnancy and postpartum than do women without asthma.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwaa248</identifier><identifier>PMID: 33169142</identifier><language>eng</language><publisher>CARY: Oxford University Press</publisher><subject>Asthma ; Body mass index ; Body size ; Body weight gain ; Cigarette smoking ; Exercise ; Life Sciences & Biomedicine ; Obesity ; Original Contribution ; Phenotypes ; Population studies ; Postpartum ; Pregnancy ; Public, Environmental & Occupational Health ; Respiratory function ; Science & Technology</subject><ispartof>American journal of epidemiology, 2021-05, Vol.190 (5), p.744-754</ispartof><rights>Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US. 2021</rights><rights>Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>1</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000667749900008</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c440t-db8d017dda0fd75b36e4af6cd3bf2c214c9d73b229f56a6151f02f7dbc2c26463</citedby><cites>FETCH-LOGICAL-c440t-db8d017dda0fd75b36e4af6cd3bf2c214c9d73b229f56a6151f02f7dbc2c26463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,782,786,887,1586,27931,27932,39265</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33169142$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stevens, Danielle R</creatorcontrib><creatorcontrib>Grobman, William</creatorcontrib><creatorcontrib>Kumar, Rajesh</creatorcontrib><creatorcontrib>Lipsky, Leah M</creatorcontrib><creatorcontrib>Hinkle, Stefanie N</creatorcontrib><creatorcontrib>Chen, Zhen</creatorcontrib><creatorcontrib>Williams, Andrew</creatorcontrib><creatorcontrib>Rohn, Matthew C H</creatorcontrib><creatorcontrib>Kanner, Jenna</creatorcontrib><creatorcontrib>Sherman, Seth</creatorcontrib><creatorcontrib>Mendola, Pauline</creatorcontrib><title>Gestational and Postpartum Weight Trajectories Among Women With and Without Asthma</title><title>American journal of epidemiology</title><addtitle>AM J EPIDEMIOL</addtitle><addtitle>Am J Epidemiol</addtitle><description>Abstract
Asthma leads to increased weight gain in nonpregnant populations, but studies have not examined this association within the context of pregnancy. The association between asthma and perinatal weight trajectories was examined in the Breathe—Wellbeing, Environment, Lifestyle, and Lung Function Study (2015–2019). Multilevel linear spline models were adjusted for age, race/ethnicity, income, marital status, education, cigarette smoking, parity, study site, and prepregnancy body mass index were used to examine differences in perinatal weight trajectories between women with (n = 299) and without (n = 101) asthma. Secondary analyses were conducted to assess whether associations differed by asthma phenotypes. At 40 weeks’ gestation, women with asthma gained 16.2 kg (95% confidence interval (CI): 14.6, 17.7) and women without asthma gained 13.1 kg (95% CI: 10.9, 15.4). At 3 months postpartum, women with asthma retained 10.4 kg (95% CI: 8.9, 11.9) and women without asthma retained 8.0 kg (95% CI: 5.9, 10.2). Among women with asthma, exercise-induced asthma and step 3 asthma medications were associated with excess gestational weight gain. These study findings suggest women with asthma gain and retain more weight during pregnancy and postpartum than do women without asthma.</description><subject>Asthma</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Body weight gain</subject><subject>Cigarette smoking</subject><subject>Exercise</subject><subject>Life Sciences & Biomedicine</subject><subject>Obesity</subject><subject>Original Contribution</subject><subject>Phenotypes</subject><subject>Population studies</subject><subject>Postpartum</subject><subject>Pregnancy</subject><subject>Public, Environmental & Occupational Health</subject><subject>Respiratory function</subject><subject>Science & Technology</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><recordid>eNqNkc2LFDEQxYMo7uzqybs0CLIg7SbpdNK5CMOgq7CgyMocQzofMxm7kzFJu_jfm7HH8eMg5pKC-lXV4z0AniD4EkHeXMmdufp8JyUm3T2wQITRmuKW3gcLCCGuOab4DJyntIMQId7Ch-CsaRDliOAF-HhtUpbZBS-HSnpdfQgp72XM01itjdtsc3UbywWVQ3QmVcsx-E21DqPx1drl7Y-ZQxGmXC1T3o7yEXhg5ZDM4-N_AT69eX27elvfvL9-t1re1IoQmGvddxoiprWEVrO2b6gh0lKlm95ihRFRXLOmx5jblkqKWmQhtkz3qnQpoc0FeDXv3U_9aLQyPkc5iH10o4zfRJBO_Nnxbis24avoIKeE8bLg8rgghi9T8UGMLikzDNKbMCWBScubtjxW0Gd_obswxeJZoTpS3CaUHRS9mCkVQ0rR2JMYBMUhK1GcFMesCv30d_0n9mc4Behm4M70wSbljFfmhJVwKWWMcF4q2K3cHOMqTD7_UvI_o4V-PtNh2v9T8ncwXr_J</recordid><startdate>20210504</startdate><enddate>20210504</enddate><creator>Stevens, Danielle R</creator><creator>Grobman, William</creator><creator>Kumar, Rajesh</creator><creator>Lipsky, Leah M</creator><creator>Hinkle, Stefanie N</creator><creator>Chen, Zhen</creator><creator>Williams, Andrew</creator><creator>Rohn, Matthew C H</creator><creator>Kanner, Jenna</creator><creator>Sherman, Seth</creator><creator>Mendola, Pauline</creator><general>Oxford University Press</general><general>Oxford Univ Press</general><general>Oxford Publishing Limited (England)</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210504</creationdate><title>Gestational and Postpartum Weight Trajectories Among Women With and Without Asthma</title><author>Stevens, Danielle R ; Grobman, William ; Kumar, Rajesh ; Lipsky, Leah M ; Hinkle, Stefanie N ; Chen, Zhen ; Williams, Andrew ; Rohn, Matthew C H ; Kanner, Jenna ; Sherman, Seth ; Mendola, Pauline</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-db8d017dda0fd75b36e4af6cd3bf2c214c9d73b229f56a6151f02f7dbc2c26463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Asthma</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Body weight gain</topic><topic>Cigarette smoking</topic><topic>Exercise</topic><topic>Life Sciences & Biomedicine</topic><topic>Obesity</topic><topic>Original Contribution</topic><topic>Phenotypes</topic><topic>Population studies</topic><topic>Postpartum</topic><topic>Pregnancy</topic><topic>Public, Environmental & Occupational Health</topic><topic>Respiratory function</topic><topic>Science & Technology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stevens, Danielle R</creatorcontrib><creatorcontrib>Grobman, William</creatorcontrib><creatorcontrib>Kumar, Rajesh</creatorcontrib><creatorcontrib>Lipsky, Leah M</creatorcontrib><creatorcontrib>Hinkle, Stefanie N</creatorcontrib><creatorcontrib>Chen, Zhen</creatorcontrib><creatorcontrib>Williams, Andrew</creatorcontrib><creatorcontrib>Rohn, Matthew C H</creatorcontrib><creatorcontrib>Kanner, Jenna</creatorcontrib><creatorcontrib>Sherman, Seth</creatorcontrib><creatorcontrib>Mendola, Pauline</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stevens, Danielle R</au><au>Grobman, William</au><au>Kumar, Rajesh</au><au>Lipsky, Leah M</au><au>Hinkle, Stefanie N</au><au>Chen, Zhen</au><au>Williams, Andrew</au><au>Rohn, Matthew C H</au><au>Kanner, Jenna</au><au>Sherman, Seth</au><au>Mendola, Pauline</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gestational and Postpartum Weight Trajectories Among Women With and Without Asthma</atitle><jtitle>American journal of epidemiology</jtitle><stitle>AM J EPIDEMIOL</stitle><addtitle>Am J Epidemiol</addtitle><date>2021-05-04</date><risdate>2021</risdate><volume>190</volume><issue>5</issue><spage>744</spage><epage>754</epage><pages>744-754</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><abstract>Abstract
Asthma leads to increased weight gain in nonpregnant populations, but studies have not examined this association within the context of pregnancy. The association between asthma and perinatal weight trajectories was examined in the Breathe—Wellbeing, Environment, Lifestyle, and Lung Function Study (2015–2019). Multilevel linear spline models were adjusted for age, race/ethnicity, income, marital status, education, cigarette smoking, parity, study site, and prepregnancy body mass index were used to examine differences in perinatal weight trajectories between women with (n = 299) and without (n = 101) asthma. Secondary analyses were conducted to assess whether associations differed by asthma phenotypes. At 40 weeks’ gestation, women with asthma gained 16.2 kg (95% confidence interval (CI): 14.6, 17.7) and women without asthma gained 13.1 kg (95% CI: 10.9, 15.4). At 3 months postpartum, women with asthma retained 10.4 kg (95% CI: 8.9, 11.9) and women without asthma retained 8.0 kg (95% CI: 5.9, 10.2). Among women with asthma, exercise-induced asthma and step 3 asthma medications were associated with excess gestational weight gain. These study findings suggest women with asthma gain and retain more weight during pregnancy and postpartum than do women without asthma.</abstract><cop>CARY</cop><pub>Oxford University Press</pub><pmid>33169142</pmid><doi>10.1093/aje/kwaa248</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Asthma Body mass index Body size Body weight gain Cigarette smoking Exercise Life Sciences & Biomedicine Obesity Original Contribution Phenotypes Population studies Postpartum Pregnancy Public, Environmental & Occupational Health Respiratory function Science & Technology |
| title | Gestational and Postpartum Weight Trajectories Among Women With and Without Asthma |
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