{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:58:52Z","timestamp":1790823532115,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HD034568"],"award-info":[{"award-number":["R01HD034568"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HD096032"],"award-info":[{"award-number":["R01HD096032"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R24ES030894"],"award-info":[{"award-number":["R24ES030894"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U54AG062322"],"award-info":[{"award-number":["U54AG062322"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","award":["24CDA1257852"],"award-info":[{"award-number":["24CDA1257852"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000041","name":"American Diabetes Association","doi-asserted-by":"publisher","award":["7\u201024\u2010ICTSWH\u201010"],"award-info":[{"award-number":["7\u201024\u2010ICTSWH\u201010"]}],"id":[{"id":"10.13039\/100000041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to examine associations of gestational weight gain (GWG) and postpartum weight retention (PPWR) with women's mid\u2010life cardiovascular health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We studied 838 Project Viva participants enrolled 1999\u20132002 (mean age: 32.6\u2009years). We categorized GWG as inadequate, adequate, or excessive using 2009 Institute of Medicine guidelines and calculated PPWR at 6\u2009months, 1\u2009year, and 2\u2009years. At the Mid\u2010Life Visit (2017\u20132021; mean age: 51.0\u2009years), we derived Life's Essential 8 (LE8) scores (0\u2013100; higher\u2009=\u2009better). We used linear regression models adjusted for pre\u2010pregnancy BMI, age at enrollment, pregnancy smoking status, household income, and educational attainment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Excessive versus adequate GWG was associated with worse weight status (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22128.99, 95% CI: \u221212.81, \u22125.18) but not with the overall LE8 score (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22121.93, 95% CI: \u22123.92, 0.07) or the biomedical domain score (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22122.31, 95% CI: \u22125.66, 1.05). Each 1\u2010kg higher 1\u2010year PPWR was associated with worse biomedical domain (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.49, 95% CI: \u22120.84, \u22120.14), weight status (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22121.54, 95% CI: \u22121.90, \u22121.17), and blood pressure scores (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.62, 95% CI: \u22121.15, \u22120.10). PPWR at 6\u2009months and 2\u2009years was also associated with worse glycemic traits scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Excessive GWG was associated primarily with worse mid\u2010life weight status, whereas higher PPWR was associated with worse mid\u2010life cardiovascular health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70312","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:41:08Z","timestamp":1790822468000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gestational Weight Gain, Postpartum Weight Retention, and Women's Mid\u2010Life Cardiovascular Health in Project Viva"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4416-6243","authenticated-orcid":false,"given":"Benjamin","family":"Grobman","sequence":"first","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Medicine Beth Israel Deaconess Medical Center, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0033-920X","authenticated-orcid":false,"given":"Sheryl L.","family":"Rifas\u2010Shiman","sequence":"additional","affiliation":[{"name":"Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9239-7476","authenticated-orcid":false,"given":"Izzuddin M.","family":"Aris","sequence":"additional","affiliation":[{"name":"Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8552-6850","authenticated-orcid":false,"given":"Wei","family":"Perng","sequence":"additional","affiliation":[{"name":"Life Course Epidemiology of Adiposity and Diabetes Center and Department of Epidemiology, Colorado School of Public Health University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sehej\u2010Leen","family":"Parmar","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4168-2696","authenticated-orcid":false,"given":"Stephen P.","family":"Juraschek","sequence":"additional","affiliation":[{"name":"Department of Medicine Beth Israel Deaconess Medical Center, Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Nutrition Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2513-3339","authenticated-orcid":false,"given":"Emily","family":"Oken","sequence":"additional","affiliation":[{"name":"Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute  Boston Massachusetts USA"},{"name":"Department of Nutrition Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010France","family":"Hivert","sequence":"additional","affiliation":[{"name":"Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute  Boston Massachusetts USA"},{"name":"Diabetes Unit Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3628-0983","authenticated-orcid":false,"given":"Mingyu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Medicine Beth Israel Deaconess Medical Center, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001212"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6540a10"},{"key":"e_1_2_9_4_1","volume-title":"Weight Gain During Pregnancy: Reexamining the Guidelines","author":"Rasmussen K. 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