{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T19:12:14Z","timestamp":1773083534584,"version":"3.50.1"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2007,1,2]],"date-time":"2007-01-02T00:00:00Z","timestamp":1167696000000},"content-version":"unspecified","delay-in-days":1980,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2001,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980001000842_sec01\"><jats:title>Objective:<\/jats:title><jats:p>Studies on the independent role of parity in long-term body weight change in economically developing countries are scarce and inconclusive, and only a few studies have taken into account patterns of breast-feeding. This association was examined in a national cross-sectional survey representative of Brazilian parous women.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980001000842_sec02\"><jats:title>Design and setting:<\/jats:title><jats:p>The survey conducted in 1996 measured women's height and weight in the household and data on weight prior to the first pregnancy, parity and breast-feeding were recalled.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980001000842_sec03\"><jats:title>Subjects:<\/jats:title><jats:p>A sample of 2338 parous women, 15 to 49 years of age, 29 months after last delivery on average, had current body mass index (BMI, in kg m<jats:sup>\u22122<\/jats:sup>) modelled through hierarchical multiple linear regression analysis. Explanatory variables included parity, days of predominant breast-feeding, BMI pre-pregnancy, socio-economic, geographic, demographic and other reproductive variables.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980001000842_sec04\"><jats:title>Results:<\/jats:title><jats:p>Prevalences of overweight<jats:italic>(BMI=25.0\u201329.9 kg m<jats:sup>\u22122<\/jats:sup>)<\/jats:italic>and obesity<jats:italic>(BMI&lt;=30.0 kg m<jats:sup>\u22122<\/jats:sup>)<\/jats:italic>were 25.2% and 9.3%. The overall mean weight gain per year after the first pregnancy was 0.90 kg for an average time since first pregnancy of eight years. BMI pre-pregnancy modified the association between current BMI and parity. Therefore, weight change attributed to parity calculated for a woman of average height (1.56 m) was 0.60 kg greater for primiparous women with a BMI pre-pregnancy of 30 kg m<jats:sup>\u22122<\/jats:sup>, compared with women with BMI pre-pregnancy of 25 kg m<jats:sup>\u22122<\/jats:sup>. This greater weight retention among obese women was 1.21 kg for women with two children and 1.82 kg for women with three or more children. Parity reduced the effect of weight loss associated with lactation (1.75 kg for six months of lactation among primiparous women and 0.87 kg among women with three or more children). For the sub-sample of 793 primiparous women, a weight decrease of 300 g was associated with each month of predominant breast-feeding for all prior BMI levels.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980001000842_sec05\"><jats:title>Conclusions:<\/jats:title><jats:p>In this study, weight change associated to reproduction was highly dependent on BMI previous to pregnancy and the effects of parity and lactation were small.<\/jats:p><\/jats:sec>","DOI":"10.1079\/phn2001125","type":"journal-article","created":{"date-parts":[[2008,6,3]],"date-time":"2008-06-03T15:05:33Z","timestamp":1212505533000},"page":"865-870","source":"Crossref","is-referenced-by-count":55,"title":["Obesity and weight change related to parity and breast-feeding among parous women in Brazil"],"prefix":"10.1017","volume":"4","author":[{"given":"Denise C","family":"Coitinho","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosely","family":"Sichieri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Helena","family":"D'Aquino Ben\u00edcio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,1,2]]},"reference":[{"key":"S1368980001000842_ref024","first-page":"12","article-title":"The indirect association between lactation with subsequent perimenopausal body weight","volume":"50","author":"Rush","year":"1994","journal-title":"Eur. 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Obes."},{"key":"S1368980001000842_ref019","doi-asserted-by":"publisher","DOI":"10.1079\/BJN19890105"},{"key":"S1368980001000842_ref013","volume-title":"Applied Regression Analysis and Other Multivariable Methods","author":"Kleinbaum","year":"1998"},{"key":"S1368980001000842_ref016","first-page":"609","article-title":"The effect of pregnancy on the body mass index 9 months postpartum in 49 women","volume":"11","author":"Rookus","year":"1987","journal-title":"Int. J. Obes."},{"key":"S1368980001000842_ref021","volume-title":"Nutrition During Pregnancy: Weight Gain, Nutrient Supplements","year":"1990"},{"key":"S1368980001000842_ref015","doi-asserted-by":"publisher","DOI":"10.1002\/j.1550-8528.1995.tb00129.x"},{"key":"S1368980001000842_ref023","first-page":"497","article-title":"Determinants of body mass index: a study from northern Italy","volume":"8","author":"Tavani","year":"1994","journal-title":"Int. J. Obes. Relat. Metab. Disorders"},{"key":"S1368980001000842_ref008","doi-asserted-by":"publisher","DOI":"10.1136\/jech.36.4.306"},{"key":"S1368980001000842_ref012","volume-title":"Pesquisa Nacional sobre Demografia e Sa\u00fade \u2013 DHS\/III","year":"1997"},{"key":"S1368980001000842_ref018","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/S0002-8223(21)01143-3","article-title":"Does infant feeding method influence maternal postpartum weight loss?","volume":"91","author":"Potter","year":"1991","journal-title":"J. Am. Diet. Assoc."},{"key":"S1368980001000842_ref026","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/69.4.697"},{"key":"S1368980001000842_ref002","unstructured":"2 Coitinho DC. A influ\u00eancia da hist\u00f3ria reprodutiva no \u00edndice de massa corporal de mulheres Brasileiras [The influence of reproductive history in the body mass index of Brazilian women]. Ph.D. dissertation. Brazil: Public Health School, University of Sao Paulo, 1998."},{"key":"S1368980001000842_ref005","first-page":"561","article-title":"A prospective study of childbearing and 10-year weight gain in the U.S. white women 25 to 45 years of age","volume":"18","author":"Williamson","year":"1994","journal-title":"Int. J. Obes."},{"key":"S1368980001000842_ref007","first-page":"627","article-title":"Parity related weight change in women","volume":"16","author":"Brown","year":"1992","journal-title":"Int. J. Obes."},{"key":"S1368980001000842_ref010","first-page":"159","article-title":"Maternal body weight development after pregnancy","volume":"14","author":"Ohlin","year":"1990","journal-title":"Int. J. 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Gynaecol."}],"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980001000842","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,11]],"date-time":"2021-09-11T14:33:02Z","timestamp":1631370782000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980001000842\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,8]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2001,8]]}},"alternative-id":["S1368980001000842"],"URL":"https:\/\/doi.org\/10.1079\/phn2001125","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,8]]}}}