{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:02Z","timestamp":1787019302338,"version":"build-2736575974"},"reference-count":54,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["F31NR020431"],"award-info":[{"award-number":["F31NR020431"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Retention of weight postpartum increases risk for long-term morbidity, including cardiometabolic disease. Although retained weight postpartum is a complex problem, interventions generally address individual diet and activity behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We investigated the impact of social-network factors on postpartum health behaviors and weight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We used an explanatory-sequential mixed-methods approach. This article reports our quantitative findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Childbearing people receiving care at university-based clinics were eligible if aged 18+, 12\u201315\u2009months postpartum, with a pre-pregnancy BMI\u2009\u2a7e\u200925\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . An online survey collected participants\u2019 demographic and outcome data and structured surveys collected personal social-network data. Block stepwise linear regression identified associations between social-network features and postpartum health behaviors and weight.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      One hundred women completed both surveys; 62% did not return to pre-pregnancy weight. Multivariable models found: (a) participants with lower postpartum weight ate meals with more people in their network (\u03b2\u2009=\u2009\u22120.173,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.063); (b) lower consumption of sugar-sweetened beverages was associated with greater proportions of the network who were siblings (\u03b2\u2009=\u2009\u22120.231,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.011), and who were perceived to eat a healthy diet (\u03b2\u2009=\u2009\u22120.201,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.031); (c) higher consumption of fruit was associated with a greater proportion of the network who helped with participants\u2019 healthy-lifestyle goals (\u03b2\u2009=\u20090.288,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004), a smaller proportion of the network who were friends (\u03b2\u2009=\u2009\u22120.229,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.022), and greater betweenness centrality (\u03b2\u2009=\u20090.302,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002); (d) lower consumption of fat was associated with smaller proportions of the network who were perceived to be sedentary (\u03b2\u2009=\u20090.288,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.005), were friends (\u03b2\u2009=\u20090.311,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002), and were perceived to be normal weight (\u03b2\u2009=\u20090.202,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.052) and with greater proportions of the network who encouraged participant goals (\u03b2\u2009=\u2009\u22120.257,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.012) and were perceived to eat a healthy diet (\u03b2\u2009=\u2009\u22120.258,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.015); (e) increased levels of activity were associated with a greater proportion of the network who were perceived to eat a healthy diet (\u03b2\u2009=\u20090.192,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.044).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Results revealed evidence for the role of social-network norms, support, and structure in postpartum health behaviors and weight. Understanding social environments\u2019 impact on postpartum health behaviors and weight is essential in approaching the problem from a multilevel\/domain approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251321872","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T09:10:47Z","timestamp":1741770647000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Associations between social-network characteristics and postpartum health behaviors and weight among a sample of women who were overweight\/obese pre-pregnancy"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8850-2539","authenticated-orcid":false,"given":"Jacqueline","family":"Kent-Marvick","sequence":"first","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, UT, USA"},{"name":"National Clinician Scholars Program, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bob","family":"Wong","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0681-7671","authenticated-orcid":false,"given":"Sara E","family":"Simonsen","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2139-7716","authenticated-orcid":false,"given":"Kristin G","family":"Cloyes","sequence":"additional","affiliation":[{"name":"School of Nursing, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle Precourt","family":"Debbink","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Creal","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2536-7701","authenticated-orcid":false,"given":"Kayla","family":"de la Haye","sequence":"additional","affiliation":[{"name":"Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000565"},{"key":"e_1_3_4_3_2","first-page":"1","article-title":"Prepregnancy body mass index by maternal characteristics and state: data from the birth certificate, 2014","volume":"65","author":"Branum AM","year":"2016","unstructured":"Branum AM, Kirmeyer SE, Gregory EC. 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