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Maternal night-eating and lower diet quality during pregnancy are associated with substantial postpartum weight retention

Published online by Cambridge University Press:  10 June 2020

See Ling Loy
Affiliation:
KK Women's and Children's Hospital, Singapore, Singapore Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore
Yin Bun Cheung
Affiliation:
Duke-NUS Medical School, Singapore, Singapore University of Tampere and Tampere University Hospital, Tampere, Finland
Colega Marjorelee
Affiliation:
Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore
Airu Chia
Affiliation:
National University of Singapore, Singapore, Singapore
Chad Yixian Han
Affiliation:
National University Hospital, Singapore, Singapore Flinders University of South Australia, Bedford Park, Australia
Keith M. Godfrey
Affiliation:
University of Southampton, Southampton, United Kingdom University of Southampton and University Hospital Southampton National Health Service Foundation Trust, Southampton, United Kingdom
Yap-Seng Chong
Affiliation:
Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore National University of Singapore, Singapore, Singapore
Lynette Pei-Chi Shek
Affiliation:
National University of Singapore, Singapore, Singapore National University Hospital, Singapore, Singapore
Kok Hian Tan
Affiliation:
KK Women's and Children's Hospital, Singapore, Singapore Duke-NUS Medical School, Singapore, Singapore
Ngee Lek
Affiliation:
KK Women's and Children's Hospital, Singapore, Singapore Duke-NUS Medical School, Singapore, Singapore
Jerry Kok Yen Chan
Affiliation:
KK Women's and Children's Hospital, Singapore, Singapore Duke-NUS Medical School, Singapore, Singapore
Mary Foong-Fong Chong
Affiliation:
Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore National University of Singapore, Singapore, Singapore
Fabian Yap
Affiliation:
KK Women's and Children's Hospital, Singapore, Singapore Duke-NUS Medical School, Singapore, Singapore
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Abstract

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Recent evidence suggests that synchronizing eating-fasting schedules with body's circadian rhythms or day-night cycles is important for metabolic health. Besides food quantity and quality, food timing may contribute to weight regulation. However, it is unclear if this factor during pregnancy can influence maternal weight retention after childbirth. Using data from a prospective cohort, the Growing Up in Singapore Towards healthy Outcomes (GUSTO) study, we examined the associations of maternal circadian eating pattern and diet quality in pregnancy with substantial postpartum weight retention (PPWR) at 18 months. We assessed 687 pregnant women for their circadian eating pattern (night-eating, night-fasting and eating episodes) and diet quality (Healthy Eating Index) based on information derived from 24-h dietary recall at 26–28 weeks’ gestation. Night-eating was defined as > 50% of total energy intake during 1900–0659 h; night-fasting duration was determined based on the longest fasting interval between consumption of a calorie-containing food or beverage during 1900–0659 h; eating episodes were defined as events that provided ≥ 210 kJ with time intervals between eating episodes of ≥ 15 min; diet quality was ascertained using the Healthy Eating Index which measures adherence to the Singapore dietary guidelines for pregnant women. PPWR was calculated by subtracting the weight at the first antenatal clinic visit from weight at 18-month postpartum. Substantial PPWR was defined as weight retention of 5 kg or more. Adjusting for maternal age, ethnicity, education, parity, night shift, mood, body mass index and total energy intake, multivariable binary logistic regression analysis was performed to estimate odds ratio (OR) of substantial PPWR in relation to circadian eating pattern and diet quality. Of 687 women, 110 (16%) had substantial PPWR. After confounders adjustment, night-eating (OR 1.95; 95% confidence interval 1.05, 3.62) and lower diet quality (1.91; 1.17, 3.10) were independently associated with higher odds of substantial PPWR. No associations with substantial PPWR were observed for night-fasting duration and number of eating episodes. During pregnancy, women with higher caloric consumption at night and lower diet quality had a greater likelihood of substantial PPWR. These findings suggest that aligning eating time with day-night cycles and adherence to dietary guidelines during pregnancy may help to alleviate overweight and obesity risk in postpartum life. There is a possibility that these eating patterns persist beyond pregnancy and pose implications for long-term obesity development. Further investigation on this area is required.

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Abstract
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Copyright © The Authors 2020