Evidence map›Paper›PMID 38500162›Full record

Observational studyCardiovascular diabetology2024

Postpartum weight retention and the early evolution of cardiovascular risk over the first 5 years after pregnancy.

Caroline K Kramer, Chang Ye, Anthony J Hanley, Philip W Connelly, Mathew Sermer, Bernard Zinman, Ravi Retnakaran

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
14.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Postpartum weight change one year after delivery and associated factors among women in Puducherry, South India: Findings from the JANMAM cohort.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  7. Article
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  11. Article
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  18. Weight management in women of reproductive age.Obesity and endocrinology · 2026
    Review
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Caroline K KramerLeadership Sinai Centre for Diabetes, University of Toronto, Mount Sinai Hospital, 60 Murray Street, Suite L5-025, Mailbox-21, Toronto, ON, M5T 3L9, Canada.
Chang YeLeadership Sinai Centre for Diabetes, University of Toronto, Mount Sinai Hospital, 60 Murray Street, Suite L5-025, Mailbox-21, Toronto, ON, M5T 3L9, Canada.
Anthony J HanleyLeadership Sinai Centre for Diabetes, University of Toronto, Mount Sinai Hospital, 60 Murray Street, Suite L5-025, Mailbox-21, Toronto, ON, M5T 3L9, Canada.
Philip W ConnellyDivision of Endocrinology, University of Toronto, Toronto, Canada.
Mathew SermerDepartment of Obstetrics and Gynecology, Mount Sinai Hospital, Toronto, Canada.
Bernard ZinmanLeadership Sinai Centre for Diabetes, University of Toronto, Mount Sinai Hospital, 60 Murray Street, Suite L5-025, Mailbox-21, Toronto, ON, M5T 3L9, Canada.
Ravi RetnakaranLeadership Sinai Centre for Diabetes, University of Toronto, Mount Sinai Hospital, 60 Murray Street, Suite L5-025, Mailbox-21, Toronto, ON, M5T 3L9, Canada. Ravi.Retnakaran@sinaihealth.ca.ORCID 0000-0003-1989-027X
Mount Sinai Hospital · CASt. Michael's Hospital · CA

Funding

CIHR MOP-84206 and PJT-156286
6 · The paper itself

Abstract

backgroundThe cumulative effect of postpartum weight retention from each pregnancy in a woman's life may contribute to her risk of ultimately developing type 2 diabetes and cardiovascular disease. However, there is limited direct evidence supporting this hypothesis. Thus, we sought to characterize the impact of postpartum weight retention on the trajectories of cardiovascular risk factors over the first 5-years after pregnancy.

methodsIn this prospective observational cohort study, 330 women (mean age 35.7 ± 4.3 years, mean pre-pregnancy body mass index 25.2 ± 4.8 kg/m

resultsAt 1-year postpartum, cardiovascular risk factors did not differ between the groups. However, an adverse risk factor profile progressively emerged in the weight retention groups at 3- and 5-years. Indeed, after covariate adjustment, there was stepwise worsening (from the weight loss group to weight gain 0-6% to weight gain ≥ 6% group) of the following cardiovascular risk factors at 5-years: triglycerides (p = 0.001), HDL (p = 0.02), LDL (p = 0.01), apolipoprotein-B (p = 0.003), Matsuda index (p < 0.0001), HOMA-IR (p < 0.0001), fasting glucose (p = 0.07), and CRP (p = 0.01). Moreover, on logistic regression analyses, weight gain ≥ 6% emerged as an independent predictor of pre-diabetes/diabetes at 5-years (adjusted OR = 3.40, 95%CI: 1.63-7.09).

conclusionPostpartum weight retention predicts trajectories of worsening cardiovascular risk factors and glucose intolerance over the first 5-years after delivery, consistent with its postulated contribution to future vascular disease in women.

Indexed as

Cardiovascular DiseasesDiabetes, GestationalDiabetes Mellitus, Type 2Gestational Weight GainAdultBlood GlucoseC-Reactive ProteinFemaleHeart Disease Risk FactorsHumansPostpartum PeriodPregnancyProspective StudiesRisk FactorsWeight GainWeight LossBlood GlucoseC-Reactive ProteinCardiovascular riskDiabetesLipidsPostpartum weight retentionPregnancy

Identifiers

PMID38500162
PMCPMC10949683
OpenAlexW4392928112

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.