Dynamics of Body Mass Index and Abdominal Fatness in Postpartum Period.

Jee, Byung Chul; Choi, Young Sik; Ku, Seung Yup; Suh, Chang Suk; Choi, Young Min; Kim, Jung Gu; Moon, Shin Yong; Kim, Seok Hyun

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Original Article

Korean Journal of Obstetrics & Gynecology 2005;48(3):674-681.
Published online March 1, 2005.

Dynamics of Body Mass Index and Abdominal Fatness in Postpartum Period.

Byung Chul Jee, Young Sik Choi, Seung Yup Ku, Chang Suk Suh, Young Min Choi, Jung Gu Kim, Shin Yong Moon, Seok Hyun Kim

¹Department of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea. seokhyun@snu.ac.kr
²Institute of Reproductive Medicine and Population, Medical Research Center, College of Medicine, Seoul National University, Seoul, Korea.

Abstract

OBJECTIVE
To investigate the dynamics of body mass index (BMI) and abdominal fatness of women in postpartum period, and to find cut-off values of BMI to predict android obesity. METHODS: Forty-three uncomplicated postpartum women were included. BMI and abdominal fatness using bioelectric impedance method were measured three times; at postpartum one day, one week, and six weeks. RESULTS: BMI was 24.9 +/- 2.6, 24.1 +/- 2.4, 23.0 +/- 2.4, and abdominal fatness was 0.842 +/- 0.035, 0.845 +/- 0.039, 0.839 +/- 0.036 at postpartum one day, one week, and six weeks, respectively. The incidence of overweight women (BMI 25-29.9) was 46.5%, 34.9%, 25.6%, and the incidence of android obesity (abdominal fatness>0.85) was 37.2%, 32.6%, 30.2% at each three postpartum period. The cut-off values of BMI to predict android obesity was >25.3, >23.6, and >22.9 at postpartum one day, one week, and six weeks, respectively. CONCLUSION: The dynamics of postpartum body weight must be explored with abdominal fatness as well as BMI. Further prospective long-term follow-up studies in a larger scale will be warranted to confirm these findings.

Key Words: Android obesity, Abdominal fatness, Body mass index, Postpartum

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