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Published in: Maternal and Child Health Journal 1/2012

01-01-2012

Childbearing, Stress and Obesity Disparities in Women: A Public Health Perspective

Authors: Esa M. Davis, Kurt C. Stange, Ralph I. Horwitz

Published in: Maternal and Child Health Journal | Issue 1/2012

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Abstract

The perinatal period, from early in the first trimester to 1 year postpartum, provides opportunities for novel public health interventions to reduce obesity disparities. We present a unifying socio-biological framework to suggest opportunities for multidisciplinary research and public health approaches to elucidate and target the mechanisms for the development of maternal obesity and related disparities. The framework illustrates the interplay of the social, cultural and physical environment; stress appraisal and response; and coping behaviors on short-term outcomes (e.g. allostatic load and gestational weight gain), the intermediate outcomes of persistent insulin resistance and post-partum weight retention, and longer term outcomes of obesity and its disease consequences. Testing the proposed relationships may provide insights into how childbearing risk factors such as gestational weight gain, postpartum weight retention and parity contribute to obesity, which are needed to inform public health policies and clinical care guidelines aimed at reducing obesity and improving the health of women.
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Metadata
Title
Childbearing, Stress and Obesity Disparities in Women: A Public Health Perspective
Authors
Esa M. Davis
Kurt C. Stange
Ralph I. Horwitz
Publication date
01-01-2012
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 1/2012
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-010-0712-6

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