Association of the low-carbohydrate dietary pattern with postpartum weight retention in women

Food Funct. 2021 Nov 1;12(21):10764-10772. doi: 10.1039/d1fo00935d.

Abstract

Low-carbohydrate diets (LCD) have been considered a popular dietary strategy for weight loss. However, the association of the low-carbohydrate dietary pattern with postpartum weight retention (PPWR) in women remains unknown. The present study involved 426 women from a prospective mother-infant cohort study. Overall, animal or plant LCD scores, which represent adherence to different low-carbohydrate dietary patterns, were calculated using diet intake information assessed by three consecutive 24 h dietary surveys. PPWR was assessed by the difference of weight at 1 year postpartum minus the pre-pregnancy weight. After adjusting for potential confounding variables, women in higher quartiles of total and animal-based LCD scores had a significantly lower body weight and weight retention at 1 year postpartum (P < 0.05). The multivariable-adjusted ORs of substantial PPWR (≥5 kg), comparing the highest with the lowest quartile, were 0.47 (95% confidence interval 0.23-0.96) for the total LCD score (P = 0.021 for trend) and 0.38 (95% confidence interval 0.19-0.77) for the animal-based LCD score (P = 0.019 for trend), while this association was significantly attenuated by rice, glycemic load, fish, poultry, animal fat and animal protein (P for trend <0.05). A high score for plant-based LCD was not significantly associated with the risk of PPWR (P > 0.05). The findings suggested that a low-carbohydrate dietary pattern, particularly with high protein and fat intake from animal-source foods, is associated with a decreased risk of weight retention at 1 year postpartum. This association was mainly due to low intake of glycemic load and high intake of fish and poultry.

MeSH terms

  • Adult
  • Body Weight / drug effects*
  • Cohort Studies
  • Diet, Carbohydrate-Restricted*
  • Dietary Fats / administration & dosage
  • Dietary Proteins / administration & dosage
  • Female
  • Gestational Weight Gain*
  • Glycemic Load
  • Humans
  • Odds Ratio
  • Postpartum Period*
  • Pregnancy
  • Weight Loss

Substances

  • Dietary Fats
  • Dietary Proteins