Table 3.
Determinants of excess body weight at two years postpartum among Brazilian mothers (n 301) and their children (n 305), Joinville, Brazil, 2013–2014
| Children (n 305) | Mothers (n 301) | Mother–child pairs (n 71) | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Model 1* | Model 2† | Model 3* | Model 4† | Model 5* | Model 6† | |||||||||||||
| Characteristic | OR | 95 % CI | P value | OR | 95 % CI | P value | OR | 95 % CI | P value | OR | 95 % CI | P value | OR | 95 % CI | P value | OR | 95 % CI | P value |
| Breast-feeding duration (months) | ||||||||||||||||||
| ≥6 | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| 4–<6 | 1·3 | 0·7, 2·3 | 0·40 | 1·4 | 0·7, 2·6 | 0·33 | 1·7 | 0·9, 2·9 | 0·07 | 2·1 | 0·9, 5·1 | 0·08 | 1·1 | 0·5, 2·2 | 0·88 | 0·9 | 0·4, 2·0 | 0·71 |
| 2–<4 | 2·0 | 1·0, 4·1 | 0·04 | 1·8 | 0·8, 3·7 | 0·15 | 2·1 | 1·0, 4·2 | 0·03 | 2·5 | 0·9, 7·2 | 0·08 | 2·3 | 1·0, 5·0 | 0·04 | 1·7 | 0·6, 4·3 | 0·30 |
| <2 | 2·7 | 1·5, 7·0 | <0·01 | 2·4 | 1·1, 5·1 | 0·02 | 1·5 | 0·8, 2·9 | 0·24 | 2·9 | 1·1, 8·1 | 0·04 | 2·6 | 1·2, 5·5 | 0·01 | 3·2 | 1·3, 8·2 | 0·01 |
| Months since delivery | ||||||||||||||||||
| <18 | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| ≥18 | 1·5 | 0·9, 2·5 | 0·07 | 1·7 | 1·0, 2·9 | 0·05 | 1·6 | 1·0, 2·6 | 0·04 | 1·8 | 0·9, 3·8 | 0·11 | 1·8 | 1·0, 3·0 | 0·03 | 1·8 | 0·9, 3·5 | 0·09 |
| Sex | ||||||||||||||||||
| Male | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| Female | 0·9 | 0·6, 1·5 | 0·82 | 0·9 | 0·6, 1·5 | 0·79 | 0·9 | 0·6, 1·5 | 0·76 | 1·0 | 0·5, 1·9 | 0·88 | 1·0 | 0·6, 1·7 | 0·98 | 1·0 | 0·5, 1·8 | 0·88 |
| Birth weight | ||||||||||||||||||
| SGA/AGA | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| LGA | 2·4 | 1·4, 4·0 | <0·01 | 2·7 | 1·5, 4·9 | <0·01 | 1·6 | 1·0, 2·7 | 0·07 | 1·5 | 0·7, 3·3 | 0·33 | 2·9 | 1·6, 5·0 | <0·01 | 3·3 | 1·6, 6·6 | <0·01 |
| Type of delivery | ||||||||||||||||||
| Normal | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| Caesarean section | 1·2 | 0·7, 1·9 | 0·53 | 1·1 | 0·6, 1·9 | 0·77 | 1·3 | 0·8, 2·1 | 0·25 | 1·0 | 0·5, 2·3 | 0·94 | 1·4 | 0·8, 2·4 | 0·23 | 1·1 | 0·5, 2·3 | 0·78 |
| Mother’s age (years) | ||||||||||||||||||
| <30 | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| ≥30 | 1·0 | 0·6, 1·6 | 0·95 | 1·1 | 0·6, 2·1 | 0·71 | 1·5 | 0·9, 2·5 | 0·08 | 0·7 | 0·3, 1·7 | 0·46 | 1·1 | 0·6, 1·9 | 0·77 | 0·8 | 0·4, 1·8 | 0·62 |
| Mother’s education (years) | ||||||||||||||||||
| ≥12 | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| 9–12 | 1·4 | 0·8, 2·5 | 0·30 | 1·3 | 0·7, 2·5 | 0·46 | 0·9 | 0·5, 1·5 | 0·59 | 0·6 | 0·2, 1·5 | 0·26 | 1·2 | 0·6, 2·5 | 0·58 | 1·1 | 0·5, 2·7 | 0·79 |
| <9 | 1·2 | 0·6, 2·3 | 0·56 | 1·2 | 0·6, 2·5 | 0·65 | 1·5 | 0·8, 2·8 | 0·22 | 1·5 | 0·5, 4·1 | 0·42 | 1·1 | 0·5, 2·3 | 0·84 | 1·0 | 0·4, 2·6 | 0·93 |
| Marital status | ||||||||||||||||||
| Married/living together | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| Other | 1·1 | 0·5, 2·2 | 0·89 | 1·0 | 0·4, 2·5 | 0·92 | 0·6 | 0·3, 1·3 | 0·17 | 0·8 | 0·2, 2·7 | 0·73 | 1·1 | 0·5, 2·5 | 0·84 | 1·4 | 0·4, 4·6 | 0·59 |
| Monthly household income (MS) | ||||||||||||||||||
| ≥3 | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| <3 | 1·5 | 0·9, 2·4 | 0·08 | 1·8 | 1·0, 3·1 | 0·03 | 1·3 | 0·8, 2·1 | 0·23 | 1·0 | 0·5, 2·0 | 0·96 | 1·3 | 0·8, 2·3 | 0·33 | 1·3 | 0·6, 2·6 | 0·49 |
| Smoking after pregnancy | ||||||||||||||||||
| No | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| Yes | 0·8 | 0·4, 1·6 | 0·46 | 0·9 | 0·4, 1·9 | 0·68 | 1·3 | 0·7, 2·7 | 0·39 | 0·9 | 0·3, 2·6 | 0·90 | 1·2 | 0·5, 2·6 | 0·67 | 1·4 | 0·5, 3·7 | 0·48 |
| Pre-pregnancy BMI (kg/m2) | ||||||||||||||||||
| <25·0 | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| ≥25·0 | 1·2 | 0·7, 1·8 | 0·55 | 1·0 | 0·6, 1·7 | 0·86 | 30·4 | 15·0, 61·7 | <0·01 | 30·9 | 13·6, 70·2 | <0·01 | 5·2 | 2·9, 9·2 | <0·01 | 5·7 | 2·8, 11·8 | <0·01 |
| GWG | ||||||||||||||||||
| Adequate | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| Excessive | 1·6 | 1·0, 2·5 | 0·04 | 1·5 | 0·9, 2·5 | 0·14 | 4·4 | 2·7, 7·2 | <0·01 | 3·4 | 1·7, 6·9 | <0·01 | 3·5 | 2·0, 6·2 | <0·01 | 2·2 | 1·1, 4·3 | 0·02 |
| Pregnancies (n) | ||||||||||||||||||
| 2 | Reference | Reference | Reference | Reference | Reference | Reference | ||||||||||||
| 3 | 1·1 | 0·6, 2·0 | 0·75 | 0·9 | 0·4, 1·4 | 0·78 | 2·6 | 1·4, 4·7 | <0·01 | 1·2 | 0·5, 3·0 | 0·75 | 1·8 | 0·9, 3·5 | 0·10 | 1·1 | 0·4, 2·6 | 0·90 |
| ≥4 | 1·0 | 0·6, 1·7 | 0·96 | 0·7 | 0·3, 1·4 | 0·28 | 3·1 | 1·8, 5·5 | <0·01 | 2·8 | 1·1, 7·2 | 0·03 | 1·4 | 0·7, 2·8 | 0·27 | 0·9 | 0·4, 2·4 | 0·86 |
SGA, small for gestational age; AGA, adequate for gestational age; LGA, large for gestational age; MS, minimum salary ($US 306·00).
Models 1, 3 and 5: unadjusted.
Models 2, 4 and 6: adjusted for all covariates listed in Table 3.