Evidence map›Paper›PMID 34168507›Full record

ArticleInternational journal of women's health2021

Postpartum Metabolism: How Does It Change from Pregnancy and What are the Potential Implications?

Rachel A Tinius, Kristin Yoho, Maire M Blankenship, Jill M Maples

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06082921 (Study of nUtrition in Postpartum and EaRly Life), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT06082921 nacompletednot on this mapstarted 2023, after this paper: background citation

Study of nUtrition in Postpartum and EaRly Life (SUPER): Beef Feeding Trial

TypeinterventionalSponsorUniversity of Texas at AustinRan2023 to 2024Enrolled24ConditionsGlycemic Response, Breast Feeding, Exclusive, Eating BehaviorArmsBeef Diet Intervention, Impossible Beef Diet Intervention
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Comparative metabolomics of paired maternal-cord samples identifies pathway-level divergence.Metabolomics : Official journal of the Metabolomic Society · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
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  9. Review
  10. Article
  11. Article
  12. Modifiable Maternal Factors and Their Relationship to Postpartum Depression.International journal of environmental research and public health · 2022
    Article
  13. Article
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

4 authors at 2 institutions in 1 country.

Rachel A TiniusSchool of Kinesiology, Recreation, and Sport, Western Kentucky University, Bowling Green, KY, 42101, USA.ORCID 0000-0002-3061-3997
Kristin YohoSchool of Kinesiology, Recreation, and Sport, Western Kentucky University, Bowling Green, KY, 42101, USA.
Maire M BlankenshipSchool of Nursing and Allied Health, Western Kentucky University, Bowling Green, KY, 42101, USA.
Jill M MaplesDepartment of Obstetrics and Gynecology, University of Tennessee Graduate School of Medicine, Knoxville, TN, 37920, USA.ORCID 0000-0003-2624-2385
Western Kentucky University · USUniversity of Tennessee at Knoxville · US

Funding

WKU Lead Faculty AwardP20GM103436 · NIGMS · UNIVERSITY OF LOUISVILLE · PI ERIC C ROUCHKA · 2012 to 2026
$60.1M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Clay F. Semenkovich · 2013 to 2026
$27.1M
NIDDK NIH HHS P30 DK020579NIGMS NIH HHS P20 GM103436
6 · The paper itself

Abstract

backgroundMetabolic dysfunction after pregnancy may have serious consequences for a new mother. The purpose of the study was to characterize basic changes that occur in metabolic profiles from late pregnancy through 4-6 months postpartum. A secondary purpose was to determine metabolic factors that may be contributing to postpartum weight retention.

methodsParticipants (n=25) came in for 2 visits: late pregnancy (~34 weeks gestation) and postpartum (4-6 months). Resting metabolic rate (RMR), respiratory quotient (RQ), and substrate oxidation values were assessed for 15 minutes during fasted conditions. Blood was drawn and skinfold anthropometry was performed to assess additional outcomes (inflammation, insulin resistance, lipid profiles, body composition). The participants completed a number of surveys that examined other lifestyle and demographic data of interest. At the postpartum visit, additional assessments regarding sleep and breastfeeding habits were administered.

resultsRMR was lower during postpartum (1517.2±225.1 kcal/day) compared to pregnancy (1867.9±302.6 kcal/day) (p<0.001), and remained lower when expressing RMR per kg body weight (postpartum: 22.3±2.7 vs pregnant: 23.7±3.4 kcal/kg, (p=0.034). Relative RMR (RMR per kg body weight) was negatively correlated to insulin resistance (HOMA-IR) during postpartum (r=-.463, p=0.034). Maternal HOMA-IR, inflammation (CRP), triglycerides (TAG), and carbohydrate oxidation were all positively correlated to postpartum weight retention (HOMA-IR: r=0.617, p=0.004; CRP: r=0.477, p=0.039, TAG: r=0.463, p=0.040; Carbohydrate Oxidation: (r=0.469, p=0.018).

conclusionMetabolic rate is lower during postpartum compared to pregnancy, and may be connected to insulin resistance. Maternal insulin resistance, inflammation, blood lipids, and substrate metabolism are all related to postpartum weight retention.

Indexed as

inflammationinsulin resistancemetabolic ratepostnatal

Identifiers

PMID34168507
PMCPMC8216742
OpenAlexW3172505297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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 OpenQuestion graph.