Evidence map›Paper›PMID 39526406›Full record

ArticleAmerican journal of epidemiology2025

Real-time experiences of racism and stress in association with postpartum weight retention: a longitudinal ecological momentary assessment study.

Dara M Méndez, Amanda L Tapia, Sarah A Sanders, Andrea D Casas, Marquita Smalls, Esa M Davis, Stephen L Rathbun, Tiffany L Gary-Webb, Lora E Burke, Serwaa S Omowale and 5 more

Abstract read
In one paragraph

Article in American journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Weight management in women of reproductive age.Obesity and endocrinology · 2026
    Review
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

15 authors.

Dara M MéndezDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0003-3999-1991
Amanda L TapiaMayo Clinic, Rochester, Minnesota, United States.ORCID 0000-0001-7348-7372
Sarah A SandersDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0002-1432-022X
Andrea D CasasDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0001-9385-3456
Marquita SmallsDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Esa M DavisBaltimore School of Medicine, University of Maryland, Baltimore, Maryland, United States.ORCID 0000-0002-6658-1528
Stephen L RathbunDepartment of Biostatistics, University of Georgia, Athens, Georgia, United States.ORCID 0000-0002-4704-5316
Tiffany L Gary-WebbDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0001-9843-1084
Lora E BurkeSchool of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0003-2434-9867
Serwaa S OmowaleHouston School of Public Health, University of Texas Health, Houston, Texas, United States.ORCID 0000-0002-1331-5111
Linda A AdodoadjiDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0009-0004-8682-1201
John J GianakasDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0002-8913-7972
Y LaiDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0002-7254-7617
Maisa FeghaliDepartment of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0001-6897-0845
Meredith L WallaceDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0003-3951-890X

Funding

Postpartum Weight Retention and Cardiometabolic Disparities: The Effects of Contexual, Psychosocial, and Behavioral FactorsR01HL135218 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MENDEZ, DARA DANEEN · 2017 to 2021
$3.4M
National Heart, Lung, and Blood Institute (NHLBI) R01HL135218NHLBI NIH HHS R01 HL135218
6 · The paper itself

Abstract

Racial inequities in postpartum weight have been documented with limited studies on the influences of racism and other forms of discrimination. In a prospective longitudinal study applying ecological momentary assessment (EMA) and ambulatory assessment of weight, we measured the association between discrimination, stress, and postpartum weight change. The Postpartum Mothers Mobile Study is a cohort of 313 pregnant and birthing individuals who were followed during their second and third trimesters through 1 year postpartum. They were recruited in clinical settings between 2017 and 2020 in a major city center in Pennsylvania. Measures of racism and gender-based discrimination were collected via random EMA surveys throughout pregnancy and postpartum, and weight was collected via Bluetooth-enabled scales at least weekly. Among Black participants, a 10% increase in the number of days a participant experienced racial discrimination in the past month was associated with retaining 0.3 more pounds, a 10% increase in EMA gender discrimination was associated with retaining 0.4 more pounds, and EMA stress reported in the past month was associated with decreased weight retention. Chronic experiences of racial and gender discrimination may contribute to weight retention immediately after pregnancy and beyond.

Indexed as

Postpartum PeriodRacismStress, PsychologicalWeight GainAdultBlack or African AmericanEcological Momentary AssessmentFemaleHumansLongitudinal StudiesPennsylvaniaPregnancyProspective StudiesWhiteYoung AdultdiscriminationEMApostpartumpregnancystressweight

Identifiers

PMID39526406
PMCPMC12342877

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Registered trials

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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.