Excessive weight gain after pregnancy in urban areas: one important area to prevent diabetes.

Diabetes has been found to be common in people, including the women of child bearing age, in urban Nepal. There is a custom of feeding the women with foods rich in calories and fats, as much as possible, after delivery. Weights of 200 women of urban Kathmandu before the first pregnancy and 6 months and 1 year after delivery were studied. The mean + SD of weights before pregnancy, six months after delivery and one year after delivery were 51.3 + 4.9, 67.2 + 6.3 and 63.4 + 6.4 respectively. Similarly, the mean + SD of body mass index (BMI) before pregnancy, six months after delivery and one year after delivery were 21.3 + 1.8, 27.9 + 2.5 and 26.7 + 2.8 respectively. The average increases in weight and BMI six months after delivery were 15.9 kg and 6.6; the increases from the basal values were statistically significant (p<0.01). Six months later the average increased weight and BMI decreased by 3.8 kg and 1.2 respectively. Thus, the average increases in weight and BMI one year after first pregnancy were 12.1 kg and 5.4; the increases from the basal values were statistically significant (p<0.01). The women seemed to have difficulty in losing weight gained. In view of the problem of overweight, the custom of excess feeding after delivery seems required to be discouraged in urban areas to prevent subsequent gestational and type 2 diabetes in women and the population.