[Variation of weigth among users of the contraceptive with depot-medroxyprogesterone acetate according to body mass index in a six-year follow-up]
- PMID: 19838585
- DOI: 10.1590/s0100-72032009000800002
[Variation of weigth among users of the contraceptive with depot-medroxyprogesterone acetate according to body mass index in a six-year follow-up]
Abstract
Purpose: To determine weight variation in women with different Body Mass Index (BMI) in use of trimestral injections of depot-medroxyprogesterone acetate (DMPA), and compare it to women users of a non-hormonal method.
Methods: Retrospective study with the chart review of 226 DMPA users and 603 controls, users of DIU TCu380A. Women were distributed in categories, according to their initial BMI, as having normal weight (<25 kg/m(2)), overweight (25 to 29,9 kg/m(2)) and being obese (>or=30 kg/m(2)), and were followed-up for six years, with yearly measurements of weight and BMI. The statistic test ANOVA was used to measure the weight variation among the groups in each BMI category every year.
Results: The average age at the onset of the method employed was higher in the study group than in the controls, in all the BMI categories: 31.6+/-SD 7.1 X 27.4+/-SD 5.5 in the normal weight category (p<0.0001); 37.3+/-SD 6.8 X 29.2+/-SD 6.0 in the overweight category (p<0.0001); and 35.3+/-SD 6.4 X 29.7+/-SD 5.8 among obese women (p<0.0001). DMPA users showed weight increase as compared to the controls in the overweight category (p=0.0082); and the weight increase along the observation period was also higher among the DMPA users than among the controls, for the normal weight (p<0.0001) and overweight (p=0.0008) categories. In the obese group, there was no BMI variation between the groups, nor along the period during which they were using the method.
Conclusions: There was no change in weight gain among DMPA users from the obese category. Prospective studies should be done with metabolic tests to establish the determining factors of weight gain in normal and overweight women.
Similar articles
-
Variations in body mass index of users of depot-medroxyprogesterone acetate as a contraceptive.Contraception. 2010 Feb;81(2):107-11. doi: 10.1016/j.contraception.2009.07.008. Epub 2009 Dec 2. Contraception. 2010. PMID: 20103446
-
Weight change in adolescents who used hormonal contraception.J Adolesc Health. 1999 Jun;24(6):433-6. doi: 10.1016/s1054-139x(98)00151-7. J Adolesc Health. 1999. PMID: 10401972
-
Thyroid function during the first year of use of the injectable contraceptive depot medroxyprogesterone acetate.Eur J Contracept Reprod Health Care. 2019 Apr;24(2):102-108. doi: 10.1080/13625187.2018.1559284. Epub 2019 Feb 5. Eur J Contracept Reprod Health Care. 2019. PMID: 30721635
-
Depot medroxyprogesterone acetate contraception. Metabolic parameters and mood changes.J Reprod Med. 1996 May;41(5 Suppl):401-6. J Reprod Med. 1996. PMID: 8725702 Review.
-
Progestogen-only contraceptive use in obese women.Contraception. 2009 Oct;80(4):346-54. doi: 10.1016/j.contraception.2009.04.006. Epub 2009 Jun 10. Contraception. 2009. PMID: 19751857 Review.
Cited by
-
Progestin-only contraceptives: effects on weight.Cochrane Database Syst Rev. 2016 Aug 28;2016(8):CD008815. doi: 10.1002/14651858.CD008815.pub4. Cochrane Database Syst Rev. 2016. PMID: 27567593 Free PMC article. Review.
-
Depo-medroxyprogesterone acetate, weight gain and amenorrhea among obese adolescent and adult women.Eur J Contracept Reprod Health Care. 2020 Feb;25(1):54-59. doi: 10.1080/13625187.2019.1709963. Epub 2020 Jan 13. Eur J Contracept Reprod Health Care. 2020. PMID: 31928370 Free PMC article.
-
Progestin-only contraceptives: effects on weight.Cochrane Database Syst Rev. 2013 Jul 2;7(7):CD008815. doi: 10.1002/14651858.CD008815.pub3. Cochrane Database Syst Rev. 2013. Update in: Cochrane Database Syst Rev. 2016 Aug 28;(8):CD008815. doi: 10.1002/14651858.CD008815.pub4 PMID: 23821307 Free PMC article. Updated. Review.
-
Effect of hormonal contraceptives on lipid profile and the risk indices for cardiovascular disease in a Ghanaian community.Int J Womens Health. 2014 Jun 3;6:597-603. doi: 10.2147/IJWH.S59852. eCollection 2014. Int J Womens Health. 2014. PMID: 24940082 Free PMC article.
-
Progestin-only contraceptives: effects on weight.Cochrane Database Syst Rev. 2011 Apr 13;(4):CD008815. doi: 10.1002/14651858.CD008815.pub2. Cochrane Database Syst Rev. 2011. Update in: Cochrane Database Syst Rev. 2013 Jul 02;(7):CD008815. doi: 10.1002/14651858.CD008815.pub3 PMID: 21491411 Free PMC article. Updated. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Medical