Evaluating Provider Advice and Women's Beliefs on Total Weight Gain During Pregnancy
Nkiruka V Arinze, Sharon M Karp, Sabina B Gesell, Nkiruka V Arinze, Sharon M Karp, Sabina B Gesell
Abstract
Excessive gestational weight gain (GWG) is associated with complications for both mother and child. Minority women are at increased risk for excessive GWG, yet are underrepresented in published weight control interventions. To inform future interventions, we examined the prevalence and accuracy of provider advice and its association with personal beliefs about necessary maternal weight gain among predominantly Latina pregnant women. Secondary analysis examining baseline data (N = 123) from a healthy lifestyle randomized controlled trial conducted in and urban area of the South East. Only 23.6 % of women reported being told how much weight to gain during pregnancy; although 58.6 % received advice that met Institute of Medicine recommendations. Concordance of mothers' personal weight gain target with clinical recommendations varied by mothers' pre-pregnancy weight status [χ (4) (2) = 9.781, p = 0.044]. Findings suggest the need for prenatal providers of low-income, minority women to engage patients in shaping healthy weight gain targets as a precursor to preventing excessive GWG and its complications.
Keywords: Gestational weight gain; Health disparities; Hispanic; Obesity.
References
- Institute of Medicine NRC . Weight gain during pregnancy: reexamining the guidelines. Washington: National Academy of Sciences; 2009.
- Chu SY, Callaghan WM, Bish CL, D’Angelo D. Gestational weight gain by body mass index among US women delivering live births, 2004–2005: fueling future obesity. Am J Obstet Gynecol. 2009;200(3):271e1–271e7. doi: 10.1016/j.ajog.2008.09.879.
- Stotland NE, Cheng YW, Hopkins LM, Caughey AB. Gestational weight gain and adverse neonatal outcome among term infants. Obstet Gynecol. 2006;108:635–643. doi: 10.1097/.
- Nehring I, Schmoll S, Beyerlein A, Hauner H, von Kries R. Gestational weight gain and long-term postpartum weight retention: a meta-analysis. Am J Clin Nutr. 2011;94(5):1225–1231. doi: 10.3945/ajcn.111.015289.
- Mamun AA, O’Callaghan M, Callaway L, Williams G, Najman J, Lawlor DA. Associations of gestational weight gain with offspring body mass index and blood pressure at 21 years of age: evidence from a birth cohort study. Circulation. 2009;119(13):1720–1727. doi: 10.1161/CIRCULATIONAHA.108.813436.
- Stotland NE, Haas JS, Brawarsky P, Jackson RA, Fuentes-Afflick E, Escobar GJ. Body mass index, provider advice, and target gestational weight gain. Obstet Gynecol. 2005;105(3):633–638. doi: 10.1097/01.AOG.0000152349.84025.35.
- Cogswell ME, Scanlon KS, Fein SB, Schieve LA. Medically advised, mother’s personal target, and actual weight gain during pregnancy. Obstet Gynecol. 1999;94(4):616–622. doi: 10.1016/S0029-7844(99)00375-0.
- Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA. 2012;307(5):491–497. doi: 10.1001/jama.2012.39.
- Centers for Disease Control and Prevention. Adult BMI calculator: English. 2011 (cited 2014 May); .
- Chasan-Taber L, Schmidt M, Pekow P, Sternfeld B, Solomon C, Markenson G. Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity. 2008;16(7):1657–1666. doi: 10.1038/oby.2008.256.
Source: PubMed