A conceptual model of psychosocial risk and protective factors for excessive gestational weight gain

Hill, Briony; Skouteris, Helen; McCabe, Marita P.; Milgrom, Jeannette; Kent, Bridie; Herring, Sharon J.; Hartley-Clark, Linda; Gale, Janette

doi:10.1016/j.midw.2011.12.001

Cited by 80 publications

(68 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although it has been recognized that psychosocial factors play an important role in the epidemiology of GWG and PPWR (Hartley et al, 2015;Hill et al, 2013;Kapadia et al, 2015;Phillips et al, 2012), we identified only two studies with a focus on the association of excessive GWG and anxiety Webb et al, 2009), and only three with a focus on the association between PPWR and anxiety (Bogaerts et al, 2013c;Phillips et al, 2014bPhillips et al, , 2014b. While excessive GWG and PPWR were not related to anxiety in studies from the general pregnant population, one study provides support for an association of anxiety and PPWR among obese pregnant women (Bogaerts et al, 2013c).…”

Section: Discussionmentioning

confidence: 81%

“…Excessive gestational weight gain (GWG) and postpartum weight retention (PPWR) have been discussed as important contributing factors (Gore et al, 2003;Siega-Riz et al, 2004). Excessive GWG, defined as weight gain in excess of the recommendations by the Institute of Medicine (IOM) (Institute of Medicine, 2009), is common with prevalence rates ranging from 33% to 60% (Hill et al, 2013;Olson, 2008;Webb et al, 2009). The physical health consequences of pregnancy obesity and excessive GWG are well documented.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Obesity and anxiety during pregnancy and postpartum: A systematic review

Nagl

Linde

Stepan

et al. 2015

Journal of Affective Disorders

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Obesity and anxiety during pregnancy and postpartum: A systematic review

Nagl

Linde

Stepan

et al. 2015

Journal of Affective Disorders

View full text Add to dashboard Cite

“…The limited availability of objectively measured weights highlights a need for health practitioners to routinely monitor weight gain and retention during 36 J. Phillips et al pregnancy and early postpartum as part of gynaecologic and obstetric care (Hill et al, 2013), and interventions should include the provision of information to mothers about postpartum weight changes (Clark, Skouteris, Wertheim, Paxton, & Milgrom, 2009a;Rallis et al, 2007). However, a major strength of the study is that a broad array of information was collected with respect to demographic, medical, behavioural and psychological factors, allowing for comprehensive exploration.…”

Section: Discussionmentioning

confidence: 99%

The influence of psychological distress during pregnancy on early postpartum weight retention

Phillips

King

Skouteris

2013

Journal of Reproductive and Infant Psychology

Self Cite

View full text Add to dashboard Cite

Background: Pregnancy has been identified as a risk factor for increasing rates of obesity in women. In recent years, psychological factors have been demonstrated to play a key role in contributing to and maintaining postpartum weight retention (PWR). Objective: The aim of this study was to explore the relationship between psychological distress during late pregnancy and early postpartum, specifically depression, anxiety, stress, and body dissatisfaction, and early PWR. Methods: Pregnant women (N = 227) completed a series of questionnaires at 32 weeks gestation and 3 months postpartum. Results: The most salient predictor of PWR was gestational weight gain (GWG). In a prospective hierarchical regression analysis, only GWG contributed unique prediction of early PWR. In a second hierarchical regression analysis examining cross-sectional relationships with three-month PWR, GWG and early postpartum stress contributed unique variance while the contribution of feelings of fatness approached significance. Conclusions: Given the large association of GWG to early PWR, interventions should focus on the prevention of GWG during pregnancy, as well as screening for body dissatisfaction and stress in the early postpartum.

show abstract

“…This study provides further evidence that preventing excessive GWG through behavioural interventions during pregnancy is difficult. Psychosocial and behaviour change factors are important considerations in the development of excessive GWG (Hill et al, 2013c), however researchers have so far been unsuccessful in translating these individual elements into successful multi-component interventions. The findings of this study suggest that a low dose HC intervention without specified dietary or physical activity focus is not suitable for preventing excessive GWG.…”

Section: Conclusion and Clinical Implicationsmentioning

confidence: 99%

Can a health coaching intervention delivered during pregnancy help prevent excessive gestational weight gain?

et al. 2016

Self Cite

View full text Add to dashboard Cite

This study evaluated: (1) the efficacy of a health coaching (HC) intervention designed to prevent excessive gestational weight gain (GWG); and (2) whether there were improved psychological, motivational, and behavioural outcomes for women in the HC intervention compared to a "usual care" control group. In this quasi-experimental study, 267 pregnant women ≤18 weeks gestation were recruited between August 2011 and June 2013 from two hospital antenatal clinics in Melbourne, Australia. Intervention women received four individual HC and two group HC/educational sessions informed by theories of behaviour change. Women completed questionnaires assessing psychological, motivational and behavioural outcomes at 16-18 (baseline) and 33 (post-intervention) weeks gestation. Weight measures were collected. Compared to usual care, the intervention did not limit GWG or prevent excessive GWG. However, HC women reported greater use of active coping skills post-intervention. Despite lack of success of the HC intervention, given the risks associated with excessive weight gain in pregnancy, health professionals should continue to recommend appropriate GWG.

show abstract

A conceptual model of psychosocial risk and protective factors for excessive gestational weight gain

Cited by 80 publications

References 54 publications

Obesity and anxiety during pregnancy and postpartum: A systematic review

Obesity and anxiety during pregnancy and postpartum: A systematic review

The influence of psychological distress during pregnancy on early postpartum weight retention

Can a health coaching intervention delivered during pregnancy help prevent excessive gestational weight gain?

Contact Info

Product

Resources

About