Conduct and reporting of acceptability, attitudes, beliefs and experiences of pregnant women in randomised trials on diet and lifestyle interventions: A systematic review

Hamilton, Emily; Nowell, Ann K.; Harden, Angela; Thangaratinam, Shakila

doi:10.1016/j.ejogrb.2018.05.008

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…Likewise, our finding that symptomatic food allergy was associated with high stress in pregnant women is supported by the reported reduced quality of life in patients with food allergy [33]. During pregnancy, women are often advised to eat a healthy diet [34], but specific individual support on food allergy and diets can be hard to provide [35,36]. Food allergies may further restrict the diet and possibly explain our findings of high stress in late pregnancy in these women.…”

Section: Discussionsupporting

confidence: 74%

Allergic disease and risk of stress in pregnant women: a PreventADALL study

et al. 2020

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BackgroundMaternal stress during pregnancy may negatively affect the health of mother and child. We therefore aimed to identify the proportion of women reporting high maternal stress in mid and late pregnancy and explore whether symptoms of maternal allergic disease are associated with perceived maternal stress in late pregnancy.MethodThe population-based Preventing Atopic Dermatitis and Allergy in Children (PreventADALL) study enrolled 2697 pregnant women at their 18-week routine ultrasound examination in Norway and Sweden. Information about sociodemographic factors, symptoms and doctor-diagnosed asthma, allergic rhinitis, atopic dermatitis, food allergy, and anaphylaxis and stress using the 14-item perceived stress scale (PSS) was collected at 18 weeks (mid) and 34 weeks (late) pregnancy. High stress was defined as a PSS score ≥29. Scores were analysed using multivariate logistic and linear regression.ResultsAmong the 2164 women with complete PSS data, 17% reported asthma, 20% atopic dermatitis, 23% allergic rhinitis, 12% food allergy and 2% anaphylaxis. The proportion of women reporting high stress decreased from 15% at mid to 13% at late pregnancy (p<0.01). The adjusted odds ratio for high stress in late pregnancy was 2.25 (95% CI 1.41–3.58) for self-reported symptoms of asthma, 1.46 (95% CI 1.02–2.10) for allergic rhinitis and 2.25 (95% CI 1.32–3.82) for food allergy. A multivariate linear regression model confirmed that symptoms of asthma (β coefficient 2.11; 0.71–3.51), atopic dermatitis (β coefficient 1.76; 0.62–2.89) and food allergy (β coefficient 2.24; 0.63–3.84) were independently associated with increased PSS score.ConclusionAllergic disease symptoms in pregnancy were associated with increased stress, highlighting the importance of optimal disease control in pregnancy.

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Section: Discussionsupporting

confidence: 74%

Allergic disease and risk of stress in pregnant women: a PreventADALL study

et al. 2020

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“…Una revisión sistemática reportó que cuantificar el peso como intervención aislada en la atención prenatal no es eficaz en reducir el aumento de peso durante la gestación (40) , por lo que se recomienda como parte de las intervenciones que el profesional de la salud trabaje en colaboración con las madres para lograr los objetivos de aumento de peso; monitorizar y brindar retroalimentación sobre su progreso (40) , tener enfoques estandarizados y basados en evidencia científica (41) , mejorar el conocimiento y las creencias sobre la ganancia de peso en mujeres en edad fértil (42) , incorporar un enfoque holístico integrando no solo a la gestante, sino a la familia o su entorno social (43) , proporcionar consulta nutricional sobre una alimentación saludable; con el objetivo orientado en las calorías, macronutrientes necesitados y niveles adecuados de actividad física (44) , acompañar las actividades dietéticas con estrategias de cambios de comportamiento, principalmente en la provisión de información, entrevistas motivacionales, automonitoreo y recompensas contingentes (45) , logrando brindar un cuidado prenatal con enfoque multidisciplinario (46,47) . No se ha determinado con exactitud la duración, frecuencia, intensidad o el entorno óptimo para brindar estas intervenciones (48) .…”

Section: Discussionunclassified

Ganancia de peso gestacional como predictor de macrosomía y bajo peso al nacer: revisión sistemática

Santos-Antonio

Alvis-Chirinos

Aguilar-Esenarro

et al. 2020

Rev Peru Med Exp Salud Publica

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Objetivos: Evaluar la capacidad predictiva de las recomendaciones de ganancia de peso gestacional respecto del bajo peso al nacer (BPN) y la macrosomía neonatal, propuestas por el Institute of Medicine (IOM) y el Centro Latinoamericano de Perinatología (CLAP). Materiales y métodos: La búsqueda bibliográfica se realizó en PubMed, Embase (vía Ovid), Cochrane Library, EBSCOhost, Scopus, LILACS y SciELO. La calidad metodológica se evaluó utilizando QUADAS 2. Resultados: Se obtuvieron 1192 artículos, cinco cumplieron los criterios de inclusión, ningún estudio evaluó las recomendaciones CLAP. La sensibilidad y especificidad para predecir el BPN y la macrosomía variaron largamente según el país de realización del estudio. En las cohortes de América Latina, la sensibilidad para predecir el BPN varió entre 62,8% y 74%, y la especificidad, entre 61,7% y 68%, mientras que la sensibilidad para predecir macrosomía fue 28,8%, y la especificidad, 43,8%. En la mayoría de estudios el valor predictivo positivo fue inferior al 25%, y el valor predictivo negativo, superior al 90%. La mayoría de los estudios tuvo alto riesgo de sesgo y problemas de aplicabilidad en la selección de pacientes. Conclusiones: La limitada calidad metodológica y representatividad de las cohortes estudiadas, probables factores de confusión no ajustados y modestos valores de sensibilidad y especificidad sugieren la necesidad de desarrollar estudios para establecer recomendaciones que se ajusten a las características epidemiológicas de la población peruana.

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“…Moreover, there is a strong suggestion that healthy lifestyle and social status of the mother cannot be strictly separated, 1,2 and other factors such as involvement of family members play an important role as well. 3 Demography is globally changing, and it affects many of the nonmodifiable factors of pregnancy outcome. Maternal age is relevant because besides the fact that the birth rates are globally decreasing, the average maternal age at first child's birth is increasing; actually, in developed countries it is over 30 years of age, and it is gradually growing.…”

Section: Introductionmentioning

confidence: 99%

“…They emphasize that promotion of health should start before conception, as maternal lifestyle before and during pregnancy is as important as sociodemographic factors and previous health status of the mother. Moreover, there is a strong suggestion that healthy lifestyle and social status of the mother cannot be strictly separated, 1,2 and other factors such as involvement of family members play an important role as well 3 …”

Section: Introductionmentioning

confidence: 99%

Association between sociodemographic, obstetric, and lifestyle factors among Hungarian pregnant women—A cross‐sectional study

Polanek

Karai

Molnár

et al. 2022

J of Obstet and Gynaecol

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Aim: To learn the association between sociodemographic and obstetric factors and lifestyle characteristics of pregnant women, and to identify factors that can influence pregnant women's health consciousness. Methods: A cross-sectional, questionnaire-based study was performed among women who gave birth in Szeged in 2014-2015. Data collection was based on a self-administered questionnaire and health documentations. Overall maternal health promoting behavior (MHPB) index was defined by summarizing the scores obtained from diet, physical activity, smoking status, and alcohol consumption. Results: The final analysis included 1548 mothers; 41.3% (n = 602) of the sample had healthy diet, 9.0% (n = 134) were physically active and attended special pregnancy exercise classes, 84.4% (n = 1279) did not drink alcohol, and 93.5% (n = 1447) were nonsmokers. Regarding the MHPB index, 0.8% (n = 11) of the women reached the maximum score (20), while the average was 14.8 (SD = 2.58). Advanced maternal age (p < 0.001), having a spouse or partner (p < 0.001), higher educational level (p < 0.001), planned pregnancy (p < 0.001), and early visit at pregnancy care (p = 0.046) were significantly associated with higher MHPB index. Conclusion:The lifestyle of pregnant women can have a great impact on the developing fetus, either in a positive or negative way. In order to evaluate maternal lifestyle, overall health behavior should be considered. Lifestyle of the included women was not satisfactory, an improvement in health consciousness is needed at every social level; however, the differences between the various social classes may suggest the importance of further promotion and improvement of pregnancy planning and pregnancy care among younger and lower educated women.

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Conduct and reporting of acceptability, attitudes, beliefs and experiences of pregnant women in randomised trials on diet and lifestyle interventions: A systematic review

Abstract: The focus on studies is mainly on the mother, and less on family. Further studies are needed with a holistic approach to ensure that such interventions when implemented are accepted by women and their families.

Cited by 6 publications

References 33 publications

Allergic disease and risk of stress in pregnant women: a PreventADALL study

Allergic disease and risk of stress in pregnant women: a PreventADALL study

Ganancia de peso gestacional como predictor de macrosomía y bajo peso al nacer: revisión sistemática

Association between sociodemographic, obstetric, and lifestyle factors among Hungarian pregnant women—A cross‐sectional study

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