Excess Gestational Weight Gain in Low-Income Overweight and Obese Women: A Qualitative Study

Anderson, Cynthie K.; Walch, Tanis J.; Lindberg, Sara M.; Smith, Aubrey M.; Lindheim, Steven R.; Whigham, Leah D.

doi:10.1016/j.jneb.2015.05.011

Cited by 33 publications

(36 citation statements)

References 34 publications

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“…The determinants in women of childbearing age as found in this study, were comparable to determinants of lifestyle behavior in the general population as found in previous studies [9,16,19,[35][36][37][38]. The findings of period specific determinants are especially relevant when supporting women to adopt a healthy lifestyle continuously in the periods before, during and after pregnancy.…”

Section: Discussionsupporting

confidence: 87%

“…The findings of period specific determinants are especially relevant when supporting women to adopt a healthy lifestyle continuously in the periods before, during and after pregnancy. The determinants of lifestyle behavior in the pregnancy and postpartum periods are in line with the findings described before [16][17][18][19][20][21][22][23][24]39]. The current research is an important addition to the existing knowledge in identifying preconception period specific determinants.…”

Section: Discussionsupporting

confidence: 83%

“…Women in the current study mentioned that they were motivated to adopt a healthy lifestyle because they previously experienced and believed that it will improve their wellbeing, physical fitness and health. As found in this study, and based on previous research, the wellbeing and health of the (unborn) child contributed even more to the motivation for making healthy lifestyle choices [16][17][18][19]. The phenomenon that people's motivation for lifestyle change is dependent on the perceived health risk, was also reflected by studies that involve women with (a history of) a mental, physical or reproductive health problem, or a previous miscarriage.…”

Section: Discussionsupporting

confidence: 65%

“…On the other hand, pregnant women mentioned that being pregnant is a justification for not worrying about weight and pregnancy is a time to eat for two [16]. In addition, women reported that pregnancy-related complaints and lack of time and energy due to work commitments restrain from physical activity, and that they have limited knowledge on appropriate physical activity exercises during pregnancy [16,[19][20][21][22][23]. In the postpartum period, lack of time and energy were often mentioned as barriers for adhering to a healthy lifestyle [24][25][26][27].…”

Section: (Continued From Previous Page)mentioning

confidence: 99%

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Socio-ecological determinants of lifestyle behavior of women with overweight or obesity before, during and after pregnancy: qualitative interview analysis in the Netherlands

Timmermans¹,

Kant²,

Krumeich³

et al. 2020

BMC Pregnancy Childbirth

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Background: Maternal overweight and obesity are related to several health risks in the periods before, during and after pregnancy including a higher risk of gestational diabetes mellitus, preeclampsia and preterm birth. At the same time, women's daily life quickly changes in these periods. Therefore, we hypothesize that the value of determinants of lifestyle behavior within different levels of the socio-ecological model differ accordingly and influence lifestyle behavior. These dynamics of determinants of lifestyle behavior in the periods before, during and after pregnancy are unexplored and therefore evaluated in this study. These insights are needed to offer appropriate guidance to improve lifestyle in women of childbearing age.Methods: Individual semi-structured interviews were conducted before, during or after pregnancy in 26 women with overweight or obesity living in the Netherlands. Questions covered all levels of the socio-ecological model, i.e. intrapersonal, interpersonal, institutional and environmental/societal. All interviews were transcribed and coded.Results: Determinants at all levels of the socio-ecological model were perceived as relevant by women of childbearing age. Various determinants were mentioned including knowledge of a healthy lifestyle, social support, access to customized lifestyle guidance, and distance to healthy lifestyle supporting activities. The importance women attributed to determinants differed between the periods before, during and after pregnancy. Before pregnancy, child's wellbeing as motivator for adopting a healthy lifestyle was mentioned less frequently than during and after pregnancy. Women described that the interplay and balance between determinants varied on a daily basis, and not merely per period. This was often expressed as fluctuation in energy level per day which influences their willingness to put effort in making healthy choices.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 65%

Section: (Continued From Previous Page)mentioning

confidence: 99%

See 2 more Smart Citations

Socio-ecological determinants of lifestyle behavior of women with overweight or obesity before, during and after pregnancy: qualitative interview analysis in the Netherlands

Timmermans¹,

Kant²,

Krumeich³

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Physicians fail to initiate weight loss conversations for a variety of reasons. Some physicians feel ill equipped to advise their patients on weight loss, either from a lack of training or a lack of access to nutritionists or other specialists for referral [33]. Moreover, some physicians feel pessimistic about their patients' motivation or ability to lose weight [22].…”

Section: Discussionmentioning

confidence: 99%

Trends in Management of Overweight and Obesity in Obstetrics & Gynecology, Family Medicine and Pediatrics 2011-2015

Lindheim¹,

Welsh²,

Jiang³

et al. 2017

J Obes Eat Disord

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Purpose: To assess for improvement in the screening and management of overweight and obesity in the past 5 years among Obstetrician-Gynecologists (OB-GYN), Family Physicians (FP), and Pediatricians (Peds). Methods:A retrospective pilot study was conducted, reviewing 150 charts of patients with overweight (body mass index [BMI] 25-29.9 kg/m 2 ) and class I (BMI 30-34.9 kg/m 2 ), class II (BMI 35-39.9 kg/m 2 ), and class III obesity (BMI ≥ 40 kg/m 2 ) between 2011 and 2015. Patients were from OB-GYN (n=50), Family Medicine, adult (FP-A) (n=50) and pediatric (FP-P) (n=28), and Peds (n=22) offices.Results: 75% of patients were female; 35.5% had overweight, 40% had class I obesity, 13.3% had class II obesity, and 11.3% had class III obesity. 100% of clinicians used BMI; none used waist circumference. Peds (91%) and FP-P (96%) visits were more likely to include counseling compared to OB-GYN (30%) and FP-A (30%) visits (p<0.001). A decrease in nutrition counseling (71% vs. 29%, p<0.05) occurred between 2011 and 2015.Conclusions: There remains significant room for improvement among all providers. Peds and FP-Ps may be more sensitive to the need for managing obesity than OBGYNs and FP-As. More efforts are needed to combat the obesity epidemic, starting with accurately identifying and counseling patients with obesity. Keywords: Obesity; Mass screening; Trends IntroductionObesity is the most common chronic disease in the United States and affects more than 600 million adults worldwide [1]. Over two-thirds of American adults are overweight (body mass index [BMI] ≥ 25 kg/m 2 ), along with about 15% of children aged 2-19 (sex-specific BMI-for-age between the 85th and 94.9th percentile) (2,3). Further, one-third of adults and 17% of children are obese (BMI ≥30 kg/m 2 in adults, and sex-specific BMI-for-age ≥95th percentile in children) (2,3).The health burden of pediatric obesity is concerning, particularly since children with obesity are less likely to have healthy BMIs as adults [4]. While adult obesity still exceeds childhood obesity in the US, the percent increase in childhood obesity has been greater than that among adults in the past few decades: the relative annual increase between 1971 and 2002 has been reported at 4% in children aged 10-17 years and 1.4% in adults [5].The health risks of overweight and obesity in adults are well established, including type II diabetes, hypertension, coronary artery disease, stroke, and some cancers [6]. Obesity in children carries similar risks, including type II diabetes, hypertension, and dyslipidemia [7]. Health risks specific to females with overweight and obesity include polycystic ovarian syndrome, anovulation, infertility, and endometrial cancer [6]. Obesity during pregnancy imparts risks to both mother and child, such as gestational diabetes, cesarean section and congenital anomalies [6]. Moreover, children of mothers with obesity have an increased risk of obesity in adult life and increased all-cause mortality [6].Given the burden of disease incurred by overweight an...

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Weight Control Program and Gestational Weight Gain in Disadvantaged Women with Overweight or Obesity: A Randomized Clinical Trial

Cahill

Haire‐Joshu

Cade

et al. 2018

Obesity

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Excess Gestational Weight Gain in Low-Income Overweight and Obese Women: A Qualitative Study

Cited by 33 publications

References 34 publications

Socio-ecological determinants of lifestyle behavior of women with overweight or obesity before, during and after pregnancy: qualitative interview analysis in the Netherlands

Socio-ecological determinants of lifestyle behavior of women with overweight or obesity before, during and after pregnancy: qualitative interview analysis in the Netherlands

Trends in Management of Overweight and Obesity in Obstetrics & Gynecology, Family Medicine and Pediatrics 2011-2015

Weight Control Program and Gestational Weight Gain in Disadvantaged Women with Overweight or Obesity: A Randomized Clinical Trial

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