High maternal self-efficacy is associated with meeting Institute of Medicine gestational weight gain recommendations

Abstract

ObjectiveFetal exposure to an intrauterine environment affected by maternal obesity and excessive gestational weight gain increases the likelihood of infants born large for gestational age and childhood obesity. This study examined behavioural factors and lifestyle practices associated with women’s perceived attainability of meeting the 2009 Institute of Medicine (IOM) weight gain guidelines.MethodsCross-sectional data were collected from pregnant (n = 320) and postpartum (n = 1179) women who responded to the validated Canadian Electronic Maternal (EMat) health survey. Consenting women completed the survey through REDCap™ a secure, web-based data capture platform. Multiple logistic regression analyses were used to evaluate correlates associated with meeting or not meeting IOM recommendations. Odds ratios (ORs) were adjusted for relevant behavioural and sociodemographic covariates.ResultsThere were no significant differences between adjusted and unadjusted ORs for self-efficacy, barriers, and facilitators to weight gain during pregnancy. Women who reported worry regarding weight gain were significantly less likely to meet IOM guidelines (OR = 0.48, 95% CI = 0.33–0.69). Perceived controllability of behaviour was significantly associated with meeting IOM guidelines. An internal locus of control for weight gain was associated with an increased odds of meeting guidelines when women perceived to be in control of their weight gain (OR = 1.75, 95% CI = 1.29–2.37), healthy and exercised (OR = 1.91, 95% CI = 1.34–2.71), and when no barriers to healthy weight gain were perceived (OR = 1.43, 95% CI = 1.04–1.95); whereas, an external locus of control in which women viewed weight gain as beyond their control, was associated with a significantly reduced odds of achieving guidelines (OR = 0.58, 95% CI = 0.39–0.88).ConclusionsSelf-efficacy and perceived controllability of behaviour are key factors to consider when developing pregnancy-specific interventions to help women achieve guideline-concordant weight gain and ensure the downstream health of both mother and infant.

Olfactory-Related Quality of Life in Multiple Chemical Sensitivity: A Genetic-Acquired Factors Model

“…In fact, no correction for multiple comparisons was performed in the multiple regression model. If this exploratory-rather than confirmatory-approach is extensively adopted in similar studies [117,119,120] to reduce the likelihood of Type II statistical errors as much as possible, this choice may have induced the increase in likelihood of Type I statistical errors. However, given these assumptions, the present data have to be considered as preliminary and should be replicated in further cohorts of patients.…”

A Pilot Study Evaluating the Effectiveness of the 5As of Healthy Pregnancy Weight Gain

“…possess high self-efficacy over GWG, which HCPs may help them recognize and acquire. 20 Furthermore, a psychological model known as the health belief model suggests that communication targeting self-efficacy, barriers, risks, and benefits is likely to result in more successful behavioral change. 21 In particular, during pregnancy women are motivated to make lifestyle changes for the health of their fetus; therefore, they may be more receptive to behavioral interventions.…”

Exploring Factors Linked to Weight Status in Salvadoran Infants

“…Maternal risk factors can influence infant weight status. Prepregnancy overweight/obesity (BMI >25 kg/m 2 ), gestational diabetes mellitus (GDM), and pregnancy weight gain >35 pounds expose the fetus to excessive intrauterine growth and can lead to rapid infant weight gain (Halili et al, 2019). Latina women who immigrate to the United States have a higher incidence of being overweight/obese than Non-Hispanic White women, and consequently their children face greater rates of obesity and diabetes (Commodore-Mensah et al, 2018;Hales et al, 2020).…”

“…Latina women who immigrate to the United States have a higher incidence of being overweight/obese than Non-Hispanic White women, and consequently their children face greater rates of obesity and diabetes (Commodore-Mensah et al, 2018;Hales et al, 2020). Prepregnancy obesity and obesity during pregnancy have been linked to GDM and lowered breastfeeding rates in all childbearing women and are strong indicators of obesity in infants by 12 months (Halili et al, 2019).…”

“…Much of the literature on risk factors of child obesity has focused on children of Mexican descent (Halili et al, 2019;Luecken et al, 2017;Tuñón-Pablos & Dreby, 2016;Wambach et al, 2016), Hispanic mother-infant dyads as a homogenous group, or Hispanic versus non-Hispanic populations (Lucas et al, 2017;Smego et al, 2016;Whaley et al, 2017). Moreover, although Salvadorans represent the fourth largest Hispanic subgroup in the United States (United States Census Bureau, 2018), only two studies to date on risk factors of weight gain by 12 months include Salvadoran mother-infant dyads (Gaffney et al, 2018;Gaffney et al, 2019).…”