How to improve health literacy to reduce short- and long-term consequences of maternal obesity?

Arabin, Birgit; Timmesfeld, Nina; Noever, K; Behnam, S; Ellermann, Christin; Jenny, Mirjam A.

doi:10.1080/14767058.2018.1450383

Cited by 9 publications

(11 citation statements)

References 62 publications

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“…The pathophysiological mechanisms of fetal programming have also been discussed in this journal [6]. Since lifestyle changes to control maternal weight before, during and after pregnancy must be done by the pregnant women themselves, obstetricians should inform their patients about the consequences and help improve their health literacy [7]. Additionally, midwives could also address the issue by stressing the importance of close cooperation during the monitoring period [8,9].…”

Section: Introductionmentioning

confidence: 99%

“…In Germany, there are still no clinical guidelines on how to deal with maternal obesity before, during or after pregnancy. Even if such German guidelines were to be completed and published, ob-stetric guidelines alone will not necessarily change the behavior of healthcare providers or their patients as noted elsewhere [7]. In the US, both an ACOG Committee Opinion [10] and a Practice Bulletin [11] underlined the importance of proper information about evidence-based criteria and BMI-adapted weight gain recommendations during pregnancy [12].…”

Section: Introductionmentioning

confidence: 99%

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Changes in Maternal Body Mass Index, Weight Gain and Outcome of Singleton Pregnancies from 2000 to 2015

Noever

Schubert

Reuschel

et al. 2020

Geburtshilfe Frauenheilkd

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Introduction Maternal obesity and excessive gestational weight gain (GWG) affect the outcomes of women and their offspring. Our aim was to evaluate population-based data from Germany. Material and Methods Data from 583 633/791 514 mother-child pairs obtained from the perinatal database in Hesse for the period from 2000 to 2015 were used after excluding incomplete or non-plausible datasets. Early-stage pregnancy maternal body mass index (BMI) and GWG were evaluated. Significant outcome changes were calculated using linear or logistic regression models. Results The mean maternal age increased from 29.9 to 31.28 years; GWG increased from 445.1 to 457.2 g/week (p < 0.01). Similarly, rates for both overweight and obesity rose from 31.5 to 37.5% (p < 0.001). Cesarean section rates rose from 22.8 to 33.2% (p < 0.001) and rates of postpartum hemorrhage increased from 0.6 to 1% (p < 0.001). There was no significant change in the rates for stillbirth or perinatal mortality (p = 0.92 and p = 0.53 respectively), but there was an increase in the rates of admissions to neonatal intensive care units from 7.8 to 9.5% (p < 0.0001). The percentage of newborns with an Apgar score of < 7 at 5 minutes increased from 1 to 1.1% (p < 0.01) and the rate of neonates with an umbilical artery pH of < 7.1 rose from 1.7 to 2.4% (p < 0.01). Conclusions In just 15 years, pre-pregnancy BMI and GWG rates of women with singleton pregnancies have increased, and this increase has been accompanied by a significant rise in the rate of cesarean sections and a significant worsening of short-term maternal and neonatal outcomes. It is time to discuss the risks and the short-term and more worrying long-term consequences for mothers and their offspring and the future impact on our healthcare system.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changes in Maternal Body Mass Index, Weight Gain and Outcome of Singleton Pregnancies from 2000 to 2015

Noever

Schubert

Reuschel

et al. 2020

Geburtshilfe Frauenheilkd

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“…However, we observed that the women who felt at ease asking questions during consultations more frequently received information about PA and that women diagnosed by health professionals with excessive GWG were more likely to be talked to about their physical activity. We, as others (Stotland et al, 2012;Arabin et al, 2018), failed to evidence this association in women with a pre-pregnancy diagnosis of overweight. The diagnosis of excessive GWG could be seen as the cue we mentioned above, with health professionals adopting a rather reactive approach regarding weight management in pregnancy.…”

Section: A Complex Subjectmentioning

confidence: 56%

Association Between Maternal Body Mass and Physical Activity Counseling During Pregnancy

Ruart¹,

Sinnapah²,

Janky

et al. 2021

Front. Psychol.

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Aims: The antenatal period provides an important opportunity for giving advice on healthy lifestyle choices. However, the prevalence of maternal obesity is increasing, and women report that they do not receive counseling. We investigated the information given to pregnant women on gestational weight gain, physical activity, and nutrition during pregnancy in relation with their initial weight status, current gestational weight gain and diagnoses of either pre-pregnancy overweight/obesity or excessive gestational weight gain.Methods: Cross-sectional survey using a questionnaire. Pregnant participants (n = 141) were recruited from a midwife center. They completed a structured questionnaire on the information they received during their pregnancy and we assessed its relationship with their weight.Results: We found that many pregnant women did not receive advice about physical activity, gestational weight gain and nutrition (37.5, 53.2, and 66.2%, respectively). Women with weight problems (pre-pregnancy overweight/obesity and excessive gestational weight gain) were less targeted for counseling, although more than 80% of the women viewed receiving information on these topics as positive. Also, being informed of a weight problem was associated with a greater chance of receiving information about physical activity, gestational weight gain and nutrition (all p < 0.05). However, verbalization of the weight problems was low (14.0% of women with pre-pregnancy overweight were informed of their status).Conclusion: Health professionals should dispense more information, especially on PA and particularly for women with weight problems. Verbalization of the weight problem seems associated with more frequent transmission of information.

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“…For instance, Nutbeam (2000) defined health literacy as individual, cognitive, and social skills that influence an adult's capacity to obtain, interpret, and use knowledge to promote and sustain good health. Similarly, Arabin et al (2019) and Tian et al (2020) described health literacy as an individual's ability to obtain, evaluate, comprehend, and utilize health-related information and services. The purview of health literacy also includes public health decisions (Freedman et al, 2009;O' Neill et al, 2014).…”

Section: Health Literacymentioning

confidence: 99%

Association Between Health Literacy and BMI: A Cross-Sectional Study of Suburban Adult Population in Bangladesh

Islam

Nasrin

Jaber

et al. 2022

JPSS

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Bangladesh is experiencing heightened incidences of obesity among its urban population. This study investigated the relationship between health literacy and body mass index (BMI) among the suburban adult population in the southwestern region of Bangladesh. Data were collected from 196 random participants. Inferential statistics and multinomial logistic regression were used to analyze the data. The BMI was calculated using the World Health Organization standard, and a health literacy index was constructed using the principal component analysis. Results obtained from the relative risk ratio suggested that a higher level of health literacy directly correlates with a reduction of the obesity, overweight, and underweight categories. The health literacy indicators, including healthy behavior (0.38, p<0.01), nutrition knowledge (0.47, p<0.10), and preventive care knowledge (0.47, p<0.05), significantly influenced BMI. Furthermore, years of schooling have a substantial negative effect on the underweight category (0.71, p<0.01). The government should launch health literacy campaigns at all levels of education and promote the campaigns through social and mass media. A longitudinal study on nationally representative samples should be carried out to assess the impact of health literacy campaigns on the overall health and well-being of the Bangladeshi population.

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How to improve health literacy to reduce short- and long-term consequences of maternal obesity?

Abstract: Improving health literacy and translating clinical science into models which are understandable by policy makers, health care providers and parents is a challenge mainly if health risks are modifiable during gestation and could prevent the increasing burden of obesity for future societies.

Cited by 9 publications

References 62 publications

Changes in Maternal Body Mass Index, Weight Gain and Outcome of Singleton Pregnancies from 2000 to 2015

Changes in Maternal Body Mass Index, Weight Gain and Outcome of Singleton Pregnancies from 2000 to 2015

Association Between Maternal Body Mass and Physical Activity Counseling During Pregnancy

Association Between Health Literacy and BMI: A Cross-Sectional Study of Suburban Adult Population in Bangladesh

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