Provider advice on physical activity and nutrition in twin pregnancies: a cross-sectional electronic survey

Whitaker, Kara M.; Baruth, Meghan; Schlaff, Rebecca A.; Talbot, Hailee; Connolly, Christopher P.; Liu, Jihong; Wilcox, Sara

doi:10.1186/s12884-019-2574-2

Cited by 17 publications

(18 citation statements)

References 38 publications

(44 reference statements)

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“…These ndings suggest that physicians are promoting PA to patients who may bene t most from the recommendation [37,51].Conversely, in Brazil, patients reported having leisure-time PA were more likely to receive PA advice [52,53]. Similarly, patients with higher PA levels tend to initiate more conversations with their providers about PA compared to those with poorer lifestyle habits [54].…”

Section: Discussionmentioning

confidence: 88%

Provision of Physical Activity Advice for Patients with Chronic Diseases in Shenzhen, China

Hui

Lee

et al. 2021

Preprint

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Background: Physical activity (PA) may best be promoted to patients during clinical consultations. Few studies investigated the practice of PA advice given by physicians, especially in China. This study aimed to investigate the prevalence and contents of PA advice given by physicians in China and its association with patients’ characteristics. Methods: Face-to-face questionnaire asking the prevalence and contents of PA advice given by physicians was administered to adult patients in three major hospitals in Shenzhen, China. Attitude of compliance, stature, PA level, and socio-demographic information were also collected. Data was analyzed via descriptive statistics and binary logistic regression. Results: Of the 454 eligible patients (Age: 47.0 ± 14.4 years), only 19.2% (n = 87) reported receiving PA advice, whereas 21.8%, 23.0%, 32.2%, and 55.2% of patients received advices on PA frequency, duration, intensity, and type, respectively. Male patients were more likely to receive PA advice from physicians [odds ratio (OR): 1.90; 95% confidence interval (CI): 1.13-3.21], whereas patients who were unemployed (OR: 0.16; 95% CI: 0.04-0.67), and who already achieved adequate amount of PA (OR: 0.29; 95% CI: 0.12-0.70) were less likely to receive PA advice. Conclusions: Prevalence of physicians providing physical activity advice to patients is low, there is a pressing need to take intervention measures to educate healthcare providers.

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Section: Discussionmentioning

confidence: 88%

Provision of Physical Activity Advice for Patients with Chronic Diseases in Shenzhen, China

Hui

Lee

et al. 2021

Preprint

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“…In our study 51% of the respondents claimed to have contraindications to exercises determined by a health care provider. According to Whitaker et al, 42% of pregnant women in the USA were recommended to restrict their activity levels with additional 13% being prescribed bed rest [11]. Bed rest is commonly advised to prevent preterm delivery.…”

Section: Discussionmentioning

confidence: 99%

“…Twin birth rate is on the rise. Increasing trends in twin birth rates have been observed worldwide; in the USA, the rate of twin deliveries has increased by almost 80% since the 1980s and in Poland an increase of 27% of multiple birth rate has been observed since 1997 [9][10][11]. In 2018 a total of 3% of all births were multiple in Poland [12].…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Patterns of Women with a Twin Pregnancy—A Cross-Sectional Study

Kwiatkowska

Kosińska-Kaczyńska

Walasik

et al. 2021

IJERPH

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Background: No specific physical activity guidelines are available for women in multiple pregnancy. Aim of the study was to assess the knowledge and experience of women regarding physical activity during their latest twin pregnancy. Methods: A cross-sectional study including women after a twin delivery was conducted in Poland. A questionnaire was distributed in 2018 via web pages and Facebook groups designed for pregnant women. Results: 652 women filled out the questionnaire completely. Only 25% of women performed any physical exercises during twin gestation. The frequency of preterm delivery was similar in physically active and non-active participants. 35% of the respondents claimed to have gained information on proper activity from obstetricians during antenatal counselling while 11% claimed to be unable to identify the reliable sources of information. 7% of women admitted to feel discriminated by social opinion on exercising during a twin pregnancy. Conclusions: The population of women with a twin gestation is not sufficiently physically active and is often discouraged from performing exercises during gestation. Therefore, it is crucial to inform obstetricians to recommend active lifestyle during a twin gestation and to provide reliable information on physical activity to pregnant women. Further research on this topic is necessary in order for obstetric providers to counsel women on appropriate exercise with a twin pregnancy.

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“…Women were eligible for the study if they met the following self-reported criteria: aged 18–44 years, twin birth within the last three years, first prenatal visit prior to 16 weeks gestation, received prenatal care in the United States, knowledge of twin gestation before the third trimester, and not currently pregnant. Women who met eligibility criteria were invited to complete a cross-sectional internet-based survey assessing health behaviors as well as health care provider advice on weight gain, physical activity, and diet during their twin pregnancy (see Supplementary File 1 for study survey) [ 24 ]. This paper reports findings related to GWG.…”

Section: Methodsmentioning

confidence: 99%

Association of provider advice and gestational weight gain in twin pregnancies: a cross-sectional electronic survey

Whitaker

Baruth

Schlaff

et al. 2020

BMC Pregnancy Childbirth

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Background: Little is known about patient-provider communication on gestational weight gain among women pregnant with twins, a growing population at high risk for adverse maternal and neonatal outcomes. We examined if women's report of provider advice on gestational weight gain was consistent with the Institute of Medicine (IOM) weight gain guidelines for twin pregnancies, and the association of provider advice on weight gain with women's weight gain during their twin pregnancy. Methods: We conducted a cross-sectional survey of 276 women who delivered twins and received prenatal care in the United States. The 2009 IOM provisional weight gain guidelines for twin pregnancies defined whether provider advice on weight gain and women's weight gain were below, within, or above guidelines. Multinomial logistic regression examined associations between provider advice on weight gain with women's weight gain, after adjustment for maternal age, gestational age at delivery, education, parity, twin type, use of assisted reproductive technologies and pre-pregnancy BMI category. Results: Approximately 30% of women described provider advice on weight gain below the IOM guidelines, 60% within, and 10% above guidelines. Compared to women who reported weight gain advice within guidelines, women who reported advice below guidelines or who reported no advice were 7.1 (95% CI: 3.2, 16.0) and 2.7 (95% CI: 1.3, 5.6) times more likely to gain less than recommended, respectively. Women who reported provider advice above guidelines were 4.6 (95% CI: 1.5, 14.2) times more likely to exceed guidelines. Conclusions: Provider advice on gestational weight gain may be an important predictor of women's weight gain during twin pregnancies, highlighting the critical need for accurate provider counseling to optimize health outcomes.

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Provider advice on physical activity and nutrition in twin pregnancies: a cross-sectional electronic survey

Cited by 17 publications

References 38 publications

Provision of Physical Activity Advice for Patients with Chronic Diseases in Shenzhen, China

Provision of Physical Activity Advice for Patients with Chronic Diseases in Shenzhen, China

Physical Activity Patterns of Women with a Twin Pregnancy—A Cross-Sectional Study

Association of provider advice and gestational weight gain in twin pregnancies: a cross-sectional electronic survey

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