Psychosocial factors and excessive gestational weight gain: The effect of parity in an Australian cohort

Hartley, Eliza; McPhie, Skye; Fuller‐Tyszkiewicz, Matthew; Hill, Briony; Skouteris, Helen

doi:10.1016/j.midw.2015.09.009

Cited by 25 publications

(24 citation statements)

References 39 publications

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“…1). Included studies were published between 2010 and 2018, 21 were from North America , 20 were from Europe [5,[42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60], 13 were from Asia [29][30][31][32][33][34][35][36][37][38][39][40][41], four were from Oceania [82][83][84][85], four were from South America [86][87][88][89] and one was from Africa [28].…”

Section: Study Selectionmentioning

confidence: 99%

Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis

Martínez‐Hortelano

Cavero‐Redondo

Álvarez‐Bueno

et al. 2020

BMC Pregnancy Childbirth

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Background Previous studies have reported a high prevalence of excessive gestational weight gain (GWG) in women with prepregnancy BMI classified as overweight and obese. However, the joint evidence regarding GWG and prepregnancy BMI in the worldwide population has not been synthesized. Thus, this systematic review and meta-analysis aimed to estimate global and regional mean GWG and the prevalence of GWG above, within and below 2009 Institute of Medicine (IOM) guidelines. Second, we aimed to estimate global and regional prepregnancy BMI and the prevalence of BMI categories according to World Health Organization (WHO) classification. Methods We searched Medline, Embase, the Cochrane Library and Web of Science to identify observational studies until 9 May 2018. We included studies published from 2009 that used 2009 IOM guidelines, reporting data from women in general population with singleton pregnancies. The 2009 IOM categories for GWG and the WHO categories for prepregnancy BMI were used. DerSimonian and Laird random effects methods were used to estimate the pooled and their respective 95% confidence intervals (95% CIs) of the mean and by category rates of GWG and prepregnancy BMI, calculated by global and regions. Results Sixty-three published studies from 29 countries with a total sample size of 1,416,915 women were included. The global prevalence of GWG above and below the 2009 IOM guidelines, was 27.8% (95% CI; 26.5, 29.1) and 39.4% (95% CI; 37.1, 41.7), respectively. Furthermore, meta-regression analyses showed that the mean GWG and the prevalence of GWG above guidelines have increased. The global prevalence of overweight and obesity, was 23.0% (95% CI; 22.3, 23.7) and 16.3% (95% CI; 15.4, 17.4), respectively. The highest mean GWG and prepregnancy BMI were in North America and the lowest were in Asia. Conclusions Considering the high prevalence of GWG above the 2009 IOM guidelines and women with overweight/obesity and their continuously increasing trend in most regions, clinicians should recommend lifestyle interventions to improve women’s weight during reproductive age. Due to regional variability, these interventions should be adapted to each cultural context. Trial registration Prospectively registered with PROSPERO (CRD42018093562).

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Section: Study Selectionmentioning

confidence: 99%

Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis

Martínez‐Hortelano

Cavero‐Redondo

Álvarez‐Bueno

et al. 2020

BMC Pregnancy Childbirth

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“…Most studies that have evaluated body image in pregnant women have used body image scales designed for non-pregnant women (Bagheri et al, 2013;Hartley, McPhie, Fuller-Tyszkiewicz, Hill, & Skouteris, 2016;Shloim et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Scale of Attitudes towards Pregnancy and Weight Gain in Mexican population

et al. 2019

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Introduction. Physical changes during pregnancy trigger a positive or negative emotional response to the body image of the future mother. Since this response can affect the health of the mother and the fetus, it is necessary to have valid instruments to evaluate body image in pregnant women. Objective. To validate in Spanish the Scale of Attitudes towards Pregnancy and Weight Gain in Mexican population. Method. The study was conducted in two phases: it was culturally adapted to determine the linguistic validity and then its psychometric properties were verified through confirmatory exploratory factor analysis. Results. Participants included 520 pregnant women over 18 attending prenatal consultation, with a mean age of 23.56 ± 5.89 and with a mean of 33.20 ± 6.69 gestation weeks. The exploratory analysis defined five components that explain 56.04% of the total variance of the 18 items with acceptable internal consistency (α = 78). Factor analysis confirmed five factors (negative attitude towards the increase of gestational weight, positive body image, control of gestational weight, concern over gestational weight and restrictive behavior in response to gestational weight) with adequate fit indices (χ2/gl = 2.57, IFI = .90, CFI = .90, RMSEA = .05 (90% CI [.048, .062], p =.12), SRMR = .05) Discussion and conclusion. The instrument has good psychometric properties and is recommended as a valid tool for assessing attitudes toward body image in Mexican women during the period of pregnancy.

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“…We did not observe an association for anxiety symptoms and GWG, which is in line with some (see, e.g., 20 ) but not all reports. Hartley et al 12 showed that higher anxiety was related to greater GWG for 143/256 multiparous women, but, in general, the number of studies on anxiety and weight gain is rather small 31 . Also, covariates including income, health behavior engaged during pregnancy, and familial or social support can modify the association between stress or related constructs and GWG 32 -factors we could not account for.…”

Section: Discussionmentioning

confidence: 99%

“…Another systematic review 11 reported that only one out of the seven included studies observed a negative association between depression and excessive GWG, whereas no link between stress or anxiety and excessive GWG was reported. Furthermore, in a large study of 13,314 mothers 11 , depression was not meaningfully associated with inadequate or excessive GWG, yet a later study 12 reported a relationship beween anxiety and GWG in multiparous women only. Notably, most of the evidence is based on self-reported pre-and post-pregnancy body weight as well as self-reported body height with higher potential for misclassification than prospective measurement of maternal weight 13,14 .…”

mentioning

confidence: 93%

Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study

Braig

Logan

Reister³

et al. 2020

Sci Rep

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Psychosocial stress is thought to influence gestational weight gain (GWG), but results are inconsistent. We investigated the relationship of questionnaire-based maternal stress and related constructs assessed at childbirth with maternal weight measured throughout pregnancy. Data were derived from the Ulm SPATZ Health Study, a birth cohort recruited from the general population (04/2012-05/2013, Ulm, Germany). Adjusted generalized estimating equations were performed. Regression coefficients (b) and 95% confidence intervals, each highest versus lowest tertile of stress or related constructs, are presented. In 748 women, we observed positive associations for maternal chronic stress (b = 4.36 kg (1.77; 6.95)), depressive symptoms (b = 2.50 kg (0.14; 4.86)), anxiety symptoms (b = 3.26 kg (0.62, 5.89)), and hair cortisol (b = 3.35 kg (0.86; 5.83)) with maternal weight at the first gestational month. GWG was considerably lower in mothers with higher chronic stress. Pregnancy-related anxiety was positively related to weight at first month (b = 4.16 kg (1.74; 6.58)) and overall GWG. In contrast, no association was observed between anxiety symptoms and GWG. Odds ratios for association with inadequate weight gain according to Institute of Medicine recommended cutoffs differed from the results presented obove. There is evidence of an association between stress and weight gain lying beyond the recommended cutoffs , which however needs further corroboration.

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Psychosocial factors and excessive gestational weight gain: The effect of parity in an Australian cohort

Cited by 25 publications

References 39 publications

Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis

Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis

Psychometric properties of the Scale of Attitudes towards Pregnancy and Weight Gain in Mexican population

Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study

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