Weight gain in healthy pregnant women in relation to pre-pregnancy BMI, diet and physical activity

Merkx, Astrid; Ausems, Marlein; Budé, Luc; Vries, Raymond De; Nieuwenhuijze, Marianne

doi:10.1016/j.midw.2015.04.008

Cited by 41 publications

(76 citation statements)

References 51 publications

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“…Some studies have shown that a decline in exercise from pre-pregnancy levels was significantly related to higher GWG 119 198. Another longitudinal cohort study showed that women meeting the physical activity guidelines (≥30 min per day) had 29% (95% CI 0.57% to 0.88%) lower odds of gaining above the IOM recommendations than did inactive women 199.…”

Section: Pregnancymentioning

confidence: 99%

Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1—exercise in women planning pregnancy and those who are pregnant

et al. 2016

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Section: Pregnancymentioning

confidence: 99%

Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1—exercise in women planning pregnancy and those who are pregnant

et al. 2016

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“…9 Examples of lifestyle behaviors requiring optimization include caloric and nutritional intake, 11 physical activity, 12,13 and sleep. 14,15 Prenatal HCPs directly impact a woman's confidence and ability to achieve healthy GWG. Several research studies have shown a positive relationship between GWG counseling and improved weight-related outcomes.…”

Section: Introductionmentioning

confidence: 99%

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

Weeks

Halili

Ferraro

et al. 2020

J Midwife Womens Health

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Introduction Gestational weight gain (GWG) outside of the 2009 Institute of Medicine guidelines may be harmful to women and their fetuses. Prenatal health care providers (HCPs) are important sources of health information, but not all discuss GWG with their patients. The Canadian Obesity Network's 5As (ask, assess, advise, agree, and assist) of Healthy Pregnancy Weight Gain (5As) is a tool developed to help HCPs counsel their patients on GWG. The main objective of this study was to evaluate the impact of the 5As tool on patient perceptions of GWG discussions with their HCP and to identify suggestions to improve the tool. Methods A quasiexperimental study design was conducted whereby HCPs were trained in using the 5As tool (intervention). Patients were then queried at baseline and postintervention using an electronic questionnaire measuring patient‐perceived 5As counseling. Inclusion criteria for pregnant women were (1) currently attending their first appointment with participating HCPs, (2) English‐speaking, and (3) over 18 years of age. Results One hundred pregnant women (50 baseline, 50 postintervention) and 15 HCPs (11 midwives, 4 obstetricians) participated. Participants receiving care from 5As‐trained HCPs reported scores twice as high (P = .047) in being asked about and were approximately 3 times more likely to be advised an exact amount of target weight gain (P = .03). HCPs suggested improving patient handouts and HCP education on GWG guidelines as well as reducing the content presented in the 5As tool. Discussion The 5As Tool is effective at initiating HCP‐mediated GWG counseling; further research is needed to examine the usefulness of the 5As in clinical practice throughout the length of a full pregnancy. Whether the uptake of the 5As tool contributes to prenatal behavior change remains to be established. Future steps include modifying the tool based on HCP feedback, the development of novel knowledge translation tools, and improved HCP and patient education.

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“…Suboptimal maternal nutrition, high pre-pregnancy weight and weight gain, low physical activity, and exposure to alcohol and tobacco are associated with unfavourable pregnancy outcomes, such as preterm births and intra-uterine growth restriction, as well as an increased likelihood of ill-health throughout life (Banderali et al, 2015;Bloomfield, 2011;Greenwood et al, 2014;Merkx et al, 2015;Pasternak et al, 2013;Pruett et al, 2013;Sanabria-Martinez et al, 2015;Starling et al, 2015). Education on nutrition and physical activity during pregnancy is associated with lower risk of adverse maternal health and pregnancy outcomes, such as excessive gestational weight gain, gestational diabetes, preterm birth and low birth weight (Girard and Olude, 2012;Gresham et al, 2014;Muktabhant et al, 2015;Oteng-Ntim et al, 2012;Sanabria-Martinez et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Health behaviour information provided to clients during midwife-led prenatal booking visits: Findings from video analyses

Baron¹,

Martin²,

Wal³

et al. 2017

Midwifery

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Weight gain in healthy pregnant women in relation to pre-pregnancy BMI, diet and physical activity

Cited by 41 publications

References 51 publications

Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1—exercise in women planning pregnancy and those who are pregnant

Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1—exercise in women planning pregnancy and those who are pregnant

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

Health behaviour information provided to clients during midwife-led prenatal booking visits: Findings from video analyses

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