Weight-related risk perception among healthy and overweight pregnant women: a cross-sectional study

Jersey, Susan de; Callaway, Leonie K.; Daniels, Lynne; Nicholson, Jan M.

doi:10.1038/jp.2015.57

Cited by 9 publications

(5 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to health belief and health promotion models of behavior change, perceptions of the relationships between behaviors and health risks are necessary for health-related behavior change [16,31]. A study of 585 pregnant women found that perceived risk of pre-pregnancy BMI and GWG on maternal and infant health was low in both normal and overweight women [32]. Even if individuals perceive a health-related risk, the transtheoretical model of behavior change explains that individuals are in different stages of changes with regard to particular behaviors [33].…”

Section: Limitationsmentioning

confidence: 99%

Effect of a Short Message Service Intervention on Excessive Gestational Weight Gain in a Low-Income Population: A Randomized Controlled Trial

Holmes

Palacios

et al. 2020

Nutrients

View full text Add to dashboard Cite

Objectives: The objective of this trial was to investigate the effect of educational short message service (SMS), or text messages, on excessive gestational weight gain (GWG) in a low-income, predominantly overweight/obese population. Methods: Participants (n = 83) were mostly overweight/obese women recruited at Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics on the island of O’ahu, Hawai’i at 15–20 weeks gestational age. The intervention group received SMS on nutrition and physical activity during pregnancy designed to help them meet Institute of Medicine (IOM) guidelines for GWG and American College of Obstetricians and Gynecologists guidelines for exercise, respectively. The control group received SMS about general health topics during pregnancy, excluding nutrition and physical activity. Both groups received one text message per week for eighteen weeks. GWG was defined as the difference between the last self-reported weight taken before delivery and participants’ self-reported weight before pregnancy. Differences between study groups were examined using t-tests and Chi-square tests. Linear regression models were used to examine association of GWG with study group and other factors. Results: GWG was similar (p = 0.58) in the control group (14.1 ± 11.4 kg) and the intervention group (15.5 ± 11.6 kg). The percentage of participants exceeding IOM guidelines for GWG was similar (p = 0.51) in the control group (50.0%, n = 17) and the intervention group (60.5%, n = 23). Conclusions: GWG was not significantly different between intervention and control groups. Trials that begin earlier in pregnancy or before pregnancy with longer intervention durations and varying message frequency as well as personalized or interactive messages may be needed to produce significant improvements.

show abstract

Section: Limitationsmentioning

confidence: 99%

Effect of a Short Message Service Intervention on Excessive Gestational Weight Gain in a Low-Income Population: A Randomized Controlled Trial

Holmes

Palacios

et al. 2020

Nutrients

View full text Add to dashboard Cite

show abstract

“…The first three phases involved the New Beginnings Healthy Mothers and Babies Study (“New Beginnings”), a prospective observational study examining influences on weight gain and lifestyle behaviours in pregnancy and post-partum, and provided the pre-implementation data to guide the planning and development of further intervention. The New Beginnings study identified the need to provide women with antenatal care that supported recommended pregnancy weight gain [ 4 , 6 , 14 – 16 ]. Both health professionals and pregnant women were identified as populations to target, ensuring health cognitions of individuals that influenced behaviour change were accommodated [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

A theory driven, pragmatic trial implementing changes to routine antenatal care that supports recommended pregnancy weight gain

Jersey

Guthrie

Callaway

et al. 2022

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Prevention of weight gain outside recommendations is a challenge for health services, with several barriers to best practice care identified. The aim of this pragmatic implementation study with a historical control was to examine the impact of implementing a service wide education program, and antenatal care pregnancy weight gain chart combined with brief advice on women’s knowledge of recommended gestational weight gain (GWG), the advice received and actual GWG. Methods The PRECEDE PROCEED Model of Health Program planning guided intervention and evaluation targets and an implementation science approach facilitated service changes. Pregnant women < 22 weeks’ gestation attending the antenatal clinic at a metropolitan birthing hospital in Australia were recruited pre (2010, n = 715) and post (2016, n = 478) implementation of service changes. Weight measurements and questionnaires were completed at recruitment and 36 weeks’ gestation. Questionnaires assessed advice received from health professionals related to healthy eating, physical activity, GWG, and at recruitment only, pre-pregnancy weight and knowledge of GWG recommendations. Results Women who correctly reported their recommended GWG increased from 34% (pre) to 53% (post) (p < 0.001). Between pre and post implementation, the advice women received from midwives on recommended GWG was significantly improved at both recruitment- and 36-weeks’ gestation. For normal weight women there was a reduction in GWG (14.2 ± 5.3 vs 13.3 ± 4.7 kg, p = 0.04) and clinically important reduction in excess GWG between pre and post implementation (31% vs 24%, p = 0.035) which remained significant after adjustment (AOR 0.53 [95%CI 0.29–0.96]) (p = 0.005). Conclusions Service wide changes to routine antenatal care that address identified barriers to supporting recommended GWG are likely to improve the care and advice women receive and prevent excess GWG for normal weight women.

show abstract

“…An example of this is seen in the increasing prevalence of unhealthy weight in women of reproductive age, with almost 30% of women starting pregnancy overweight or with obesity [ 7 ]. Gaining excess weight may be frustrating for some women as they manage their general health [ 8 ] and there tends to be a limited understanding of the negative impact of overweight and obesity on reproductive health and fertility [ 9 ]. Rates of overweight and obesity are rising most rapidly in women during early adulthood [ 10 ], highlighting the importance of weight gain prevention in the first instance [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Empowerment for behaviour change through social connections: a qualitative exploration of women’s preferences in preconception health promotion in the state of Victoria, Australia

et al. 2022

View full text Add to dashboard Cite

Background Health behaviours in the preconception period have the potential to impact on fertility and pregnancy outcomes, and the health of all women regardless of pregnancy intention. Public awareness of this is low and interventions that promote behaviour change have not been integrated into real-world settings. Aims were to explore women’s understandings of health and health behaviours and what supports are important to promote behaviour change in the preconception period. Methods This qualitative study is the first phase of a broader co-design project set in the state of Victoria, Australia. Over 3 months, a series of in-depth interviews were conducted with female participants who were intending to become pregnant in the next 2 years (n = 6) and participants who were not intending to become pregnant in the next 2 years (n = 6). Community advisors (n = 8) aged 18-45 years provided feedback throughout the process. Coding of transcripts from interviews and meetings was undertaken by two researchers before a deductive process identified themes mapped to the COM-B framework. Results Nine themes and eight sub-themes were identified. Participants had a holistic view of health with nutrition, physical activity and sleep being most valued. Social connections were considered as being important for overall health and wellbeing and for promoting health behaviours. The only difference between groups was that pregnancy was an additional motivator for women who were planning to become pregnant in the next 2 years. A range of health information is available from health professionals and other sources. Unlimited access to information was empowering but sometimes overwhelming. Being listened to and shared experiences were aspects of social connections that validated participants and guided them in their decision-making. Conclusions Women valued their health and had a holistic view that includes physical, mental and social dimensions. Women viewed social connections with others as an opportunity to be listened to and to gain support that empowers behaviour change. Future interventions to promote behaviour change in preconception women should consider the importance all women placed on social connections and leverage off existing resources to connect women.

show abstract

Weight-related risk perception among healthy and overweight pregnant women: a cross-sectional study

Cited by 9 publications

References 31 publications

Effect of a Short Message Service Intervention on Excessive Gestational Weight Gain in a Low-Income Population: A Randomized Controlled Trial

Effect of a Short Message Service Intervention on Excessive Gestational Weight Gain in a Low-Income Population: A Randomized Controlled Trial

A theory driven, pragmatic trial implementing changes to routine antenatal care that supports recommended pregnancy weight gain

Empowerment for behaviour change through social connections: a qualitative exploration of women’s preferences in preconception health promotion in the state of Victoria, Australia

Contact Info

Product

Resources

About