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Pre-pregnancy Body Size Dissatisfaction and Excessive Gestational Weight Gain

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Abstract

Body size dissatisfaction has been documented as a risk factor for obesity, but little is known about the effect of body size dissatisfaction on excessive gestational weight gain. The objective of the study was to determine the association of pre-pregnancy body size dissatisfaction with excessive gestational weight gain in Iranian pregnant women. This case–control study compared pre-gravid body satisfaction status in 182 women with excessive gestational weight gain and 180 women who gained weight within the guidelines of the Institute of Medicine. All the participants of the study were 35–41 weeks gestational age and received prenatal care in Shahid Akbarabadi Hospital. The women were asked to think back to their pre-pregnant state and report their body size satisfaction status measured by the Body Image Assessment for Obesity (BIA-O). According to this measurement, the women were divided into three categories: dissatisfied women with a thinner body size preference, dissatisfied women with a heavier body size preference and satisfied women. Among women with excessive gestational weight gain, 56.6 % preferred a thinner body size, while 53.9 % of those with adequate gestational weight gain were satisfied with their pre-gravid body sizes. After adjusting for cofounders, those with a thinner body size preference were more likely to gain weight excessively during pregnancy when compared to satisfied women (OR: 2.17, 95 % CI: 1.17–4.02). Our result showed that thinner body size preference was associated with excessive gestational weight gain. Further studies are needed to investigate whether changes in women’s feelings about their body sizes will decrease the proportion of women with excessive gestational weight gain.

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References

  1. Institute of Medicine. (1990). Nutrition during pregnancy; Part I, weight gain. Washington, DC: National Academy Press.

    Google Scholar 

  2. Kinnunen, T. I. (2009). Prevention of excessive pregnancy-related weight gain. Doctoral Thesis in Public Health, University of Tempere, School of Public Health, Tempere.

  3. Ayatollahi, S. M. T., & Ghoreshizadeh, Z. (2010). Prevalence of obesity and overweight among adults in Iran. Obesity Reviews, 11, 335–337.

    Article  PubMed  CAS  Google Scholar 

  4. Hosseini, M., & Jameie, N. (2004). Relationship between pregnancy outcome and maternal BMI and weight gain. International Congress Series, 1271, 380–383.

    Article  Google Scholar 

  5. Rouhparvar, N. (2009). Evaluation of weight gain status and its relationship to personal information of pregnant mothers. Iran J Nurs Midwifery Res, 14(2), 95–97.

    Google Scholar 

  6. Mamun, A. A., Kinarivala, M., O’Callaghan, M. J., Williams, G. M., Najman, J. M., & Callaway, L. K. (2010). Associations of excess weight gain during pregnancy with long-term maternal overweight and obesity: evidence from 21 y postpartum follow-up. American Journal of Clinical Nutrition, 91(5), 1336–1341.

    Article  PubMed  CAS  Google Scholar 

  7. Stotland, N. E., Hopkins, L. M., & Caughey, A. B. (2004). Gestational weight gain, macrosomia, and risk of cesarean birth in nondiabetic nulliparas. Obstetrics and Gynecology, 104(4), 671–677.

    Article  PubMed  Google Scholar 

  8. Oken, E., Taveras, E. M., Kleinman, K. P., Rich-Edwards, J. W., & Gillman, M. W. (2007). Gestational weight gain and child adiposity at age 3 years. American Journal of Obstetrics and Gynecology, 196(4), 322.e1–322.e8.

    Article  Google Scholar 

  9. Hedderson, M. M., Weiss, N. S., Sacks, D. A., Pettitt, D. J., Selby, J. V., Quesenberry, C. P., et al. (2006). Pregnancy weight gain and risk of neonatal complications: Macrosomia, hypoglycemia, and hyperbilirubinemia. Obstetrics and Gynecology, 108, 1153–1161.

    Article  PubMed  Google Scholar 

  10. Weisman, C. S., Hillemeier, M. M., Symons Downs, D., Chuang, C. H., & Dyer, A. (2010). Preconception predictors of weight gain during pregnancy: Prospective findings from the Central Pennsylvania Women’s Health Study. Womens Health Issues, 20(2), 126–132.

    Article  PubMed  Google Scholar 

  11. Strychar, I. M., Chabot, C., Champagne, F., Ghadirian, P., Leduc, L., Lemonnier, M., et al. (2000). Psychosocial and lifestyle factors associated with insufficient and excessive maternal weight gain during pregnancy. Journal of the American Dietetic Association, 100(3), 353–356.

    Article  PubMed  CAS  Google Scholar 

  12. Cogswell, M. E., Scanlon, K. S., Fein, S. B., & Schieve, L. A. (1999). Medically advised, mother’s personal target, and actual weight gain during pregnancy. Obstetrics and Gynecology, 94(4), 616–622.

    Article  PubMed  CAS  Google Scholar 

  13. Althuizen, E., Van Poppel, M. N. M., Seidell, J. C., & Van Mechelen, W. (2009). Correlates of absolute and excessive weight gain during pregnancy. J Womens Health (Larchmt), 18(10), 1559–1566.

    Article  Google Scholar 

  14. Brawarsky, P., Stotland, N. E., Jackson, R. A., Fuentes-Afflick, E., Escobar, G. J., Rubashkin, N., et al. (2005). Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain. International Journal of Gynaecology and Obstetrics, 91(2), 125–131.

    Article  PubMed  CAS  Google Scholar 

  15. Stuebe, A. M., Oken, E., & Gillman, M. W. (2009). Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain. American Journal of Obstetrics and Gynecology, 201(1), 58.e1–58.e8.

    Article  Google Scholar 

  16. Pallan, M., Hiam, L., Duda, J., & Adab, P. (2011). Body image, body dissatisfaction and weight status in south Asian children: A cross-sectional study. BMC Public Health, 11(1), 21.

    Article  PubMed  Google Scholar 

  17. Schwartz, M. B., & Brownell, K. D. (2004). Obesity and body image. Body Image, 1(1), 43–56.

    Article  PubMed  Google Scholar 

  18. Annis, N. M., Cash, T. F., & Hrabosky, J. I. (2004). Body image and psychosocial differences among stable average weight, currently overweight, and formerly overweight women: The role of stigmatizing experiences. Body Image, 1(2), 155–167.

    Article  PubMed  Google Scholar 

  19. Mehta, U., Siega-Riz, A. M., & Herring, A. (2011). Effect of body image on pregnancy weight gain. Maternal and Child Health Journal, 15(3), 1–9.

    Article  Google Scholar 

  20. Breitkopf, C., Littleton, H., & Berenson, A. (2007). Body image: A study in a tri-ethnic sample of low income women. Sex Roles, 56(5), 373–380.

    Article  Google Scholar 

  21. Williamson, D. A., Womble, L. G., Zucker, N. L., Reas, D. L., White, M. A., Blouin, D. C., et al. (2000). Body image assessment for obesity (BIA-O): Development of a new procedure. International Journal of Obesity and Related Metabolic Disorders, 24(10), 1326–1332.

    Article  PubMed  CAS  Google Scholar 

  22. Herring, S., Oken, E., Haines, J., Rich-Edwards, J., Rifas-Shiman, S., Kleinman ScD, K., et al. (2008). Misperceived pre-pregnancy body weight status predicts excessive gestational weight gain: Findings from a US cohort study. BMC Pregnancy Childbirth, 8(1), 54.

    Article  PubMed  Google Scholar 

  23. Mumford, S. L., Siega-Riz, A. M., Herring, A., & Evenson, K. R. (2008). Dietary restraint and gestational weight gain. Journal of the American Dietetic Association, 108(10), 1646–1653.

    Article  PubMed  Google Scholar 

  24. Cooper, P. J., Taylor, M. J., Cooper, Z., & Fairbum, C. G. (1987). The development and validation of the body shape questionnaire. International Journal of Eating Disorders, 6(4), 485–494.

    Article  Google Scholar 

  25. Rastmanesh, R., Gluck, M. E., & Shadman, Z. (2009). Comparison of body dissatisfaction and cosmetic rhinoplasty with levels of veil practicing in Islamic women. International Journal of Eating Disorders, 42(4), 339–345.

    Article  PubMed  Google Scholar 

  26. Chasan-Taber, L., Schmidt, M. D., Roberts, D. E., Hosmer, D., Markenson, G., & Freedson, P. (2004). Development and validation of a Pregnancy Physical Activity Questionnaire. Medicine and Science in Sports and Exercise, 36(10), 1750–1760.

    Article  PubMed  Google Scholar 

  27. Kazemi, A., & Ahmadi, P. (2007). Relationship between physical activity during the first 20 weeks of gestation and hypertension in pregnancy [Farsi]. Shahrekord University of Medical Sciences Journal, 9(2), 20–27.

    Google Scholar 

  28. Mirmiran, P., Hosseini Esfahani, F., Mehrabi, Y., Hedayati, M., & Azizi, F. (2010). Reliability and relative validity of an FFQ for nutrients in the Tehran Lipid and Glucose Study. Public Health Nutrition, 13, 654–662.

    Article  PubMed  Google Scholar 

  29. Gilbert-Diamond, D., Baylin, A., Mora-Plazas, M., & Villamor, E. (2009). Correlates of obesity and body image in Colombian women. J Womens Health, 18(8), 1145–1151.

    Article  Google Scholar 

  30. Harris, H. E., Ellison, G. T., & Clement, S. (1999). Relative importance of heritable characteristics and lifestyle in the development of maternal obesity. Journal of Epidemiology and Community Health, 53(2), 66–74.

    Article  PubMed  CAS  Google Scholar 

  31. Råberg, M., Kumar, B., Holmboe-Ottesen, G., & Wandel, M. (2010). Overweight and weight dissatisfaction related to socio-economic position, integration and dietary indicators among South Asian immigrants in Oslo. Public Health Nutrition, 13(5), 695–703.

    Article  PubMed  Google Scholar 

  32. Rousham, E. K., Clarke, P. E., & Gross, H. (2006). Significant changes in physical activity among pregnant women in the UK as assessed by accelerometry and self-reported activity. European Journal of Clinical Nutrition, 60(3), 393–400.

    Article  PubMed  CAS  Google Scholar 

  33. Saules, K. K., Collings, A. S., Wiedemann, A. A., & Fowler, S. L. (2009). The relationship of body image to body mass index and binge eating: The role of cross-situational body image dissatisfaction versus situational reactivity. Psychological Reports, 104(3), 909–921.

    Article  PubMed  Google Scholar 

  34. Jaeger, B., Ruggiero, G. M., Edlund, B., Gomez-Perretta, C., Lang, F., Mohammadkhani, P., et al. (2002). Body dissatisfaction and its interrelations with other risk factors for bulimia nervosa in 12 countries. Psychotherapy and Psychosomatics, 71(1), 54–61.

    Article  PubMed  CAS  Google Scholar 

  35. Safavi, M., Mahmoodi, M., & Roshandel, A. (2009). Assessment of body image and its relationship with eating disorders among female students of Islamic Azad University, Tehran center branch. Medical Science Journal of Islamic Azad University, 19(2), 129–134.

    Google Scholar 

  36. Nobakht, M., & Dezhkam, M. (2000). An epidemiological study of eating disorders in Iran. International Journal of Eating Disorders, 28(3), 265–271.

    Article  PubMed  CAS  Google Scholar 

  37. Soares, R. M., Nunes, M. A., Schmidt, M. I., Giacomello, A., Manzolli, P., et al. (2009). Inappropriate eating behaviors during pregnancy: Prevalence and associated factors among pregnant women attending primary care in southern Brazil. International Journal of Eating Disorders, 42(5), 387–393.

    Article  PubMed  Google Scholar 

  38. Bulik, C. M., Von Holle, A., Hamer, R., Knoph Berg, C., Torgersen, L., Magnus, P., et al. (2007). Patterns of remission, continuation and incidence of broadly defined eating disorders during early pregnancy in the Norwegian Mother and Child Cohort Study (MoBa). Psychological Medicine, 37(8), 1109–1118.

    Article  PubMed  Google Scholar 

  39. Simon, G., Ludman, E., Linde, J., Operskalski, B., Ichikawa, L., Rohde, P., et al. (2008). Association between obesity and depression in middle-aged women. General Hospital Psychiatry, 30(1), 32–39.

    Article  PubMed  Google Scholar 

  40. Palmeira, A. L., Branco, T. L., Martins, S. C., Minderico, C. S., Silva, M. N., Vieira, P. N., et al. (2010). Change in body image and psychological well-being during behavioral obesity treatment: Associations with weight loss and maintenance. Body Image, 7(3), 187–193.

    Article  PubMed  Google Scholar 

  41. Boscaglia, N., Skouteris, H., & Wertheim, E. H. (2003). Changes in body image satisfaction during pregnancy: A comparison of high exercising and low exercising women. Australian and New Zealand Journal of Obstetrics and Gynaecology, 43(1), 41–45.

    Article  PubMed  Google Scholar 

  42. Skouteris, H., Carr, R., Wertheim, E. H., Paxton, S. J., & Duncombe, D. (2005). A prospective study of factors that lead to body dissatisfaction during pregnancy. Body Image, 2(4), 347–361.

    Article  PubMed  Google Scholar 

  43. Duncombe, D., Wertheim, E. H., Skouteris, H., Paxton, S. J., & Kelly, L. (2008). How well do women adapt to changes in their body size and shape across the course of pregnancy? Journal of Health Psychology, 13(4), 503–515.

    Article  PubMed  Google Scholar 

  44. Brunner Huber, L. (2007). Validity of self-reported height and weight in women of reproductive age. Maternal and Child Health Journal, 11(2), 137–144.

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was part of a M.S. thesis supported by Tehran University of Medical Sciences. We sincerely thank all pregnant women for participating in the study and express our gratitude to the managing director and all colleagues at Shahid Akbarabadi Hospital. The authors declare that they have no conflict of interest.

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Correspondence to Ahmadreza Dorosty.

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Bagheri, M., Dorosty, A., Sadrzadeh-Yeganeh, H. et al. Pre-pregnancy Body Size Dissatisfaction and Excessive Gestational Weight Gain. Matern Child Health J 17, 699–707 (2013). https://doi.org/10.1007/s10995-012-1051-6

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