Abstract
Pregnancy weight gain may be a risk factor for the development of obesity highlighting the importance of identifying psychosocial risk factors for pregnancy weight gain. The goal of this qualitative pilot study was to evaluate knowledge, attitudes and beliefs regarding weight gain during pregnancy among predominantly Puerto Rican women, a group with higher rates of obesity as compared to non-Hispanic white women. We conducted four focus groups stratified by level of acculturation and BMI. Women reported receiving advice about pregnancy weight gain predominantly from nutritionists and family members rather than from their physicians. The majority of overweight/obese women reported that they had not received any recommendations for weight gain during pregnancy from physicians. Pregnancy weight gain advice was not consistent with the 1990 Institute of Medicine Guidelines. Overall, attitudes towards weight gain recommendations differed by weight status, whereas feelings and dietary beliefs about weight gain differed according to level of acculturation. Our findings inform behavior change strategies for meeting pregnancy weight gain recommendations.
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References
Siega-Riz, A. M., Evenson, K. R., & Dole, N. (2004). Pregnancy-related weight gain—a link to obesity? Nutrition Reviews, 62, S105–S111.
Ohlin, A., & Rossner, S. (1990). Maternal body weight development after pregnancy. International Journal of Obesity, 14, 159–173.
Olson, C. M., & Strawderman, M. S. (2003). Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. Journal of the American Dietetic Association, 103, 48–54.
Gunderson, E. P., & Abrams, B. (2000). Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiologic Reviews, 22, 261–274.
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(322), e1–e8.
Moreira, P., Padez, C., Mourao-Carvalhal, I., & Rosado, V. (2007). Maternal weight gain during pregnancy and overweight in Portuguese children. International Journal of Obesity (London), 31, 608–614.
Viswanathan, M., Siega-Riz, A. M., Moos, M. K., Deierlein, A., Mumford, S., Knaack, J., Thieda, P., Lux, L. J., & Lohr, K. N. (2008). Outcomes of maternal weight gain. Evidence Report Technology Assessment (Full Rep), 1–223.
Hedley, A. A., Ogden, C. L., Johnson, C. L., Carroll, M. D., Curtin, L. R., & Flegal, K. M. (2004). Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA, 291, 2847–2850.
Schieve, L. A., Cogswell, M. E., & Scanlon, K. S. (1998). Trends in pregnancy weight gain within and outside ranges recommended by the Institute of Medicine in a WIC population. Maternal and Child Health Journal, 2, 111–116.
Helms, E., Coulson, C. C., & Galvin, S. L. (2006). Trends in weight gain during pregnancy: a population study across 16 years in North Carolina. American Journal of Obstetrics and Gynecology, 194, e32–e34.
Olson, C. M. (2008). Achieving a healthy weight gain during pregnancy. Annual Review of Nutrition, 28, 411–423.
Institute of Medicine. (2007). Influence of pregnancy weight on maternal and child health: A workshop report. Washington, DC: National Research Council Institute of Medicine, pp. 1–93.
Palmer, J. L., Jennings, G. E., & Massey, L. (1985). Development of an assessment form: attitude toward weight gain during pregnancy. Journal of the American Dietetic Association, 85, 946–949.
Taffel, S. M., & Keppel, K. G. (1986). Advice about weight gain during pregnancy and actual weight gain. American Journal of Public Health, 76, 1396–1399.
Fairburn, C. G., Stein, A., & Jones, R. (1992). Eating habits and eating disorders during pregnancy. Psychosomatic Medicine, 54, 665–672.
Conway, R., Reddy, S., & Davies, J. (1999). Dietary restraint and weight gain during pregnancy. European Journal of Clinical Nutrition, 53, 849–853.
Hickey, C. A., Cliver, S. P., McNeal, S. F., Hoffman, H. J., & Goldenberg, R. L. (1996). Prenatal weight gain patterns and birth weight among nonobese black and white women. Obstetrics and Gynecology, 88, 490–496.
Hurley, K. M., Caulfield, L. E., Sacco, L. M., Costigan, K. A., & Dipietro, J. A. (2005). Psychosocial influences in dietary patterns during pregnancy. Journal of the American Dietetic Association, 105, 963–966.
Copper, R. L., DuBard, M. B., Goldenberg, R. L., & Oweis, A. I. (1995). The relationship of maternal attitude toward weight gain to weight gain during pregnancy and low birth weight. Obstetrics and Gynecology, 85, 590–595.
Stevens-Simon, C., Nakashima, I., & Andrews, D. (1993). Weight gain attitudes among pregnant adolescents. Journal of Adolescent Health, 14, 369–372.
Fairburn, C. G., & Welch, S. L. (1990). The impact of pregnancy on eating habits and attitudes to shape and weight. International Journal of Eating Disorders, 9, 153–160.
Stotland, N. E., Haas, J. S., Brawarsky, P., Jackson, R. A., Fuentes-Afflick, E., & Escobar, G. J. (2005). Body mass index, provider advice, and target gestational weight gain. Obstetrics and Gynecology, 105, 633–638.
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, 616–622.
Institute of Medicine. (1990). Weight gain: Nutrition during pregnancy. Part 1. Washington, DC.
Patton, M. Q. (2002). Qualitative research and evaluation methods: Qualitative research (c 3/ed) and evaluation methods. Beverley Hills, CA: Sage Publications Inc.
Berg, B. L. (2007). Qualitative research methods for the social sciences, ed. S. Edition. Boston: Pearson Education Inc.
Thornton, P. L., Kieffer, E. C., Salabarria-Pena, Y., Odoms-Young, A., Willis, S. K., Kim, H., et al. (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support. Maternal and Child Health Journal, 10, 95–104.
Gutierrez, Y. M. (1999). Cultural factors affecting diet and pregnancy outcome of Mexican–American adolescents. Journal of Adolescent Health, 25, 227–237.
Kieffer, E. C., Willis, S. K., Arellano, N., & Guzman, R. (2002). Perspectives of pregnant and postpartum latino women on diabetes, physical activity, and health. Health Education and Behaviour, 29, 542–556.
Vallianatos, H., Brennand, E. A., Raine, K., Stephen, Q., Petawabano, B., Dannenbaum, D., et al. (2006). Beliefs and practices of first nation women about weight gain during pregnancy and lactation: Implications for women’s health. Canadian Journal of Nursing Research, 38, 102–119.
Wiles, R. (1998). The views of women of above average weight about appropriate weight gain in pregnancy. Midwifery, 14, 254–260.
National Center for Health Statistics. (1996). Supplements to monthly vital statistics report: Advance reports, 1988. Vital and Health Statistics, 24.
Simpson, C. (1998). Reaffirming our commitment to improving health services for Hispanics. Closing the gap: A newsletter of the Office of Minority Health V. 3, Editor. U.S. Department of Health and Human Services.
Chasan-Taber, L., Schmidt, M. D., Pekow, P., Sternfeld, B., Solomon, C. G., & Markenson, G. (2008). Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity (Silver Spring), 16, 1657–1666.
Pawson, I. G., Martorell, R., & Mendoza, F. E. (1991). Prevalence of overweight and obesity in US Hispanic populations. American Journal of Clinical Nutrition, 53, 1522S–1528S.
Kieffer, E. C., Carman, W. J., Gillespie, B. W., Nolan, G. H., Worley, S. E., & Guzman, J. R. (2001). Obesity and gestational diabetes among African-American women and Latinas in Detroit: Implications for disparities in women’s health. Journal of the American Medical Women’s Association, 56, 181–187, 196.
Becker, M. H., & Mainman, L. A. (1974). The health belief model and personal health behavior. Health Education Monographs, 2, 324–473.
Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 1–47.
Krueger, R. A., & Casey, M. A. (Eds.). (2000). Focus groups: A practical guide for applied research (3rd ed.). Thousand Oaks, CA: Sage Publications.
Berger, B., & Motl, R. W. (2000). Exercise and mood: A selective review and synthesis of research employing the profile of mood states. Journal of Applied Sport Psychology, 12, 69–92.
Strychar, I. M., Chabot, C., Champagne, F., Ghadirian, P., Leduc, L., Lemonnier, M. C., et al. (2000). Psychosocial and lifestyle factors associated with insufficient and excessive maternal weight gain during pregnancy. Journal of the American Dietetic Association, 100, 353–356.
Kiel, D. W., Dodson, E. A., Artal, R., Boehmer, T. K., & Leet, T. L. (2007). Gestational weight gain and pregnancy outcomes in obese women: how much is enough? Obstetrics and Gynecology, 110, 752–758.
Sabogal, F., Marin, G., Otero-Sabogal, R., & Marin, B. V. (1987). Hispanic familism and acculturation: What changes and what doesn’t? Hispanic Journal of Behavioral Sciences, 9, 397–412.
Dipietro, J. A., Millet, S., Costigan, K. A., Gurewitsch, E., & Caulfield, L. E. (2003). Psychosocial influences on weight gain attitudes and behaviors during pregnancy. Journal of the American Dietetic Association, 103, 1314–1319.
Stevens-Simon, C., Roghmann, K. J., & McAnarney, E. R. (1992). Relationship of self-reported prepregnant weight and weight gain during pregnancy to maternal body habitus and age. Journal of the American Dietetic Association, 92, 85–87.
Bermudez, O. I., Falcon, L. M., & Tucker, K. L. (2000). Intake and food sources of macronutrients among older Hispanic adults: Association with ethnicity, acculturation, and length of residence in the United States. Journal of the American Dietetic Association, 100, 665–673.
Gollenberg, A., Pekow, P., Markenson, G., Tucker, K. L., & Chasan-Taber, L. (2008). Dietary behaviors, physical activity, and cigarette smoking among pregnant Puerto Rican women. American Journal of Clinical Nutrition, 87, 1844–1851.
Balcazar, H., Krull, J. L., & Peterson, G. (2001). Acculturation and family functioning are related to health risks among pregnant Mexican–American women. Behavioral Medicine, 27, 62–70.
Evenson, K. R., Sarmiento, O. L., Macon, M. L., Tawney, K. W., & Ammerman, A. S. (2002). Environmental, policy, and cultural factors related to physical activity among Latina immigrants. Women and Health, 36, 43–57.
Polley, B. A., Wing, R. R., & Sims, C. J. (2002). Randomized controlled trial to prevent excessive weight gain in pregnant women. International Journal of Obesity and Related Metabolic Disorders, 26, 1494–1502.
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Tovar, A., Chasan-Taber, L., Bermudez, O.I. et al. Knowledge, Attitudes, and Beliefs Regarding Weight Gain During Pregnancy Among Hispanic Women. Matern Child Health J 14, 938–949 (2010). https://doi.org/10.1007/s10995-009-0524-8
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DOI: https://doi.org/10.1007/s10995-009-0524-8