#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

High maternal self-efficacy is associated with meeting Institute of Medicine gestational weight gain recommendations


Autoři: Lyra Halili aff001;  Rebecca H. Liu aff001;  Ashley Weeks aff001;  Raywat Deonandan aff002;  Kristi B. Adamo aff001
Působiště autorů: School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada aff001;  Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada aff002
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0226301

Souhrn

Objective

Fetal exposure to an intrauterine environment affected by maternal obesity and excessive gestational weight gain increases the likelihood of infants born large for gestational age and childhood obesity. This study examined behavioural factors and lifestyle practices associated with women’s perceived attainability of meeting the 2009 Institute of Medicine (IOM) weight gain guidelines.

Methods

Cross-sectional data were collected from pregnant (n = 320) and postpartum (n = 1179) women who responded to the validated Canadian Electronic Maternal (EMat) health survey. Consenting women completed the survey through REDCap a secure, web-based data capture platform. Multiple logistic regression analyses were used to evaluate correlates associated with meeting or not meeting IOM recommendations. Odds ratios (ORs) were adjusted for relevant behavioural and sociodemographic covariates.

Results

There were no significant differences between adjusted and unadjusted ORs for self-efficacy, barriers, and facilitators to weight gain during pregnancy. Women who reported worry regarding weight gain were significantly less likely to meet IOM guidelines (OR = 0.48, 95% CI = 0.33–0.69). Perceived controllability of behaviour was significantly associated with meeting IOM guidelines. An internal locus of control for weight gain was associated with an increased odds of meeting guidelines when women perceived to be in control of their weight gain (OR = 1.75, 95% CI = 1.29–2.37), healthy and exercised (OR = 1.91, 95% CI = 1.34–2.71), and when no barriers to healthy weight gain were perceived (OR = 1.43, 95% CI = 1.04–1.95); whereas, an external locus of control in which women viewed weight gain as beyond their control, was associated with a significantly reduced odds of achieving guidelines (OR = 0.58, 95% CI = 0.39–0.88).

Conclusions

Self-efficacy and perceived controllability of behaviour are key factors to consider when developing pregnancy-specific interventions to help women achieve guideline-concordant weight gain and ensure the downstream health of both mother and infant.

Klíčová slova:

Psychological and psychosocial issues – Pregnancy – Physical activity – Behavior – Surveys – Obesity – Exercise – Weight gain


Zdroje

1. Hillemeier MM, Weisman CS, Chuang C, Downs DS, McCall-Hosenfeld J, Camacho F. Transition to overweight or obesity among women of reproductive age. J Womens Health 2002. 2011. doi: 10.1089/jwh.2010.2397 21599427

2. Catalano PM. Increasing maternal obesity and weight gain during pregnancy: The obstetric problems of plentitude. Obstetrics and Gynecology. 2007. doi: 10.1097/01.AOG.0000284990.84982.ba 17906003

3. Twells LK, Gregory DM, Reddigan J, Midodzi WK. Current and predicted prevalence of obesity in Canada: a trend analysis. CMAJ Open. 2014. doi: 10.9778/cmajo.20130016 25077121

4. Public Health Agency of Canada. Obesity in Canada: A joint report from the public health agency of Canada and the Canadian Institute for health information. Public Health Agency Can. 2011.

5. Rasmussen KM, Yaktine AL. Weight gain during pregnancy: Reexamining the guidelines. Natl Acad Press. 2009.

6. Davies GAL, Maxwell C, McLeod L, Gagnon R, Basso M, Bos H, et al. Obesity in pregnancy: No. 239, february 2010. International Journal of Gynecology and Obstetrics. 2010.

7. Adamo KB, Ferraro ZM, Brett KE. Can we modify the intrauterine environment to halt the intergenerational cycle of obesity? Int J Environ Res Public Health. 2012. doi: 10.3390/ijerph9041263 22690193

8. Cnattingius S, Villamor E, Lagerros YT, Wikström AK, Granath F. High birth weight and obesity—a vicious circle across generations. Int J Obes. 2012;36: 1320–1324. doi: 10.1038/ijo.2011.248 22158263

9. Catalano P, Ehrenberg H. Review article: The short- and long-term implications of maternal obesity on the mother and her offspring. BJOG Int J Obstet Gynaecol. 2006. doi: 10.1111/j.1471-0528.2006.00989.x 16827826

10. Ferraro ZM, Barrowman N, Prud’homme D, Walker M, Wen SW, Rodger M, et al. Excessive gestational weight gain predicts large for gestational age neonates independent of maternal body mass index. J Matern Fetal Neonatal Med. 2012;25: 538–542. doi: 10.3109/14767058.2011.638953 22081936

11. Ferraro ZM, Contador F, Tawfiq A, Adamo KB, Gaudet L. Gestational weight gain and medical outcomes of pregnancy. Obstet Med Med Pregnancy. 2015;8: 133–137. doi: 10.1177/1753495X15591320 27512468

12. Crane JMG, White J, Murphy P, Burrage L, Hutchens D. The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. J Obstet Gynaecol Can JOGC J Obstétrique Gynécologie Can JOGC. 2009;31: 28–35. doi: 10.1097/01.NMC.0000360432.90345.b0

13. Sridhar SB, Darbinian J, Ehrlich SF, Markman MA, Gunderson EP, Ferrara A, et al. Maternal gestational weight gain and offspring risk for childhood overweight or obesity. Am J Obstet Gynecol. 2014;211: 259.e1–259.e8. doi: 10.1016/j.ajog.2014.02.030 24735804

14. Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, et al. Association of Gestational Weight Gain With Maternal and Infant Outcomes. Jama. 2017;317: 2207. doi: 10.1001/jama.2017.3635 28586887

15. Weeks A, Liu RH, Ferraro ZM, Deonandan R, Adamo KB. Inconsistent Weight Communication Among Prenatal Healthcare Providers and Patients: A Narrative Review. Obstet Gynecol Surv. 2018;73: 423–432. doi: 10.1097/OGX.0000000000000588 30169887

16. Shulman R, Kottke M. Impact of maternal knowledge of recommended weight gain in pregnancy on gestational weight gain. Am J Obstet Gynecol. 2016. doi: 10.1016/j.ajog.2016.03.021 27012961

17. Samura T, Steer J, Daniela Michelis L, Carroll L, Holland E, Perkins R. Factors associated with excessive gestational weight gain: Review of Current Literature. Global Advances In Health and Medicine. 2016. doi: 10.7453/gahmj.2015.094 26937318

18. Harris ST, Liu J, Wilcox S, Moran R, Gallagher A. Exercise during pregnancy and its association with gestational weight gain. Matern Child Health J. 2015. doi: 10.1007/s10995-014-1534-8 24912945

19. Mottola MF, Davenport MH, Ruchat S-M, Davies GA, Poitras VJ, Gray CE, et al. 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med. 2018;52: 1339–1346. doi: 10.1136/bjsports-2018-100056 30337460

20. Olson CM, Strawderman MS. Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. J Am Diet Assoc. 2003. doi: 10.1053/jada.2003.50001 12525793

21. Kapadia MZ, Gaston A, Van Blyderveen S, Schmidt L, Beyene J, McDonald H, et al. Psychological antecedents of excess gestational weight gain: A systematic review. BMC Pregnancy Childbirth. 2015. doi: 10.1186/s12884-015-0535-y 25933604

22. Hartley E, McPhie S, Skouteris H, Fuller-Tyszkiewicz M, Hill B. Psychosocial risk factors for excessive gestational weight gain: A systematic review. Women Birth J Aust Coll Midwives. 2015. doi: 10.1016/j.wombi.2015.04.004 25959883

23. Skouteris H, Hartley-Clark L, McCabe M, Milgrom J, Kent B, Herring SJ, et al. Preventing excessive gestational weight gain: A systematic review of interventions. Obes Rev. 2010. doi: 10.1111/j.1467-789X.2010.00806.x 20880128

24. Brown MJ, Sinclair M, Liddle D, Hill AJ, Madden E, Stockdale J. A systematic review investigating healthy lifestyle interventions incorporating goal setting strategies for preventing excess gestational weight gain. PLoS ONE. 2012. doi: 10.1371/journal.pone.0039503 22792178

25. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42: 377–381. doi: 10.1016/j.jbi.2008.08.010 18929686

26. Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O’Neal L, et al. The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019;95: 103208. doi: 10.1016/j.jbi.2019.103208 31078660

27. Ockenden H, Gunnell K, Giles A, Nerenberg K, Goldfield G, Manyanga T, et al. Development and preliminary validation of a comprehensive questionnaire to assesswomen’s knowledge and perception of the current weight gain guidelines during pregnancy. Int J Environ Res Public Health. 2016;13. doi: 10.3390/ijerph13121187 27916921

28. Bandura A. SOCIAL COGNITIVE THEORY.: 85.

29. Stajkovic AD, Luthans F. Self-efficacy and work-related performance: A meta-analysis. Psychol Bull. 1998;124: 240–261. doi: 10.1037/0033-2909.124.2.240

30. Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr Gen Appl. 1966;80: 1–28. doi: 10.1037/h0092976

31. Strychar IM, Chabot C, Champagne F, Ghadirian P, Leduc L, Lemonnier MC, et al. Psychosocial and lifestyle factors associated with insufficient and excessive maternal weight gain during pregnancy. J Am Diet Assoc. 2000. doi: 10.1016/S0002-8223(00)00107-3

32. Pomerleau CS, Brouwer RJN, Jones LT. Weight concerns in women smokers during pregnancy and postpartum. Addict Behav. 2000. doi: 10.1016/S0306-4603(00)00086-1

33. Kominiarek MA, Grobman W, Adam E, Buss C, Culhane J, Entringer S, et al. Stress during pregnancy and gestational weight gain. J Perinatol. 2018. doi: 10.1038/s41372-018-0051-9 29379158

34. Thomas M, Vieten C, Adler N, Ammondson I, Coleman-Phox K, Epel E, et al. Potential for a stress reduction intervention to promote healthy gestational weight gain: focus groups with low-income pregnant women. Womens Health Issues Off Publ Jacobs Inst Womens Health. 2014. doi: 10.1016/j.whi.2014.02.004 24794544

35. Vanstone M, Kandasamy S, Giacomini M, DeJean D, McDonald SD. Pregnant women’s perceptions of gestational weight gain: a systematic review and meta-synthesis of qualitative research. Matern Child Nutr. 2016; 1–18. doi: 10.1111/mcn.12374 27873484

36. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991. doi: 10.1016/0749-5978(91)90020-T

37. Whitaker KM, Wilcox S, Liu J, Blair SN, Pate RR. Pregnant women’s perceptions of weight gain, physical activity, and nutrition using Theory of Planned Behavior constructs. J Behav Med. 2016. doi: 10.1007/s10865-015-9672-z 26335313

38. Dong Y, Rivera DE, Thomas DM, Barrientos-Navarro JE, Downs DS, Savage JS, et al. A dynamic systems model for improving gesstational weight gain behavioral interventions. Natl Inst Health. 2013.

39. Bandura A. Health promotion by social cognitive means. Health Education and Behavior. 2004. pp. 143–164. doi: 10.1177/1090198104263660 15090118

40. McDonald SD, Park CK, Timm V, Schmidt L, Neupane B, Beyene J. What Psychological, Physical, Lifestyle, And Knowledge Factors Are Associated With Excess or Inadequate Weight Gain During Pregnancy? A Cross-Sectional Survey. J Obstet Gynaecol Can. 2013. doi: 10.1016/S1701-2163(15)30757-X

41. Lipsky LM, Strawderman MS, Olson CM. Weight-related self-efficacy in relation to maternal body weight from early pregnancy to 2 years post-partum. Matern Child Nutr. 2016. doi: 10.1111/mcn.12149 25244078

42. Webb JB, Siega-Riz AM, Dole N. Psychosocial determinants of adequacy of gestational weight gain. Obes Silver Spring Md. 2009. doi: 10.1038/oby.2008.490 19008871

43. Bookari K, Yeatman H, Williamson M. Australian Pregnant Women’s Awareness of Gestational Weight Gain and Dietary Guidelines: Opportunity for Action. J Pregnancy. 2016;2016. doi: 10.1155/2016/8162645 26881080

44. Choi JW, Fukuoka Y, Lee JH. The effects of physical activity and physical activity plus diet interventions on body weight in overweight or obese women who are pregnant or in postpartum: A systematic review and meta-analysis of randomized controlled trials. Prev Med. 2013;56: 351–364. doi: 10.1016/j.ypmed.2013.02.021 23480971

45. Adamo KB, Ferraro ZM, Brett KE. Can we modify the intrauterine environment to halt the intergenerational cycle of obesity? International Journal of Environmental Research and Public Health. 2012. pp. 1263–1307. doi: 10.3390/ijerph9041263 22690193

46. American College of Obstetricians and Gynecologists. ACOG Committee opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002;99: 171–3.

47. Davies GAL, Wolfe LA, Mottola MF, MacKinnon C. Joint SOGC/CSEP clinical practice guideline: exercise in pregnancy and the postpartum period. Can J Appl Physiol Rev Can Physiol Appliquée. 2003;28: 330–41.

48. Hesketh KR, Evenson KR. Prevalence of U.S. Pregnant Women Meeting 2015 ACOG Physical Activity Guidelines. Am J Prev Med. 2016;51: e87–e89. doi: 10.1016/j.amepre.2016.05.023 27544437

49. Harrison AL, Taylor NF, Shields N, Frawley HC. Attitudes, barriers and enablers to physical activity in pregnant women: a systematic review. J Physiother. 2018;64: 24–32. doi: 10.1016/j.jphys.2017.11.012 29289592

50. Herring SJ, Nelson DB, Davey A, Klotz AA, Dibble LV, Oken E, et al. Determinants of excessive gestational weight gain in urban, low-income women. Womens Health Issues Off Publ Jacobs Inst Womens Health. 2012. doi: 10.1016/j.whi.2012.05.004 22818249

51. Evenson KR, Barakat R, Brown WJ, Dargent-Molina P, Haruna M, Mikkelsen EM, et al. Guidelines for Physical Activity During Pregnancy: Comparisons From Around the World. American Journal of Lifestyle Medicine. 2014. doi: 10.1177/1559827613498204 25346651

52. Mehta-Lee SS, Goel JLL, Xu L, Brittner MR, Bernstein PS, Bonuck KA. Perception of weight status and its impact on gestational weight gain in an urban population. Matern Child Health J. 2013. doi: 10.1007/s10995-013-1219-8 23329166


Článok vyšiel v časopise

PLOS One


2019 Číslo 12
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Kurzy

Zvýšte si kvalifikáciu online z pohodlia domova

Aktuální možnosti diagnostiky a léčby litiáz
nový kurz
Autori: MUDr. Tomáš Ürge, PhD.

Všetky kurzy
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#