scholarly journals Potential for a Stress Reduction Intervention to Promote Healthy Gestational Weight Gain: Focus Groups with Low-Income Pregnant Women

2014 ◽  
Vol 24 (3) ◽  
pp. e305-e311 ◽  
Author(s):  
Melanie Thomas ◽  
Cassandra Vieten ◽  
Nancy Adler ◽  
Ingrid Ammondson ◽  
Kimberly Coleman-Phox ◽  
...  
2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Dustin Valdez ◽  
Cristina Palacios ◽  
Jinan Banna

Abstract Objectives The purpose of this study was to determine the acceptability of messages in a text message-based nutrition intervention for the prevention of excessive gestational weight gain in low-income women in the Women, Infants, and Children (WIC) program in Hawai‘i. Methods Low-income pregnant women (n = 100) in Hawaii participated in a four-month text message-based nutrition intervention program. Participants in the intervention arm received 18 text messages (1/week) that focused on reinforcing WIC's nutritional recommendations for pregnant women. Participants who completed the intervention were interviewed at their respective WIC clinic about their experiences with the messages. The interviews were transcribed and content analysis to identify the prevailing themes and concepts was performed with NVivo (version 12, GSR International, Inc, Burlington, MA). Results Participants responded to questions in four content areas: most useful messages for staying healthy, least useful messages for staying healthy, messages that affected eating and exercise habits, and the experience of receiving messages. The most useful messages related to healthy food substitutions. The least helpful messages were those participants felt they were unable to perform, such as eating sardines for omega-3 fatty acids. Participants cited that messages relating to healthy food substitutions as having the most impact on eating behavior. Most participants also felt that increasing the number of messages would have been helpful. Conclusions Results suggest that providing information relating to healthy food substitutions as well as providing a high frequency of messages could be beneficial in the development of mobile health programs for low-income pregnant women in controlling gestational weight gain. Funding Sources Mountain West Clinical Translational Research Infrastructure Network under a grant from National Institute of General Medicine Sciences of the National Institute of Health.


2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Loan Pham Kim ◽  
Maria Koleilat ◽  
Shannon E. Whaley

Women of reproductive age are particularly at risk of obesity because of excessive gestational weight gain (GWG) and postpartum weight retention, resulting in poor health outcomes for both mothers and infants. The purpose of this qualitative study was to examine perceptions and barriers to GWG among low-income women in the WIC program to inform the development of an intervention study. Eleven focus groups were conducted and stratified by ethnicity, and each group included women of varying age, parity, and prepregnancy BMI ranges. Participants reported receiving pressure from spouse and family members to “eat for two” among multiple barriers to appropriate weight gain during pregnancy. Participants were concerned about gaining too much weight but had minimal knowledge of weight gain goals during pregnancy. Receiving regular weight monitoring was reported, but participants had inconsistent discussions about weight gain with healthcare providers. Most were not aware of the IOM guidelines nor the fact that gestational weight gain goals differed by prepregnancy weight status. Results of these focus groups analyses informed the design of a pregnancy weight tracker and accompanying educational handout for use in an intervention study. These findings suggest an important opportunity for GWG education in all settings where pregnant women are seen.


2021 ◽  
Vol 224 (2) ◽  
pp. S152-S153
Author(s):  
Naima T. Joseph ◽  
Glen Satten ◽  
Rachel Williams ◽  
Martina Badell ◽  
Anandi Sheth

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Muge Gul Gulecoglu Onem ◽  
Canan Coker ◽  
Kemal Baysal ◽  
Sabahattin Altunyurt ◽  
Pembe Keskinoglu

Abstract Objectives Pregnancy is associated with physiological alterations in insulin sensitivity and lipid metabolism. This study investigates the associations between pregestational body mass index (pBMI) and the rate of gestational weight gain (rGWG) in the second trimester with the biomarkers of lipid, fatty acids metabolism and insulin resistance. Methods Sixty nine pregnant women followed. The body weights of the pregnant women were measured and blood samples were obtained at 11–14th and 24–28th weeks of pregnancy. Glucose, total cholesterol, triglyceride, HDL cholesterol, LDL cholesterol, insulin levels and fatty acids were measured. Rate of GWG (kg/week) and The Homeostasis Model Assessment for Insulin Resistance (HOMA-IR) were calculated. The pregnant women were stratified according to their pBMI and the 2nd trimester rGWG. Results The rate of GWG was significantly higher for the group with pBMI<25, compared to the group with pBMI≥25 (p=0.024). Triglyceride, total cholesterol, LDL and HDL cholesterol were significantly increased in the second trimester compared with the first trimester. Palmitic acid, oleic acid, linoleic acid, myristic acid, docosahexaenoic acid (DHA), arachidonic acid (AA), total omega-6 (n − 6) and omega-3 (n − 3) fatty acid levels and n − 6/n − 3 ratio were significantly higher in the second trimester. Glucose was significantly decreased and insulin was increased in the second trimester. In the overweight/obese group; HOMA-IR, insulin, AA, palmitoleic acid and stearic acid were found to be high in comparison to the group with low/normal pBMI. No parameters were associated with rGWG. Conclusions The changes in lipid parameters, free fatty acids, insulin and HOMA-IR in the second trimester were compatible with the changes in lipid metabolism and the development of insulin resistance. Pregestational BMI was shown to have a stronger influence on lipid profile, insulin resistance, and fatty acids than rGWG.


2015 ◽  
Vol 47 (5) ◽  
pp. 404-411.e1 ◽  
Author(s):  
Cynthie K. Anderson ◽  
Tanis J. Walch ◽  
Sara M. Lindberg ◽  
Aubrey M. Smith ◽  
Steven R. Lindheim ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Kelly C. Allison ◽  
Brian H. Wrotniak ◽  
Emmanuelle Paré ◽  
David B. Sarwer

Objectives. To describe psychosocial factors identified as contributors of weight gain in the general population and to examine the relationship between these factors and gestational weight gain among low socioeconomic status, African American, overweight pregnant women.Methods. African American women (n=120) with a pregravid body mass index≥25 kg/m2completed measures of eating, sleep, and depressed mood between 14 and 24 weeks of gestation. Weight was tracked. Descriptive statistics, correlations, and linear regression modeling were used to characterize the sample and examine predictors of gestational weight gain.Results. Four percent screened positive for night eating syndrome, with 32% consuming at least 25% of their daily caloric intake after dinner (evening hyperphagia). None met criteria for binge eating disorder; 4% reported occasional binge episodes. Cognitive restraint over eating was low. Participants slept 7.1 (SD=1.9) h per night and reported 4.3 (SD=3.6) awakenings per week; 18% reported some level of depressed mood. Night and binge eating were related to each other, sleep quality, and depressed mood. Eating due to cravings was the only psychosocial variable to predict gestational weight gain.Conclusions. Depressed mood, night eating, and nighttime awakenings were common in this cohort, while cognitive restraint over eating was low. Most psychosocial variables were not predictive of excess gestational weight gain.


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