Sources of Information About Gestational Weight Gain, Diet, and Exercise Among Brazilian Immigrant Women Living in the United States: A Cross-Sectional Study

2021 ◽  
pp. 1-41
Author(s):  
Ana Cristina Lindsay ◽  
Qun Le ◽  
Denise Lima Nogueira ◽  
Márcia M. T. Machado ◽  
Mary L. Greaney
Keyword(s):  
United States ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
The United States ◽  
The Internet ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Gestational Weight ◽  
Diet And Exercise ◽  
First Time

Abstract Objectives: The objective of this study was to assess sources of information about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women in the United States (US). Design: Cross-sectional survey. Setting: Massachusetts, United States. Participants: First-time pregnant Brazilian women. Results: Eighty-six women, the majority of whom were immigrants (96.5%) classified as having low-acculturation levels (68%), participated in the study. Approximately two-thirds of respondents had sought information about GWG (72.1%), diet (79.1%), and exercise (74.4%) via the internet. Women classified as having low acculturation levels were more likely to seek information about GWG via the internet (OR = 7.55; 95% CI: 1.41, 40.26) than those with high acculturation levels after adjusting for age and receiving information about GWG from healthcare provider (doctor or midwife). Moreover, many respondents reported seeking information about GWG (67%), diet (71%), and exercise (52%) from family and friends. Women who self-identified as being overweight pre-pregnancy were less likely to seek information about diet (OR = 0.32; 95% CI: 0.11, 0.93) and exercise (OR = 0.33; 95% CI: 0.11, 0.96) from family and friends than those who self-identified being normal weight pre-pregnancy. Conclusions: This is the first study to assess sources of information about GWG, diet, and exercise among pregnant Brazilian immigrants in the US. Findings have implications for the design of interventions and suggest the potential of mHealth intervention as low-cost, easy access option for delivering culturally and linguistically tailored evidence-based information about GWG incorporating behavioral change practices to this growing immigrant group.

Sources of Information About Gestational Weight Gain, Diet, and Exercise Among Brazilian Immigrant Women Living in the United States: A Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Ana Cristina Lindsay ◽  
Qun Le ◽  
Denise Lima Nogueira ◽  
Márcia Maria Tavares Machado ◽  
Mary L. Greaney
Keyword(s):  
United States ◽  
Immigrant Women ◽  
Low Cost ◽  
The United States ◽  
Easy Access ◽  
The Internet ◽  
Evidence Based ◽  
Cross Sectional ◽  
Diet And Exercise ◽  
First Time

BACKGROUND Background: Gestational weight gain (GWG) has been identified as one of the most important modifiable risk factors associated with short- and long-term health outcomes for both a woman and her newborn. Adoption of healthy lifestyles (e.g., diet, physical activity, etc.) during pregnancy has the potential to prevent excess GWG and reduce adverse health risks in pregnancy and beyond. Pregnant women’s access to accurate and evidence-based information about GWG, diet, and physical activity is key to promoting healthy GWG. Conclusions: To our knowledge currently no mHealth interventions are available in the United States for pregnant Brazilian immigrant women. The fact that women in our study were actively seeking information about GWG, diet, and exercise in the Internet suggests the potential for mHealth interventions to deliver linguistic and culturally tailored evidence-based information incorporating behavioral change practices through a low-cost, easy access method to this growing immigrant population in the United States. OBJECTIVE Objective: This study sought to assess sources used by first-time pregnant Brazilian women to seek information about GWG, diet, and exercise during pregnancy. METHODS Methods: Cross-sectional survey of first-time pregnant Brazilian women living in Massachusetts, United States. RESULTS Results: Eighty-six women participated in the study. The majority of the women were born in Brazil (96.5%; n = 83) and had lived in the United States for an average of 10.7 years (SD = 7.3). All women reported Portuguese as their primary language and 67.4% (n = 58) were classified as having low acculturation levels. The mean gestation was 27.5 weeks (SD = 5.6; range 14 – 38 weeks) and 25.6% (n = 22) self-reported being overweight pre-pregnancy. Overall, about two-thirds of the women had actively sought information about GWG (72.1%, n = 62), diet (79.1%, n = 68), and exercise (74.4%, n = 64) on the Internet during pregnancy. Adjusting for age, women who were classified as having low acculturation levels were more likely to seek information about GWG on the Internet (OR = 5.35 [CI: 1.08 – 26.50]; p = 0.04) compared to women who were classified as having high acculturation levels. Moreover, approximately 67% (n = 59), 71% (n = 61), and 52% (n = 45) of the women reported actively seeking information about GWG, diet, and exercise from family and friends, respectively. Women who self-reported being overweight pre-pregnancy were more likely to report seeking information about GWG (OR=2.94 [CI:1.07–8.06], p = 0.04) and less likely to report seeking information about diet (OR=0.27 [0.09–0.75], p = 0.01) and exercise (OR=0.30 [CI: 0.11–0.86], p = 0.02) from family and friends compared to women who self-reported normal weight pre-pregnancy. CONCLUSIONS Conclusions: To our knowledge currently no mHealth interventions are available in the United States for pregnant Brazilian immigrant women. The fact that women in our study were actively seeking information about GWG, diet, and exercise on the Internet suggests the potential for mHealth interventions to deliver linguistic and culturally tailored evidence-based information incorporating behavioral change practices through a low-cost, easy access method to this growing immigrant population in the United States.

scholarly journals Gestational Weight Gain and Risk of Infant Death in the United States

2014 ◽  
Vol 104 (S1) ◽  
pp. S90-S95 ◽  
Author(s):  
Regina R. Davis ◽  
Sandra L. Hofferth ◽  
Edmond D. Shenassa
Keyword(s):  
United States ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Infant Death ◽  
The United States ◽  
Gestational Weight

scholarly journals Institute of Medicine 2009 Gestational Weight Gain Guideline Knowledge: Survey of Obstetrics/Gynecology and Family Medicine Residents of the United States

Birth ◽  
2013 ◽  
Vol 40 (4) ◽  
pp. 237-246 ◽  
Author(s):  
Tiffany A Moore Simas ◽  
Molly E Waring ◽  
Gina M T Sullivan ◽  
Xun Liao ◽  
Milagros C Rosal ◽  
...  
Keyword(s):  
United States ◽  
Weight Gain ◽  
Family Medicine ◽  
Gestational Weight Gain ◽  
The United States ◽  
Institute Of Medicine ◽  
Gestational Weight ◽  
Knowledge Survey ◽  
Family Medicine Residents

Gestational weight gain and unplanned or emergency cesarean delivery in the United States

2019 ◽  
Vol 32 (3) ◽  
pp. 263-269 ◽  
Author(s):  
Zelalem T. Haile ◽  
Bhakti Chavan ◽  
Asli K. Teweldeberhan ◽  
Ilana R. Azulay Chertok ◽  
John Francescon
Keyword(s):  
United States ◽  
Weight Gain ◽  
Cesarean Delivery ◽  
Gestational Weight Gain ◽  
The United States ◽  
Gestational Weight ◽  
Emergency Cesarean

A Survey of Women and Their Providers Regarding Gestational Weight Gain Across the United States [31C]

2018 ◽  
Vol 131 ◽  
pp. 38S
Author(s):  
Michael L. Power ◽  
Maria Gaspar-Oishi ◽  
Kelly S. Gibson ◽  
Courtney Rhoades ◽  
Mark Turrentine ◽  
...  
Keyword(s):  
United States ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
The United States ◽  
Gestational Weight

scholarly journals Pregnancy-related weight among immigrant and US-born mothers: The role of nativity, maternal duration of residence, and age at arrival

2021 ◽  
Vol 17 ◽  
pp. 174550652110036
Author(s):  
Tiffany L Green ◽  
Muloongo Simuzingili ◽  
Mandar Bodas ◽  
Hong Xue
Keyword(s):  
United States ◽  
Weight Gain ◽  
Confidence Interval ◽  
Gestational Weight Gain ◽  
Odds Ratio ◽  
The United States ◽  
Duration Of Residence ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain

Objectives: The goals of this study were to examine the associations between nativity and pregnancy-related weight and to assess the associations between maternal duration of residence and age at arrival in the United States on pregnancy-related weight among immigrants. Methods: Using logistic regression and data from the Early Childhood Longitudinal Study–Birth Cohort, we assessed differences in preconception weight and gestational weight gain between US-born and immigrant women (N = 7000). We then analyzed differences in both outcomes by duration of residence among immigrants (n = 1850) and examined whether the identified relationships varied by age at arrival in the United States. Results: Compared to US-born mothers, immigrants were less likely to be classified as obese prior to pregnancy (odds ratio 0.435, 95% confidence interval, 0.321–0.590) or experience excessive gestational weight gain (odds ratio 0.757, 95% confidence interval, 0.614–0.978). Among the immigrant sub-sample, living in the United States for 10–15 years (odds ratio 2.737, 95% confidence interval, 1.459–5.134) or 16+ years was positively associated with both preconception obesity (odds ratio 2.918, 95% confidence interval, 1.322–6.439) and excessive gestational weight gain (odds ratio 1.683, 95% confidence interval, 1.012–2.797, 16+ years only). There was some evidence that the duration of residence was positively associated with preconception obesity, but only among women who had moved to the United States at age 18 years and older. Conclusion: In sum, while immigrants are less likely than US-born mothers to experience preconception obesity or excessive gestational weight gain, these outcomes vary among the former group by duration of US residence.

scholarly journals Association of Gestational Weight Gain With Infant Morbidity and Mortality in the United States

2021 ◽  
Vol 4 (12) ◽  
pp. e2141498
Author(s):  
Lijun Wang ◽  
Xiaoyu Zhang ◽  
Tingting Chen ◽  
Jun Tao ◽  
Yanduo Gao ◽  
...  
Keyword(s):  
United States ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
The United States ◽  
Morbidity And Mortality ◽  
Gestational Weight ◽  
Infant Morbidity
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