A Mobile Health Intervention to Achieve Appropriate Gestational Weight Gain in Overweight/Obese Women

2019 ◽  
Author(s):  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Mobile Health ◽  
Health Intervention ◽  
Obese Women ◽  
Gestational Weight

scholarly journals Excess Gestational Weight Gain in Low-Income Overweight and Obese Women: A Qualitative Study

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 ◽  
...  
Keyword(s):  
Weight Gain ◽  
Qualitative Study ◽  
Gestational Weight Gain ◽  
Low Income ◽  
Obese Women ◽  
Gestational Weight

Development and Evaluation of a Theory-Based App for Managing Gestational Weight Gain for Overweight and Obese Pregnant Women: A Mixed-Method Pilot Study (Preprint)

2021 ◽  
Author(s):  
Ching-Fang Lee ◽  
Li-Kang Chi ◽  
Yvonne Hsiung ◽  
Jian-Pei Huang ◽  
Chun-Wei Chang
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Mixed Method ◽  
Moderate Intensity ◽  
Obese Women ◽  
Healthy Behavior ◽  
Gestational Weight ◽  
Methodological Guidelines

BACKGROUND Overweight and obese women’s excessive gestational weight gain (GWG) may be a health risk for both the mother and the fetus; excessive GWG leads to the retention of weight postpartum and thus obesity. Given the overwhelming number of existing pregnancy-related applications (apps), we lack only a few methodological guidelines for integrating theory, evidence and previously validated apps to help overweight and obese women manage their GWG during pregnancy. OBJECTIVE This two-phase study aimed to develop the MyHealthyWeight (MHW) app based on social-cognitive theory (SCT) and evaluate its effectiveness for overweight and obese women in helping prevent excessive GWG by enhancing adherence to optimal GWG goals and healthy behavior during pregnancy. METHODS First, we constructed and developed the MHW app based on SCT theory, and we later employed a mixed-method study to evaluate the effects of the app on overweight and obese pregnant women. RESULTS All participating overweight and obese pregnant women (100%) achieved their optimal GWG through increased self-efficacy and physical activity. Their total and moderate-intensity physical activity expenditures improved, while their sedentary and light-intensity levels of physical activity decreased. CONCLUSIONS This theory-based MHW app for weight management was greatly valued by the pregnant users. Its usefulness for health-care professionals in assisting overweight and obese pregnant women in preventing excessive GWG by promoting healthy behavior, in particular through physical exercise and a healthy diet, during pregnancy was also confirmed. CLINICALTRIAL NCT04553718

Three-quarters of overweight and obese women are planning on exceeding the gestational weight gain recommendations

2011 ◽  
Vol 35 (2) ◽  
pp. 187
Author(s):  
S.D. McDonald ◽  
E. Pullenayegum ◽  
V. Taylor ◽  
O. Lutsiv ◽  
K. Bracken ◽  
...  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Obese Women ◽  
Gestational Weight

Total gestational weight gain and the risk of preeclampsia by pre-pregnancy body mass index categories: a population-based cohort study from 2013 to 2017

2019 ◽  
Vol 47 (6) ◽  
pp. 585-591 ◽  
Author(s):  
Tanja Premru-Srsen ◽  
Zorana Kocic ◽  
Vesna Fabjan Vodusek ◽  
Ksenija Geršak ◽  
Ivan Verdenik
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Body Mass ◽  
Odds Ratio ◽  
Protective Factor ◽  
Population Based ◽  
Normal Weight ◽  
Obese Women ◽  
Gestational Weight

Abstract Background Identifying the risk factors for preeclampsia (PE) is essential for the implementation of preventive actions. In the present study, we aimed at exploring the association between total gestational weight gain (GWG) and PE. Methods We performed a population-based cohort survey of 98,820 women with singleton pregnancies who delivered in Slovenia from 2013 to 2017. Aggregated data were obtained from the National Perinatal Information System (NPIS). The main outcome measure was the incidence of PE. The main exposure variable was total GWG standardized for the gestational duration by calculating the z-scores. The associations between total GWG and PE stratified by pre-pregnancy body mass index (BMI) categories adjusted for a variety of covariates were determined using multivariable logistic regression. We calculated the crude odds ratio (OR) and adjusted odds ratio (aOR) with a 95% confidence interval using a two-way test. Results Excessive GWG was associated with increased odds of PE in all pre-pregnancy BMI categories. The increase in the odds of PE by 445% was the highest in underweight women and by 122% was the lowest in obese women. Low GWG was associated with decreased odds of PE in all pre-pregnancy BMI categories except in normal-weight women with a GWG below −2 standard deviation (SD) and underweight women. The decrease in the odds of PE by 67% was the highest in obese women and by 41% was the lowest in normal-weight women. Conclusion Excessive GWG is a significant risk factor for PE, especially in underweight women, while low GWG is an important protective factor against PE, especially in obese women.

Inadequate Gestational Weight Gain Among Obese Women

2020 ◽  
Vol 135 ◽  
pp. 43S
Author(s):  
Mariana Oliva ◽  
Bradley Sipe ◽  
Linda Odibo ◽  
Anthony O. Odibo
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Obese Women ◽  
Gestational Weight

Gestational weight gain and preterm birth in obese women: a systematic review and meta-analysis

2015 ◽  
Vol 123 (2) ◽  
pp. 199-206 ◽  
Author(s):  
MA Faucher ◽  
M Hastings-Tolsma ◽  
JJ Song ◽  
DS Willoughby ◽  
S Gerding Bader
Keyword(s):  
Systematic Review ◽  
Weight Gain ◽  
Preterm Birth ◽  
Gestational Weight Gain ◽  
Meta Analysis ◽  
Obese Women ◽  
Gestational Weight

scholarly journals Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study

2019 ◽  
Vol 16 (19) ◽  
pp. 3735 ◽  
Author(s):  
Heng Yaw Yong ◽  
Zalilah Mohd Shariff ◽  
Barakatun Nisak Mohd Yusof ◽  
Zulida Rejali ◽  
Yvonne Yee Siang Tee ◽  
...  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Obese Women ◽  
Third Trimester ◽  
Gestational Weight ◽  
Measured Weight ◽  
The Difference

Poor diet quality in pregnancy could impact gestational weight gain (GWG) and consequently fetal growth and development. But today there is limited data available on gestational diet quality. This study investigated the association between diet quality in each pregnancy trimester and GWG in Malaysian women. Diet quality was assessed using the modified Healthy Eating Index for Malaysians (HEI). Total GWG was defined as the difference between measured weight at last prenatal visit and pre-pregnancy weight. About one-fourth of women (23.3%) had excessive total GWG. There were significant differences in the HEI component score across trimesters, except for fruits. Overall, overweight/obese women had lower total HEI score (51.49–55.40) during pregnancy compared to non-overweight/obese women (53.38–56.50). For non-overweight/obese women, higher total HEI scores in the second and third trimesters were significantly associated with lower risk of inadequate GWG (aOR = 0.97, 95% CI = 0.95–0.99, p = 0.01) and higher risk of excessive GWG (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.03), respectively. Overweight/obese women with higher total HEI scores in the second (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.02) and third trimester (aOR = 1.04, 95% CI = 1.01–1.08, p = 0.02) were significantly at higher risk for excessive GWG. Pregnant women had relatively low diet quality throughout pregnancy. Diet quality and GWG association differed according to pre-pregnancy BMI with excessive GWG more likely to be associated with higher total HEI scores in the third trimester.

scholarly journals Excessive gestational weight gain in the first trimester is associated with risk of gestational diabetes mellitus: a prospective study from Southwest China

2019 ◽  
Vol 23 (3) ◽  
pp. 394-401 ◽  
Author(s):  
Xi Lan ◽  
Yi-qi Zhang ◽  
Hong-li Dong ◽  
Ju Zhang ◽  
Feng-ming Zhou ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Southwest China ◽  
First Trimester ◽  
Normal Weight ◽  
Second Trimester ◽  
Obese Women ◽  
Gestational Weight ◽  
Iom Recommendations

AbstractObjective:To evaluate the effects of gestational weight gain (GWG) in the first trimester (GWG-F) and the rate of gestational weight gain in the second trimester (RGWG-S) on gestational diabetes mellitus (GDM), exploring the optimal GWG ranges for the avoidance of GDM in Chinese women.Design:A population-based prospective study was conducted. Gestational weight was measured regularly in every antenatal visit and assessed by the Institute of Medicine (IOM) criteria (2009). GDM was assessed with the 75-g, 2-h oral glucose tolerance test at 24–28 weeks of gestation. Multivariable logistic regression was performed to assess the effects of GWG-F and RGWG-S on GDM, stratified by pre-pregnancy BMI. In each BMI category, the GWG values corresponding to the lowest prevalence of GDM were defined as the optimal GWG range.Setting:Southwest China.Participants:Pregnant women (n 1910) in 2017.Results:After adjusting for confounders, GWG-F above IOM recommendations increased the risk of GDM (OR; 95 % CI) among underweight (2·500; 1·106, 5·655), normal-weight (1·396; 1·023, 1·906) and overweight/obese women (3·017; 1·118, 8·138) compared with women within IOM recommendations. No significant difference was observed between RGWG-S and GDM (P > 0·05) after adjusting for GWG-F based on the previous model. The optimal GWG-F ranges for the avoidance of GDM were 0·8–1·2, 0·8–1·2 and 0·35–0·70 kg for underweight, normal-weight and overweight/obese women, respectively.Conclusions:Excessive GWG in the first trimester, rather than the second trimester, is associated with increased risk of GDM regardless of pre-pregnancy BMI. Obstetricians should provide more pre-emptive guidance in achieving adequate GWG-F.

Sign in / Sign up

Export Citation Format

Share Document