Misperceived pre-pregnancy body weight status predicts excessive gestational weight gain: Findings from a US cohort study

被引：69

作者：

Herring S.J. ^{[1
,2
]}

Oken E. ^{[1
]}

Haines J. ^{[1
]}

Rich-Edwards J.W. ^{[3
]}

Rifas-Shiman S.L. ^{[1
]}

Kleinman ScD K.P. ^{[1
]}

Gillman M.W. ^{[1
,4
]}

机构：

[1] Obesity Prevention Program, Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA

[2] Center for Obesity Research and Education, Temple University School of Medicine, Philadelphia, PA

[3] Connors Center for Women's Health and Gender Biology, Brigham and Women's Hospital, Boston, MA

[4] Department of Nutrition, Harvard School of Public Health, Boston, MA

来源：

BMC Pregnancy and Childbirth | / 8卷 / 1期

基金：

美国国家卫生研究院;

关键词：

Weight Status; Body Dissatisfaction; Gestational Weight Gain; Binge Eating Disorder; Normal Weight Woman;

D O I：

10.1186/1471-2393-8-54

中图分类号：

学科分类号：

摘要：

Background: Excessive gestational weight gain promotes poor maternal and child health outcomes. Weight misperception is associated with weight gain in non-pregnant women, but no data exist during pregnancy. The purpose of this study was to examine the association of misperceived pre-pregnancy body weight status with excessive gestational weight gain. Methods: At study enrollment, participants in Project Viva reported weight, height, and perceived body weight status by questionnaire. Our study sample comprised 1537 women who had either normal or overweight/ obese pre-pregnancy BMI. We created 2 categories of pre-pregnancy body weight status misperception: normal weight women who identified themselves as overweight ('overassessors') and overweight/obese women who identified themselves as average or underweight ('underassessors'). Women who correctly perceived their body weight status were classified as either normal weight or overweight/obese accurate assessors. We performed multivariable logistic regression to determine the odds of excessive gestational weight gain according to 1990 Institute of Medicine guidelines. Results: Of the 1029 women with normal pre-pregnancy BMI, 898 (87%) accurately perceived and 131 (13%) overassessed their weight status. 508 women were overweight/obese, of whom 438 (86%) accurately perceived and 70 (14%) underassessed their pre-pregnancy weight status. By the end of pregnancy, 823 women (54%) gained excessively. Compared with normal weight accurate assessors, the adjusted odds of excessive gestational weight gain was 2.0 (95% confidence interval [CI]: 1.3, 3.0) in normal weight overassessors, 2.9 (95% CI: 2.2, 3.9) in overweight/obese accurate assessors, and 7.6 (95% CI: 3.4, 17.0) in overweight/obese underassessors. Conclusion: Misperceived pre-pregnancy body weight status was associated with excessive gestational weight gain among both normal weight and overweight/obese women, with the greatest likelihood of excessive gain among overweight/obese underassessors. Future interventions should test the potential benefits of correcting misperception to reduce the likelihood of excessive gestational weight gain. © 2008 Herring et al; licensee BioMed Central Ltd.

引用

共 50 条

[1]

Gunderson E.P., Abrams B., Epidemiology of gestational weight gain and body weight changes after pregnancy, Epidemiol Rev, 22, pp. 261-274, (2000)

[2]

Schieve L.A., Cogswell M.E., Scanlon K.S., Trends in pregnancy weight gain within and outside ranges recommended by the Institute of Medicine in a WIC population, Matern Child Health J, 2, pp. 111-116, (1998)

[3]

Siega-Riz A.M., Evenson K.R., Doyle N., Pregnancy-related weight gain - A link to obesity?, Nutr Rev, 62, SUPPL., pp. 105-111, (2004)

[4]

Johnson J.W., Yancey M.K., A critique of the new recommendations for weight gain in pregnancy, Am J Obstet Gynecol, 174, pp. 254-258, (1996)

[5]

Rhodes J.C., Schoendorf K.C., Parker J.D., Contribution of excess weight gain during pregnancy and macrosomia to the cesarean delivery rate, 1999-2000, Pediatrics, 111, SUPPL., pp. 1181-1185, (2003)

[6]

Thorsdottir I., Torfadottir J.E., Birgisdottir B.E., Geirsson R.T., Weight gain in women of normal weight before pregnancy: Complications in pregnancy or delivery and birth outcome, Obstet Gynecol, 99, pp. 799-806, (2002)

[7]

Johnson J.W., Longmate J.A., Frentzen B., Excessive maternal weight and pregnancy outcome, Am J Obstet Gynecol, 167, pp. 353-372, (1992)

[8]

Edwards L.E., Hellerstedt W.L., Alton I.R., Story M., Himes J.H., Pregnancy complications and birth outcomes in obese and normal-weight women: Effects of gestational weight change, Obstet Gynecol, 87, pp. 389-394, (1996)

[9]

Oken E., Tavares E.M., Kleinman K.P., Rich-Edwards Gilman M.W., Gestational weight gain and child adiposity at age 3 years, Am J Obstet Gynecol, 196, (2007)

[10]

Olson C.M., Stawdermann M.S., Hinton P.S., Pearson T.A., Gestational weight gain and postpartum behaviors associated with weight change form early pregnancy to 1 year postpartum, In J Obes Relat Metab Disord, 27, pp. 117-127, (2003)

← 1 2 3 4 5 →