Influence of Nutrition Attitudes and Motivators for Eating on Postpartum Weight Status in Low-Income New Mothers

Nuss, Henry; Clarke, Kristine K.; Klohe-Lehman, Deborah M.; Freeland‐Graves, Jeanne H.

doi:10.1016/j.jada.2006.08.016

Cited by 34 publications

(24 citation statements)

References 50 publications

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“…Indicative of the postpartum period, another intervention study also found that mothers were unable to attend classes because of lack of child care and family scheduling conflicts (36). In MOMS, many attempts to improve attendance – called before meetings, called after missed meetings to encourage attendance at next meeting, follow-up letters – were made.…”

Section: Lessons Learnedmentioning

confidence: 99%

Lessons Learned from the Mothers' Overweight Management Study in 4 West Virginia WIC Offices

Krummel

Semmens

MacBride

et al. 2010

Journal of Nutrition Education and Behavior

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INTRODUCTIONIn the United States, the greatest increase in the incidence of obesity in women occurs during the childbearing years; consequently, ~ 45% of women enter pregnancy with excess body fat (1,2). The hazards of being an obese pregnant woman impact both the mother and child by increasing the risk of future obesity, diabetes, and cardiovascular disease (3). Furthermore, women with pregravid obesity retain more weight in the postpartum period creating a vicious cycle before the next pregnancy (4,5).Women of low socioeconomic status (SES) represent a high-risk group that can be targeted for weight management. Compared to women with average SES, women with low SES are less attentive about body weight, more tolerant of weight gain, and engage in fewer healthy weight-control practices (6). Accordingly, we chose participants in the Special, Supplemental Nutrition Program for Women, Infants, and Children (WIC) for this pilot project. The Mother's Overweight Management Study (MOMS) was a multidisciplinary, weightmanagement project developed to address the problem of weight retention in the postpartum period. Because the project shares challenges faced by those providing WIC nutrition education and interventions for weight management in postpartum women, the project and evaluation will be described followed by lessons learned that are applicable to many nutrition audiences.© 2010 Society for Nutrition Education. Published by Elsevier Inc. All rights reserved. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. women were randomized to control (self-guided) or intervention (peer-guided group) by a random number process. The self-guided group had one counseling session with a MOMS dietitian and received monthly newsletters. Thereafter, for the year, they were left to manage their weight on their own. The peer group also received the newsletters and counseling session. In addition, they were enrolled in a facilitated discussion group (10 sessions) and received monthly personalized feedback on self-monitoring records for nutrition and physical activity behaviors. NIH Public Access Participants and RecruitmentThe study was approved by the West Virginia University, School of Medicine Institutional Review Board. Informed consent was completed by each subject as the first step in the enrollment process. Passive (WIC bulletin board, newspaper/cable/radio ads, flyers at local businesses, church bulletins, mailings), and active recruiting methods (physicians, WIC staff [breast-feeding counselors, nutritionists], and MOMs staff [education classes, clinic days in waiting rooms] were used. Th...

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Section: Lessons Learnedmentioning

confidence: 99%

Lessons Learned from the Mothers' Overweight Management Study in 4 West Virginia WIC Offices

Krummel

Semmens

MacBride

et al. 2010

Journal of Nutrition Education and Behavior

View full text Add to dashboard Cite

show abstract

“…Repeated assessments of maternal weight‐related self‐efficacy may be informative given the anticipated influence of aspects of new motherhood, infant care and changing family dynamics on perceived barriers to weight‐related behaviours (Antonucci & Mikus ; Nuss et al . ; Setse et al . ).…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, we are aware of no previous studies that have investigated the importance of weight-related self-efficacy beyond 1 year postpartum or assessed this construct longitudinally. Repeated assessments of maternal weight-related self-efficacy may be informative given the anticipated influence of aspects of new motherhood, infant care and changing family dynamics on perceived barriers to weight-related behaviours (Antonucci & Mikus 1988;Nuss et al 2006;Setse et al 2008).…”

Section: Introductionmentioning

confidence: 99%

Weight‐related self‐efficacy in relation to maternal body weight from early pregnancy to 2 years post‐partum

Lipsky

Strawderman

Olson

2014

Maternal & Child Nutrition

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Excessive gestational weight gain may lead to long-term increases in maternal body weight and associated health risks. The purpose of this study was to examine the relationship between maternal body weight and weight-related self-efficacy from early pregnancy to 2 years post-partum. Women with live, singleton term infants from a population-based cohort study were included (n = 595). Healthy eating self-efficacy and weight control self-efficacy were assessed prenatally and at 1 year and 2 years post-partum. Body weight was measured at early pregnancy, before delivery, and 6 weeks, 1 year and 2 years post-partum. Behavioural (smoking, breastfeeding) and sociodemographic (age, education, marital status, income) covariates were assessed by medical record review and baseline questionnaires. Multi-level linear regression models were used to examine the longitudinal associations of self-efficacy measures with body weight. Approximately half of the sample (57%) returned to early pregnancy weight at some point by 2 years post-partum, and 9% became overweight or obese at 2 years post-partum. Body weight over time was inversely related to healthy eating (β = −0.57, P = 0.02) and weight control (β = −0.99, P < 0.001) self-efficacy in the model controlling for both self-efficacy measures as well as time and behavioural and sociodemographic covariates. Weight-related self-efficacy may be an important target for interventions to reduce excessive gestational weight gain and post-partum weight gain.

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“…Nutrition-related attitudes measure dietary preferences, perceptions about the role of food, and a person’s views about the benefits and feasibility of adopting healthier habits [23,25]. These attitudes can be positive (such as “a low-fat diet is enjoyable”) or negative (such as “eating healthfully is too much effort”) [26]. …”

Section: Introductionmentioning

confidence: 99%

Nutrition-Related Practices and Attitudes of Kansas Skipped-Generation(s) Caregivers and Their Grandchildren

Higgins

Murray

2010

Nutrients

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Despite growing numbers, the nutrition practices and attitudes of skipped–generation(s) kinship caregivers regarding feeding the dependent children in their care have not been examined. In this qualitative study, transcriptions of semi-structured interviews with 19 female and four male skipped-generation(s) Kansas caregivers (ages 47 to 80, 92% non-Hispanic whites, 83% female, 78% grandparents and 22% great-aunt or great–grandparent caregivers; caring for a range of one to four children, ages three to 18, for an average of nine years) were content analyzed for how their nutrition-related practices and attitudes had changed since parenting the first time. Sub-themes regarding practices included: being more nutrition and food safety conscious now, and shifting their child feeding style. The children seemed to be adversely affected by an on-the-go lifestyle and the use of more electronics. Caregivers described their sources for child feeding advice as being based mostly on information from their mothers, physicians, and their past parenting experiences. Sub-themes for attitudes included opinions that nutrition and safe food handling are important and that nutritious food is expensive. They preferred printed or video nutrition education materials and wanted to receive information through organizations they trusted. This population could benefit from education on: infant, child, adolescent, and sports nutrition; feeding “picky eaters”; healthful recipes, “fast foods” and packaged foods; quick, inexpensive meals and snacks low in fat, sugar, and salt; limiting sedentary time; family meals; using food thermometers; and intergenerational gardening and cooking.

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Influence of Nutrition Attitudes and Motivators for Eating on Postpartum Weight Status in Low-Income New Mothers

Cited by 34 publications

References 50 publications

Lessons Learned from the Mothers' Overweight Management Study in 4 West Virginia WIC Offices

Lessons Learned from the Mothers' Overweight Management Study in 4 West Virginia WIC Offices

Weight‐related self‐efficacy in relation to maternal body weight from early pregnancy to 2 years post‐partum

Nutrition-Related Practices and Attitudes of Kansas Skipped-Generation(s) Caregivers and Their Grandchildren

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