Maternal conception of gestational weight gain among Latinas: A qualitative study.

Fletcher, Grace E; Teeters, Leah; Schlundt, David G.; Bonnet, Kemberlee; Heerman, William J.

doi:10.1037/hea0000555

Cited by 8 publications

(3 citation statements)

References 26 publications

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“…The higher prevalence of inadequate GWG in the current study suggests that GWG in women of Hispanic ethnicity may differ based on country of origin. Other studies have found that, among immigrants, level of acculturation plays a role in GWG, with less acculturated women receiving advice regarding weight gain from family rather than healthcare providers [23,24].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Gestational Weight Gain in a Low-Income Hispanic Population: Sociodemographic Characteristics, Health Behaviors, and Psychosocial Stressors

Dolin

Gross

Deierlein

et al. 2020

IJERPH

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Hispanic women have a higher prevalence of weight associated complications in pregnancy. This ethnic disparity is likely related to behavior patterns, social circumstances, environmental exposures, and access to healthcare, rather than biologic differences. The objective was to determine associations between sociodemographic characteristics, health behaviors, and psychosocial stressors and gestational weight gain (GWG) in low-income Hispanic women. During pregnancy, information on sociodemographic characteristics, health behaviors, and psychosocial stressors were collected. Linear regression estimated mean differences in GWG by selected predictors. Multinomial logistic regression estimated odds of inadequate and excessive GWG by selected predictors. Five-hundred and eight women were included, 38% had inadequate and 28% had excessive GWG; 57% with a normal pre-pregnancy BMI had inadequate GWG. Compared to women with normal BMI, women with overweight or obesity were more likely to have excessive GWG (aRRR = 1.88, 95% CI: 1.04, 3.40 and aRRR = 1.98, 95% CI: 1.08, 3.62, respectively). Mean total GWG was higher among women who were nulliparous (ß = 1.34 kg, 95% CI: 0.38, 2.29) and those who engaged in ≥3 h of screen time daily (ß = 0.98 kg, 95% CI: 0.02, 1.94), and lower among women who were physically active during pregnancy (ß = −1.00 kg, 95% CI: −1.99, −0.03). Eating breakfast daily was associated with lower risk of inadequate GWG (aRRR = 0.47, 95% CI: 0.26, 0.83). Depressive symptoms and poor adherence to dietary recommendations were prevalent, but none of the psychosocial or dietary variables were associated with GWG. In this cohort of primarily immigrant, low-income, Hispanic women, there were high rates of poor adherence to diet and physical activity recommendations, and a majority of women did not meet GWG guidelines. Modifiable health behaviors were associated with GWG, and their promotion should be included in prenatal care.

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Section: Discussionmentioning

confidence: 99%

Predictors of Gestational Weight Gain in a Low-Income Hispanic Population: Sociodemographic Characteristics, Health Behaviors, and Psychosocial Stressors

Dolin

Gross

Deierlein

et al. 2020

IJERPH

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“…Respecto a cómo las experiencias previas en problemas de salud favorecen cambios en las prácticas alimentarias, nuestras observaciones son similares a las publicadas en un estudio realizado en gestantes latinas (32), el cual reporta que quienes tomaron mejores decisiones frente a su alimentación fueron aquellas con antecedentes de diabetes gestacional. Cambiar el comportamiento alimentario e instaurar nuevas prácticas requiere conciencia sobre los riesgos y beneficios que para el binomio madre-hijo trae la selección y el consumo de ciertos alimentos (30).…”

Section: Discussionunclassified

Comportamiento frente a la alimentación en un grupo de gestantes con exceso de peso en dos poblaciones en Antioquia, Colombia: estudio cualitativo

Ramírez-Martínez

Restrepo‐Mesa

2021

Rev. Colomb. Obstet. Ginecol.

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Objetivo: describir el comportamiento, frente a la alimentación, de un grupo de gestantes con exceso de peso. Materiales y métodos: estudio cualitativo, desde la perspectiva de etnografía enfocada. Se incluyeron mujeres gestantes mayores de 18 años con sobrepeso u obesidad, o ganancia excesiva de peso en el embarazo, y que asistieron al programa de control prenatal de dos instituciones públicas de salud pertenecientes al régimen subsidiado por el Estado en el Sistema General de Seguridad Social, en dos municipios del departamento de Antioquia (Colombia). Se realizaron 13 entrevistas semiestructuradas individuales y tres entrevistas grupales. Análisis por triangulación y codificación abierta y axial. Resultados: participaron 22 mujeres gestantes. Se encontraron cinco factores que condicionan el comportamiento alimentario de esta población: el nivel socioeconómico bajo que limita el acceso a una alimentación variada, la red social de apoyo, el estado de salud en los embarazos previos o en la gestación actual, las recomendaciones genéricas brindadas por el personal de salud sobre alimentación y nutrición, y, por último, los conocimientos de las participantes sobre alimentación y las implicaciones del exceso de peso materno en la salud madre-hijo. Conclusión: es imperante que la atención y educación alimentaria y nutricional sean brindadas desde las particularidades que inciden en la adopción de cambios del comportamiento alimentario de las mujeres embarazadas con exceso de peso; los profesionales del control prenatal deben contar con capacitación que promueva la unificación de criterios y una atención adaptada a la realidad social de la gestante.

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“…A growing body of research suggests that emotional factors may play a role in dietary intake behaviors. Specifically, in a qualitative study of Hispanic women, negative emotions were identified as a barrier to eating healthy (Fletcher et al, 2018). It is possible that negative emotions impair ability to prepare healthy meals or may increase desire to consume comfort foods.…”

Section: Introductionmentioning

confidence: 99%

Bi-Directional Associations of Affective States and Diet among Low-Income Hispanic Pregnant Women using Ecological Momentary Assessment

Mason¹,

Wang²,

Bastain³

et al. 2022

Preprint

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Background: Affective states play a role in dietary behaviors. Yet, little research has studied within-subjects associations between affect and diet during pregnancy. We examined the acute bidirectional relationships between affect and food intake and moderation by pre-pregnancy body mass index (BMI) in low-income, Hispanic pregnant women using ecological momentary assessment (EMA). Methods: Women (N=57) completed four days of EMA during their first trimester. Women responded to five random prompts per day about their current affect and past two-hour food intake. Results: Higher positive affect (PA) or lower negative affect (NA) predicted greater likelihood of fruit/vegetable consumption in the next two hours in women with lower pre-pregnancy BMI and lower likelihood in women with higher pre-pregnancy BMI. Higher PA predicted less likelihood of fast food consumption in the next two hours in women with lower pre-pregnancy BMI and slightly higher likelihood in women with higher pre-pregnancy BMI. Women with lower pre-pregnancy BMI had higher PA when they reported consuming chips/fries in the past two hours, and women with higher pre-pregnancy BMI had lower PA when they reported consumption of chips/fries in the past two hours. Conclusions: Results showed differential relationships between affect and food intake as a function of pre-pregnancy BMI.

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Maternal conception of gestational weight gain among Latinas: A qualitative study.

Cited by 8 publications

References 26 publications

Predictors of Gestational Weight Gain in a Low-Income Hispanic Population: Sociodemographic Characteristics, Health Behaviors, and Psychosocial Stressors

Predictors of Gestational Weight Gain in a Low-Income Hispanic Population: Sociodemographic Characteristics, Health Behaviors, and Psychosocial Stressors

Comportamiento frente a la alimentación en un grupo de gestantes con exceso de peso en dos poblaciones en Antioquia, Colombia: estudio cualitativo

Bi-Directional Associations of Affective States and Diet among Low-Income Hispanic Pregnant Women using Ecological Momentary Assessment

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