Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 10/2013

01-12-2013

Perception of Weight Status and its Impact on Gestational Weight Gain in an Urban Population

Authors: Shilpi S. Mehta-Lee, Jennifer L. Lischewski Goel, Linzhi Xu, Mindy R. Brittner, Peter S. Bernstein, Karen A. Bonuck

Published in: Maternal and Child Health Journal | Issue 10/2013

Login to get access

Abstract

To examine the association between actual and perceived overweight/obese status and excess gestational weight gain (GWG). As part of an infant feeding trial, multi-ethnic lower and moderate income women-completed a checklist of current health conditions, including “overweight/obesity,” “asthma,” and “hypertension” while pregnant. Odds of excessive GWG per the Institute of Medicine guidelines in ‘accurate’ versus ‘inaccurate’ reporters, by overweight status were analyzed with multivariate logistic regression for women with pre-or early pregnancy BMIs of ≥18.5. 775 women met study criteria. Just 21 % (n = 107) of overweight/obese women accurately identified their weight status, compared to >90 % accurate report of documented hypertension or asthma. Compared to normal-weight accurate reporters, the adjusted odds of excessive GWG in overweight/obese women was 2.3 (95 % CI 1.4, 3.7) in accurate reporters, and 2.5 (95 % CI 1.7, 3.4) in inaccurate reporters. Overweight/obesity is associated with excessive GWG, but this risk is not modified by inaccurate reporting/perception of weight-status.
Literature
1.
Chu, S. Y., Callaghan, W. M., Kim, S. Y., Schmid, C. H., Lau, J., England, L. J., et al. (2007). Maternal obesity and risk of gestational diabetes mellitus. Diabetes Care, 30(8), 2070–2076.PubMedCrossRef
2.
Weiss, J. L., Malone, F. D., Emig, D., Ball, R. H., Nyberg, D. A., Comstock, C. H., et al. (2004). Obesity, obstetric complications and cesarean delivery rate–a population-based screening study. American Journal of Obstetrics and Gynecology, 190(4), 1091–1097.PubMedCrossRef
3.
Poobalan, A. S., Aucott, L. S., Gurung, T., Smith, W. C., & Bhattacharya, S. (2009). Obesity as an independent risk factor for elective and emergency caesarean delivery in nulliparous women–systematic review and meta-analysis of cohort studies. Obesity Reviews, 10(1), 28–35.PubMedCrossRef
4.
Bhattacharya, S., Campbell, D. M., & Liston, W. A. (2007). Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public Health., 7, 168.PubMedCrossRef
5.
Chu, S. Y., Kim, S. Y., Lau, J., Schmid, C. H., Dietz, P. M., Callaghan, W. M., et al. (2007). Maternal obesity and risk of stillbirth: a metaanalysis. American Journal of Obstetrics and Gynecology, 197(3), 223–228.PubMedCrossRef
6.
Jokela, M., Elovainio, M., & Kivimaki, M. (2008). Lower fertility associated with obesity and underweight: the US National Longitudinal Survey of Youth. American Journal of Clinical Nutrition, 88(4), 886–893.PubMed
7.
Heude, B., Thiebaugeorges, O., Goua, V., Forhan, A., Kaminski, M., Foliguet, B. (2011). Pre-pregnancy body mass index and weight gain during pregnancy: Relations with gestational diabetes and hypertension, and birth outcomes. Matern Child Health Journal .
8.
Magann, E.F., Doherty, D.A., Chauhan, S.P., Klimpel, J.M., Huff, S.D., & Morrison, J.C. (2010). Pregnancy, obe.sity, gestational weight gain, and parity as predictors of peripartum complications. Archives of gynecology and obstetrics.
9.
Thornton, Y. S., Smarkola, C., Kopacz, S. M., & Ishoof, S. B. (2009). Perinatal outcomes in nutritionally monitored obese pregnant women: a randomized clinical trial. Journal of the National Medical Association, 101(6), 569–577.PubMed
10.
Institute of Medicine (Subcommittees on Nutritional Status and Weight Gain During Pregnancy and Dietary Intake and Nutrient Supplements During Pregnancy CoNSDPaL, Food and Nutrition Board). (1990). Nutrition during pregnancy: Part I, weight gain; part II, nutrient supplements. Washington: National Academies Press.
11.
Statistics. NCfH. (2005). Health, United States, (2005). Hyattsville, MD: U.S. Department of Health and Human Services .
12.
Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. Journal of American Medical Association, 303(3), 235–241.CrossRef
13.
Institute of Medicine/National Research Council (Committee to Reexamine IOM Pregnancy Weight Guidelines FaNBaBoC, Youth, and Families). (2009). Weight gain during pregnancy: reexamining the guidelines. Washington: National Academies Press.
14.
Artal, R., Lockwood, C. J., & Brown, H. L. (2010). Weight gain recommendations in pregnancy and the obesity epidemic. Obstetrics and Gynecology, 115(1), 152–155.PubMedCrossRef
15.
Brawarsky, P., Stotland, N. E., Jackson, R. A., Fuentes-Afflick, E., Escobar, G. J., Rubashkin, N., et al. (2005). Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain. International Journal of Gynaecology and Obstetrics, 91(2), 125–131.PubMedCrossRef
16.
Strychar, I. M., Chabot, C., Champagne, F., Ghadirian, P., Leduc, L., Lemonnier, M. C., et al. (2000). Psychosocial and lifestyle factors associated with insufficient and excessive maternal weight gain during pregnancy. Journal of the American Dietetic Association, 100(3), 353–356.PubMedCrossRef
17.
Jain, N. J., Denk, C. E., Kruse, L. K., & Dandolu, V. (2007). Maternal obesity: can pregnancy weight gain modify risk of selected adverse pregnancy outcomes? American journal of perinatology, 24(5), 291–298.PubMedCrossRef
18.
Olson, C. M., & Strawderman, M. S. (2003). Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. Journal of the American Dietetic Association, 103(1), 48–54.PubMedCrossRef
19.
Cogswell, M. E., Scanlon, K. S., Fein, S. B., & Schieve, L. A. (1999). Medically advised, mother’s personal target, and actual weight gain during pregnancy. Obstetrics and Gynecology, 94(4), 616–622.PubMedCrossRef
20.
Yaemsiri, S., Slining, M.M., Agarwal, S.K. (2010). Perceived weight status, overweight diagnosis, and weight control among US adults: the NHANES 2003-2008 Study. International Journal of Obesity (London).
21.
Tovar A, Guthrie LB, Platek D, Stuebe A, Herring SJ, & Oken E.(2010). Modifiable Predictors Associated with Having a Gestational Weight Gain Goal. Matern and Child Health Journal.
22.
Stotland, N. E., Haas, J. S., Brawarsky, P., Jackson, R. A., Fuentes-Afflick, E., & Escobar, G. J. (2005). Body mass index, provider advice, and target gestational weight gain. Obstetrics and Gynecology, 105(3), 633–638.PubMedCrossRef
23.
Chasan-Taber, L., Schmidt, M. D., Pekow, P., Sternfeld, B., Solomon, C. G., & Markenson, G. (2008). Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity (Silver Spring), 16(7), 1657–1666.CrossRef
24.
Lederman, S. A., Alfasi, G., & Deckelbaum, R. J. (2002). Pregnancy-associated obesity in black women in New York City. Maternal and Child Health Journal, 6(1), 37–42.PubMedCrossRef
25.
Lemon, S. C., Rosal, M. C., Zapka, J., Borg, A., & Andersen, V. (2009). Contributions of weight perceptions to weight loss attempts: Differences by body mass index and gender. Body Image, 6(2), 90–96.PubMedCrossRef
26.
Rahman, M., & Berenson, A. B. (2010). Self-perception of weight and its association with weight-related behaviors in young, reproductive-aged women. Obstetrics and Gynecology, 116(6), 1274–1280.PubMedCrossRef
27.
Yost, J., Krainovich-Miller, B., Budin, W., & Norman, R. (2010). Assessing weight perception accuracy to promote weight loss among U.S. female adolescents: A secondary analysis. BMC Public Health, 10, 465.PubMedCrossRef
28.
Herring, S. J., Oken, E., Haines, J., Rich-Edwards, J. W., & Rifas-Shiman, S. L. (2008). Kleinman Sc DK, et al. Misperceived pre-pregnancy body weight status predicts excessive gestational weight gain: Findings from a US cohort study. BMC Pregnancy Childbirth, 8, 54.PubMedCrossRef
29.
Global strategy on diet, physical activity and health. (2010) Obesity and overweight: The World Health Organization.
30.
Gould Rothberg, B. E., Magriples, U., Kershaw, T. S., Rising, S. S., & Ickovics, J. R. (2011). Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women. American journal of obstetrics and gynecology, 204(1), 52 e1–52 e11.CrossRef
31.
Wright, C.S., Weiner, M., Localio, R., Song, L., Chen, P., & Rubin, D. (2010). Misreport of Gestational Weight Gain (GWG) in Birth Certificate Data. Matern and Child Health Journal.
32.
33.
34.
Karnik, A., Foster, B. A., Mayer, V., Pratomo, V., McKee, D., Maher, S., et al. (2011). Food insecurity and obesity in New York City primary care clinics. Medical Care, 49(7), 658–661.PubMedCrossRef
35.
Amorim, A. R., Rossner, S., Neovius, M., Lourenco, P. M., & Linne, Y. (2007). Does excess pregnancy weight gain constitute a major risk for increasing long-term BMI? Obesity (Silver Spring), 15(5), 1278–1286.CrossRef
Metadata
Title
Perception of Weight Status and its Impact on Gestational Weight Gain in an Urban Population
Authors
Shilpi S. Mehta-Lee
Jennifer L. Lischewski Goel
Linzhi Xu
Mindy R. Brittner
Peter S. Bernstein
Karen A. Bonuck
Publication date
01-12-2013
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 10/2013
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-013-1219-8

Other articles of this Issue 10/2013

Maternal and Child Health Journal 10/2013 Go to the issue

Erratum

What is the Prevalence of Children with Special Health Care Needs? Toward an Understanding of Variations in Findings and Methods Across Three National Surveys

OriginalPaper

Who is at Risk of Inadequate Weight Gain During Pregnancy? Analysis by Occupational Status Among 15,020 Deliveries in a Regional Hospital in Japan

OriginalPaper

Risk Factors for Mental Health Problems in School-Age Children from a Community Sample

Notes from the Field

Bridging Between Professionals in Perinatal Care: Towards Shared Care in The Netherlands

OriginalPaper

Parental Immigration Status is Associated with Children’s Health Care Utilization: Findings from the 2003 New Immigrant Survey of US Legal Permanent Residents

Methodological Notes

A Family Psychosocial Risk Questionnaire for Use in Pediatric Practice