Eating Habits, Advice from Family/Friends, and Limited Personal Effort May Increase the Likelihood of Gaining Outside Ge
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Eating Habits, Advice from Family/Friends, and Limited Personal Effort May Increase the Likelihood of Gaining Outside Gestational Weight Gain Recommendations Sara C. S. Souza1 · Danilo F. da Silva1 · Taniya S. Nagpal1 · Kristi B. Adamo1 Accepted: 14 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Objectives The present study analyzed the association between (i) eating habits during pregnancy, (ii) advice from family or friends about gestational weight gain (GWG), and iii) personal effort to stay within weight gain limits, and meeting GWG recommendations. Methods Participants included pregnant and postpartum women who completed the validated electronic maternal health survey (EMat). Sociodemographic, lifestyle variables, and body mass index were covariates used in the analyses. Results Among all eligible women (1171), and a subset of women receiving a specific GWG target from HCP (365, 31.2%), participants who considered that their eating habits became less healthy, or could not evaluate if habits changed, had a higher likelihood of gaining above (adjusted odds ratio, aOR = 2.62; 95% CI 1.84; 3.73 for the total sample (TS); aOR = 4.79; CI 2.32;9.88 for the subset) GWG guidelines after adjusting for the covariates. Women who received advice from family or friends about how much weight they should gain while pregnant were more likely to experience GWG below (TS: aOR = 1.49; CI 1.02;2.17; subset: aOR = 1.95; CI 1.03;3.68) and above (TS: aOR = 1.42; CI 1.01;1.99; subset: aOR = 1.92; CI 1.06;3.48) guidelines, when compared to women who did not receive family/friends advice. Moreover, lower personal effort to stay within weight gain limits was associated with gaining below (TS: aOR = 1.77; CI 1.07;2.92; subset: aOR = 2.71; CI 1.30; 5.65) GWG guidelines. Conclusions for Practice Women self-reporting less healthy eating habits than before pregnancy, receiving advice from family/friends about GWG, and lower personal effort to stay within guidelines, had an increased odds of weight gain discordant with recommendations. Keywords Pregnancy · Weight gain · Behaviour · Feeding behaviour
Significance
* Kristi B. Adamo [email protected] Sara C. S. Souza [email protected] Danilo F. da Silva [email protected] Taniya S. Nagpal [email protected] 1
Faculty of Heath Sciences, School of Human Kinetics, University of Ottawa, Lees Campus, E 250F, 200 Lees Ave., Ottawa, ON K1N 6N5, Canada
What is already known: Despite receiving gestational weight gain (GWG) guidance from health care providers (HCP), most women were discordant with recommendations. Because sub-optimal GWG is associated with detrimental outcomes for women and children, it is important to investigate factors associated with failing to meet weight gain recommendations. What this study adds: Pregnant and postpartum women, self-reporting eating habits less healthy than before, receiving advice from family/friends about GWG, and self-perceived low personal effort to meeting GWG recommendations, increases the odds of w
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