Gestational Weight Gain Intervention Impacts Determinants of Healthy Eating and Exercise in OverweightObese Pregnant Women
Joint Authors
Savage-Williams, Jennifer
Pauley, Abigail M.
Hohman, Emily
Rivera, Daniel E.
Guo, Penghong
Leonard, Krista S.
Symons Downs, Danielle
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-01
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
High gestational weight gain (GWG) in overweight/obese pregnant women increases maternal-fetal complications.
We conducted a 6-week GWG intervention based on an energy balance model that includes theories of planned behavior (TPB) and self-regulation constructs to promote exercise and healthy eating motivation and behaviors.
The purposes of this proof-of-concept feasibility study were to examine: (1) the energy balance model constructs over the intervention, and (2) pre-post intervention, weekly, and dose-response changes in study constructs.
Methods.
Overweight/obese pregnant women (N=17) were randomized to 1 of 6 conditions, increasing in intensity, and included varied combinations of components (exercise sessions, healthy eating demonstrations, etc.).
Exercise and healthy eating TPB (attitude, subjective norm, perceived behavioral control, intention), and self-regulation (prospective, retrospective) constructs were collected weekly.
Exercise behavior, energy intake, and GWG were collected daily.
Results.
We observed: (a) significant increases in exercise TPB constructs, healthy eating attitude (limit unhealthy foods), exercise/healthy eating retrospective self-regulation; (b) significant decrease in healthy eating subjective norm (limit unhealthy foods); (c) trending increases for healthy eating perceived behavioral control (limit unhealthy foods), healthy eating prospective self-regulation, and energy intake; (d) significantly higher active time, steps, and energy expenditure at W3 relative to other weeks; (e) no significant increase in GWG; and, (f) a dose response effect such that women in more intensive dosages had greater gains in exercise and healthy eating perceived behavioral control (eat healthy/limit unhealthy foods).
Conclusion.
Brief exposure to a theoretically-driven, GWG intervention resulted in changes to exercise and healthy eating TPB and self-regulation motivational determinants, no significant increase in GWG, and suggests intervention intensity can strengthen perceived ability to engage in exercise/healthy eating behaviors; offering initial proof-of-concept for the intervention to regulate GWG in overweight/obese pregnant women.
Future research will test this intervention over the course of pregnancy to understand long-term impact on maternal-fetal health outcomes.
American Psychological Association (APA)
Pauley, Abigail M.& Hohman, Emily& Savage-Williams, Jennifer& Rivera, Daniel E.& Guo, Penghong& Leonard, Krista S.…[et al.]. 2018. Gestational Weight Gain Intervention Impacts Determinants of Healthy Eating and Exercise in OverweightObese Pregnant Women. Journal of Obesity،Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1195999
Modern Language Association (MLA)
Pauley, Abigail M.…[et al.]. Gestational Weight Gain Intervention Impacts Determinants of Healthy Eating and Exercise in OverweightObese Pregnant Women. Journal of Obesity No. 2018 (2018), pp.1-12.
https://search.emarefa.net/detail/BIM-1195999
American Medical Association (AMA)
Pauley, Abigail M.& Hohman, Emily& Savage-Williams, Jennifer& Rivera, Daniel E.& Guo, Penghong& Leonard, Krista S.…[et al.]. Gestational Weight Gain Intervention Impacts Determinants of Healthy Eating and Exercise in OverweightObese Pregnant Women. Journal of Obesity. 2018. Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1195999
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1195999