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Cited by 31Gestational Diabetes Research and ManagementObesity, Physical Activity, DietMaternal and Neonatal Healthcare

Antenatal weight management: Diet, physical activity, and gestational weight gain in early pregnancy

Open access
Swift, Judy A., Langley-Evans, Simon C., Pearce, Jo, Jethwa, Preeti H., Taylor, Moira A., Avery, Amanda, Ellis, Sarah, McMullen, Sarah +1 more·2017·Midwifery
DOI 10.1016/j.midw.2017.01.016
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Abstract

Objective to investigate women's physical activity levels, diet and gestational weight gain, and their experiences and motivations of behavior change. Design analysis of cross-sectional data collected during a longitudinal, cohort study examining physiological, psychological, sociodemographic, and self-reported behavioural measures relating to bodyweight. Setting women recruited from routine antenatal clinics at the Nottingham University Hospitals NHS Trust. Participants 193 women ≤27 weeks gestation and aged 18 years or over. MEASUREMENTS & FINDINGS: measurements included weight and height, the Dietary Instrument for Nutrition Education (Brief Version), the International Physical Activity Questionnaire (Short Form), and open questions of perceptions of behaviour change. 50.3% (n=97) were overweight/obese, and women gained 0.26kg/wk (IQR 0.34kg/wk) since conception. The majority consumed low levels of fat (n=121; 63.4%), high levels of unsaturated fat (n=103; 53.9%), and used a dietary supplement (n=166; 86.5%). However, 41% (n=76) were inactive, 74.8% (n=143) did not consume high levels of fibre, and 90.0% (n=171) consumed less than 5 portions of fruit and vegetables a day. Body mass index category was not associated with diet, physical activity levels, or gestational weight gain. Themes generated from open-questions relating to behaviour change were: (1) Risk management, (2) Coping with symptoms, (3) Self-control, (4) Deviation from norm, (5) Nature knows best. Conclusions early pregnancy is a period of significant and heterogeneous behaviour change, influenced by perceptions of risk and women's lived experience. Behaviour was influenced not only by perceptions of immediate risk to the fetus, but also by the women's lived experience of being pregnant. Implications for practice There are exciting opportunities to constructively reframe health promotion advice relating to physical activity and diet in light of women's priorities. The need for individualized advice is highlighted, and women across all body mass index categories would benefit from improved diet and physical activity levels.

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Authors
Swift, J. A., Langley-Evans, S. C., Pearce, J., Jethwa, P. H., Taylor, M. A., Avery, A., Ellis, S., McMullen, S., & Elliott-Sale, K. J.
Affiliations
  • University of Nottingham (GB)
  • Nottingham Trent University (GB)
Corresponding author
Pearce, Jo
ORCID
Venue
Midwifery
Publisher
Elsevier BV
Published
2017-06
Volume
49
Pages
40-46
ISSN
0266-6138 (ISSN-L)
DOI
10.1016/j.midw.2017.01.016
OpenAlex
W2584795302
Cited by
31
References
43
Citations by year
2025: 3 · 2024: 2 · 2023: 4 · 2022: 6 · 2021: 3 · 2020: 7 · 2019: 1 · 2018: 3 · 2017: 2
FWCI
4.20
Type
journal article
Language
en
Open access
Licence
Locations
  • Midwifery (publishedVersion)
  • PubMed (publishedVersion)
  • Nottingham Trent University's Institutional Repository (Nottingham Trent Repository) (acceptedVersion)
  • Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by-nc-nd)
  • Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
gestational weight gain, early pregnancy, physical activity, maternal diet, overweight and obesity in pregnancy, behavior change, risk perception, dietary fiber intake, fruit and vegetable intake, dietary supplements, women's experiences
MeSH terms
Body Weight Maintenance, Adult, Cross-Sectional Studies, Diet, England, Female, Humans, Obesity, Pregnancy, Pregnancy Complications, Pregnancy Trimester, First, Prenatal Care, Psychometrics, Surveys and Questionnaires, Social Class, State Medicine, Cohort Studies, Weight Gain, Exercise, Body Mass Index, Overweight, Self Report

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