Risk factors for inadequate and excessive gestational weight gain during pregnancy among women

IF 2.5 3区医学 Q1 NURSING Midwifery Pub Date : 2025-05-01 Epub Date: 2025-02-18 DOI:10.1016/j.midw.2025.104345

Ju Sun Cho , Sook Jung Kang

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Abstract

Purpose

This study aimed to identify psychosocial predictors of inadequate and excessive gestational weight gain among Korean pregnant women.

Methods

Data were collected through an online survey of healthy adult Korean women who were at least 37 weeks pregnant. Logistic regression analysis was used to identify predictors of GWG.

Result

Among 139 participants, 42.4 % had inadequate and 20.9 % had excessive gestational weight gain. Quitting smoking for pregnancy (OR = 7.04) was found to be a risk factor for excessive GWG, while perceiving oneself as thin (OR = 0.18), high body image satisfaction (OR = 0.54), and negative attitudes toward weight gain (OR = 0.88) were protective factors for excessive GWG.

Conclusion

During the first prenatal care visit, smoking history, body image perception, satisfaction, and attitudes toward weight gain, which were identified in this study as predictors of gestational weight gain, should be assessed to identify pregnant women with risk factors. These individuals can be managed in nurse led weight management groups, which may help prevent excessive weight gain during pregnancy and improve pregnancy outcomes.

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妇女孕期体重增加不足和过度的危险因素

目的本研究旨在确定韩国孕妇孕期体重增加不足和过度的社会心理预测因素。方法通过在线调查收集数据，调查对象为怀孕37周以上的健康成年韩国妇女。采用Logistic回归分析确定GWG的预测因素。结果139例患者中，42.4%妊娠期体重增加不足，20.9%妊娠期体重增加过多。怀孕期间戒烟（OR = 7.04）是GWG过度的危险因素，而自我感觉偏瘦（OR = 0.18）、身体形象满意度高（OR = 0.54）和对体重增加持消极态度（OR = 0.88）是GWG过度的保护因素。结论在第一次产前检查时，应评估吸烟史、身体形象感知、满意度和对体重增加的态度，这些是本研究确定的妊娠期体重增加的预测因素，以识别孕妇的危险因素。这些人可以在护士领导的体重管理小组中进行管理，这可能有助于防止怀孕期间体重过度增加并改善妊娠结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.