Effect of body image on gestational weight gain in overweight and obese women |
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| Authors: | Zhixian Sui Deborah Turnbull Jodie Dodd |
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| Institution: | 1. The Robinson Institute, Discipline of Obstetrics & Gynaecology, The University of Adelaide, Women''s and Children''s Hospital, 72 King William Road, North Adelaide, South Australia 5006, Australia;2. School of Psychology, Faculty of Health Sciences, The University of Adelaide, North Terrace, South Australia 5000, Australia;3. Women''s and Children''s Hospital, Women''s and Babies Division, Department of Perinatal Medicine, Adelaide, Australia;1. School of Psychology, Deakin University, Geelong, Victoria, Australia;2. Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia;1. Department of Midwifery Science, Faculty of Midwifery Education and Studies Maastricht, Zuyd University, The Netherlands;2. Maastricht University, Caphri School for Public Health and Primary Care, The Netherlands;1. School of Public Health, Physiotherapy and Sports Science, Woodview House, University College Dublin, Belfield, Dublin, Ireland;2. UCD Obstetrics and Gynaecology, School of Medicine and Medical Science, University College Dublin, National Maternity Hospital, Dublin, Ireland |
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| Abstract: | Problem or backgroundThere is little information available describing how women who are overweight or obese in pregnancy perceive their bodies, and in particular the effect of body image dissatisfaction on gestational weight gain.QuestionTo describe how women who are overweight or obese in pregnancy perceive their body, and the effect of body image on gestational weight gain.MethodsThis prospective nested cohort study evaluated self estimation of body weight, preferred body shape, dieting behavior, satisfaction with body weight and shape, and gestational weight gain in pregnant women who were overweight or obese, through self-completed questionnaire in early pregnancy in South Australia from October 2010 to February 2012.FindingsOf the 442 women who completed the questionnaire, 25.8% correctly identified their BMI, with 70.1% under-estimating and 4.1% over-estimating their BMI. Women who were obese were significantly less likely to correctly identify their BMI, as were younger women. Women who incorrectly identified their BMI were significantly more likely to have higher gestational weight gain (P < 0.001). Approximately 45% of women indicated dissatisfaction with their weight or body shape, with this being more common in women of higher parity and higher BMI. Dissatisfaction was significantly related to gestational weight gain.ConclusionWomen who report increasing dissatisfaction with their body size and shape are more likely to gain excessive weight during pregnancy. Further research should explore insights about maternal body image and diet related behaviors. |
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| Keywords: | Body image Overweight Obesity Pregnancy Gestational weight gain |
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