Division of Obstetrics and Gynecology Houston, Department of Obstetrics and Gynecology, Texas Children's Pavilion for Women, Baylor College of Medicine, Room F1030.26, Houston, TX, 77030, USA.
Matern Child Health J. 2014 Jan;18(1):153-160. doi: 10.1007/s10995-013-1248-3.
To describe gestational weight gain among Hispanic women and to examine psychological, social, and cultural contexts affecting weight gain. A total of 282 Hispanic women were surveyed post-partum before leaving the hospital. Women were queried about their prepregnancy weight and weight gained during pregnancy. Adequacy of gestational weight gain was based on guidelines set by the Institute of Medicine in 2009. Independent risk factors for excessive or insufficient weight gain were examined by logistic regression. Most women were unmarried (59 %), with a mean age of 28.4 ± 6.6 years and an average weight gain of 27.9 ± 13.3 lbs. Approximately 45 % of women had gained too much, 32 % too little, and only 24 % had an adequate amount of weight gain. The mean birth weight was 7.3, 7.9, and 6.8 lbs among the adequate, excessive, and insufficient weight gain groups. Among women who exercised before pregnancy, two-thirds continued to do so during pregnancy; the mean gestational weight gain of those who continued was lower than those who stopped (26.8 vs. 31.4 lbs, p = 0.04). Independent risk factors for excessive weight gain were being unmarried, U.S. born, higher prepregnancy body mass index, and having indifferent or negative views about weight gain. Independent risk factors for insufficient weight gain were low levels of support and late initiation of prenatal care. Depression, stress, and a woman's or her partner's happiness regarding pregnancy were unrelated to weight gain. The results of this study can be used by prenatal programs to identify Hispanic women at risk for excessive or insufficient gestational weight gain.
描述西班牙裔女性的妊娠体重增加情况，并研究影响体重增加的心理、社会和文化因素。共有 282 名西班牙裔女性在出院前接受了产后调查。女性被询问其孕前体重和怀孕期间增加的体重。妊娠期体重增加是否充足是根据 2009 年医学研究所制定的指南来判断的。通过逻辑回归分析了超重或体重不足的独立危险因素。大多数女性未婚（59%），平均年龄为 28.4±6.6 岁，平均体重增加 27.9±13.3 磅。大约 45%的女性体重增加过多，32%的女性体重增加不足，只有 24%的女性体重增加量适中。在体重增加适量、过多和不足的三组中，平均出生体重分别为 7.3、7.9 和 6.8 磅。在怀孕前就有运动习惯的女性中，有三分之二的人在怀孕期间继续运动；继续运动的人的平均妊娠期体重增加量低于停止运动的人（26.8 磅对 31.4 磅，p=0.04）。体重增加过多的独立危险因素是未婚、美国出生、孕前体重指数较高，以及对体重增加持漠不关心或消极的态度。体重增加不足的独立危险因素是支持度低和产前保健开始较晚。抑郁、压力以及女性或其伴侣对怀孕的幸福感与体重增加无关。本研究的结果可被产前项目用来识别有超重或体重不足风险的西班牙裔女性。
