TY - JOUR
T1 - Perception of weight status and its impact on gestational weight gain in an urban population
AU - Mehta-Lee, Shilpi S.
AU - Goel, Jennifer L.Lischewski
AU - Xu, Linzhi
AU - Brittner, Mindy R.
AU - Bernstein, Peter S.
AU - Bonuck, Karen A.
N1 - Funding Information:
This study was supported in part by grants from the National Institute of Child Health and Human Development (R01 HD04976301) and from the National Center for Minority Health and Health Disparities. (P60 MD 00516).
PY - 2013/12
Y1 - 2013/12
N2 - To examine the association between actual and perceived overweight/obese status and excess gestational weight gain (GWG). As part of an infant feeding trial, multi-ethnic lower and moderate income women-completed a checklist of current health conditions, including "overweight/obesity," "asthma," and "hypertension" while pregnant. Odds of excessive GWG per the Institute of Medicine guidelines in 'accurate' versus 'inaccurate' reporters, by overweight status were analyzed with multivariate logistic regression for women with pre-or early pregnancy BMIs of ≥18.5. 775 women met study criteria. Just 21 % (n = 107) of overweight/obese women accurately identified their weight status, compared to >90 % accurate report of documented hypertension or asthma. Compared to normal-weight accurate reporters, the adjusted odds of excessive GWG in overweight/obese women was 2.3 (95 % CI 1.4, 3.7) in accurate reporters, and 2.5 (95 % CI 1.7, 3.4) in inaccurate reporters. Overweight/obesity is associated with excessive GWG, but this risk is not modified by inaccurate reporting/perception of weight-status.
AB - To examine the association between actual and perceived overweight/obese status and excess gestational weight gain (GWG). As part of an infant feeding trial, multi-ethnic lower and moderate income women-completed a checklist of current health conditions, including "overweight/obesity," "asthma," and "hypertension" while pregnant. Odds of excessive GWG per the Institute of Medicine guidelines in 'accurate' versus 'inaccurate' reporters, by overweight status were analyzed with multivariate logistic regression for women with pre-or early pregnancy BMIs of ≥18.5. 775 women met study criteria. Just 21 % (n = 107) of overweight/obese women accurately identified their weight status, compared to >90 % accurate report of documented hypertension or asthma. Compared to normal-weight accurate reporters, the adjusted odds of excessive GWG in overweight/obese women was 2.3 (95 % CI 1.4, 3.7) in accurate reporters, and 2.5 (95 % CI 1.7, 3.4) in inaccurate reporters. Overweight/obesity is associated with excessive GWG, but this risk is not modified by inaccurate reporting/perception of weight-status.
KW - Body-mass index
KW - Gestational weight gain
KW - Obesity
KW - Weight perception
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U2 - 10.1007/s10995-013-1219-8
DO - 10.1007/s10995-013-1219-8
M3 - Article
C2 - 23329166
AN - SCOPUS:84893693789
SN - 1092-7875
VL - 17
SP - 1931
EP - 1939
JO - Maternal and Child Health Journal
JF - Maternal and Child Health Journal
IS - 10
ER -
