Journal
MATERNAL AND CHILD HEALTH JOURNAL
Volume 15, Issue 3, Pages 324-332Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10995-010-0578-7
Keywords
Body image; Body dissatisfaction; Gestational weight gain; Pregnancy
Categories
Funding
- NCRR NIH HHS [RR00046, M01 RR000046] Funding Source: Medline
- NICHD NIH HHS [R01 HD039373, HD39373, HD37584, R24 HD050924, R01 HD037584] Funding Source: Medline
- NIDDK NIH HHS [DK56350, DK61981, R01 DK061981, P30 DK056350] Funding Source: Medline
- NIEHS NIH HHS [P30 ES010126] Funding Source: Medline
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The majority of women gain more weight during pregnancy than what is recommended. Since gestational weight gain is related to short and long-term maternal health outcomes, it is important to identify women at greater risk of not adhering to guidelines. The objective of this study was to examine the relationship between body image and gestational weight gain. The Body Image Assessment for Obesity tool was used to measure ideal and current body sizes in 1,192 women participating in the Pregnancy, Infection and Nutrition Study. Descriptive and multivariable techniques were used to assess the effects of ideal body size and discrepancy score (current-ideal body sizes), which reflected the level of body dissatisfaction, on gestational weight gain. Women who preferred to be thinner had increased risk of excessive gain if they started the pregnancy at a BMI a parts per thousand currency sign26 kg/m(2) but a decreased risk if they were overweight or obese. Comparing those who preferred thin body silhouettes to those who preferred average size silhouettes, low income women had increased risk of inadequate weight gain [RR = 1.76 (1.08, 2.88)] while those with lower education were at risk of excessive gain [RR = 1.11 (1.00, 1.22)]. Our results revealed that body image was associated with gestational weight gain but the relationship is complex. Identifying factors that affect whether certain women are at greater risk of gaining outside of guidelines may improve our ability to decrease pregnancy-related health problems.
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