Document Detail


Determinants of weight gain in pregnant adolescents.
MedLine Citation:
PMID:  1430719     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Maternal weight gain is the most important modifiable determinant of infant birth weight. Effective intervention requires an understanding of the factors that influence the amount of weight women gain during pregnancy. We studied the dietary, health, and social habits of 141 poor, black, 12- to 19-year-old prenatal patients to learn more about the determinants of weight gain among pregnant adolescents. The patients were divided into three weight gain groups: slow (n = 23): less than 0.28 kg/week; average (n = 87): 0.28-0.45 kg/week; and rapid (n = 31): more than 0.45 kg/week. The results of logistic regression analysis revealed two statistically significant predictors of slow weight gain: the consumption of fewer than three snacks per day and delayed (third trimester) enrollment in the Supplemental Food Program for Women, Infants, and Children. By contrast, rapid gainers were more compliant with prenatal visits and reported more depressive symptoms and alcohol consumption than did other study subjects. We conclude that attention to these modifiable correlates of inadequate and excessive weight gain may enable dietitians and other health care providers to develop more effective strategies for promoting optimal weight gain among pregnant adolescents.
Authors:
C Stevens-Simon; E R McAnarney
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  92     ISSN:  0002-8223     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1992-12-01     Completed Date:  1992-12-01     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1348-51     Citation Subset:  AIM; IM    
Affiliation:
Division of Adolescent Medicine, University of Colorado Health Science Center, Denver 80218.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans
Birth Weight
Child
Diet
Energy Intake
Female
Food
Humans
Pregnancy
Pregnancy in Adolescence / physiology*
Prenatal Care
Regression Analysis
Social Class
Weight Gain*
Grant Support
ID/Acronym/Agency:
MCJ-360534//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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