|Perceptions of low-income African-American mothers about excessive gestational weight gain.|
|PMID: 22160656 Owner: NLM Status: MEDLINE|
|A rising number of low-income African-American mothers gain more weight in pregnancy than is recommended, placing them at risk for poor maternal and fetal health outcomes. Little is known about the perceptions of mothers in this population that may influence excessive gestational weight gain. In 2010-2011, we conducted 4 focus groups with 31 low-income, pregnant African-Americans in Philadelphia. Two readers independently coded the focus group transcripts to identify recurrent themes. We identified 9 themes around perceptions that encouraged or discouraged high gestational weight gain. Mothers attributed high weight gain to eating more in pregnancy, which was the result of being hungrier and the belief that consuming more calories while pregnant was essential for babies' health. Family members, especially participants own mothers, strongly reinforced the need to "eat for two" to make a healthy baby. Mothers and their families recognized the link between poor fetal outcomes and low weight gains but not higher gains, and thus, most had a greater pre-occupation with too little food intake and weight gain rather than too much. Having physical symptoms from overeating and weight retention after previous pregnancies were factors that discouraged higher gains. Overall, low-income African-American mothers had more perceptions encouraging high gestational weight gain than discouraging it. Interventions to prevent excessive weight gain need to be sensitive to these perceptions. Messages that link guideline recommended weight gain to optimal infant outcomes and mothers' physical symptoms may be most effective for weight control.|
|Sharon J Herring; Tasmia Q Henry; Alicia A Klotz; Gary D Foster; Robert C Whitaker|
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|Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't|
|Title: Maternal and child health journal Volume: 16 ISSN: 1573-6628 ISO Abbreviation: Matern Child Health J Publication Date: 2012 Dec|
|Created Date: 2012-11-05 Completed Date: 2013-02-27 Revised Date: 2013-12-09|
Medline Journal Info:
|Nlm Unique ID: 9715672 Medline TA: Matern Child Health J Country: United States|
|Languages: eng Pagination: 1837-43 Citation Subset: IM|
|APA/MLA Format Download EndNote Download BibTex|
African Americans / psychology*
Body Mass Index
Interviews as Topic
Mothers / psychology*, statistics & numerical data
Obesity / ethnology, prevention & control*
Weight Gain / ethnology*, physiology
|K23 HL106231/HL/NHLBI NIH HHS; K23 HL106231/HL/NHLBI NIH HHS; L30 HL104554/HL/NHLBI NIH HHS|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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