Provider Advice and Women's Intentions to Meet Weight Gain, Physical Activity, and Nutrition Guidelines During Pregnancy

Kara M Whitaker; Sara Wilcox; Jihong Liu; Steven N Blair; Russell R Pate

doi:10.1007/s10995-016-2054-5

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Provider Advice and Women's Intentions to Meet Weight Gain, Physical Activity, and Nutrition Guidelines During Pregnancy

Journal article

Peer reviewed

Provider Advice and Women's Intentions to Meet Weight Gain, Physical Activity, and Nutrition Guidelines During Pregnancy

Kara M Whitaker, Sara Wilcox, Jihong Liu, Steven N Blair and Russell R Pate

Maternal and child health journal, Vol.20(11), pp.2309-2317

11/2016

DOI: 10.1007/s10995-016-2054-5

PMCID: PMC5106319

PMID: 27400917

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Abstract

To determine the prevalence and accuracy of patient-reported provider advice on weight gain, physical activity, and nutrition during prenatal visits and to examine the associations of provider advice with women's behavioral intentions toward weight gain, physical activity, and nutrition. A mixed-methods study design was used to assess patient-report of provider advice and health intentions in women between 20 and 30 weeks gestation (n = 188). Bivariate analyses examined patient-reported provider advice on weight gain, physical activity, and nutrition with women's behavioral intentions. Linear and logistic regression models examined associations of provider weight gain recommendations with women's intended weight gain. Approximately 52 % of women reported provider advice on weight gain, 63 % on physical activity, and 56 % on nutrition. Of those who reported weight gain advice, 79 % cited provider recommendations within the Institute of Medicine guidelines, 9 % below, and 11 % above. Patient-report of provider advice on physical activity and nutrition were consistent with guidelines, but limited in scope. Provider advice (yes/no) was significantly associated with women's intentions to meet physical activity (p = 0.01) and nutrition (p = 0.02), but not weight gain guidelines (p = 0.86). Provider recommended weight gain (pounds) was significantly associated with women's intended weight gain in linear and logistic regression models. A large percentage of women report receiving no advice from providers on weight gain, physical activity or nutrition during pregnancy. Of those who receive advice, most report recommendations consistent with current guidelines. Provider advice was associated with women's weight gain, physical activity, and nutrition intentions in pregnancy.

Prenatal Care - methods

Pregnant Women - psychology

Humans

Physician-Patient Relations

Health Knowledge, Attitudes, Practice

Nutrition Policy

Exercise - psychology

Pregnancy

Guideline Adherence

Pregnant Women - ethnology

Counseling

Adult

Female

Intention

Surveys and Questionnaires

Weight Gain

Health Care Surveys

Patient Education as Topic

Details

Title: Subtitle: Provider Advice and Women's Intentions to Meet Weight Gain, Physical Activity, and Nutrition Guidelines During Pregnancy
Creators: Kara M Whitaker - Division of Epidemiology and Community Health, University of Minnesota, 1300 S 2nd Street, Suite 300, Minneapolis, MN, 55454, USA. whitaker@umn.edu
Sara Wilcox - Prevention Research Center, University of South Carolina, Columbia, SC, USA
Jihong Liu - Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA
Steven N Blair - Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA
Russell R Pate - Department of Exercise Science, University of South Carolina, Columbia, SC, USA
Resource Type: Journal article
Publication Details: Maternal and child health journal, Vol.20(11), pp.2309-2317
DOI: 10.1007/s10995-016-2054-5
PMID: 27400917
PMCID: PMC5106319
NLM abbreviation: Matern Child Health J
ISSN: 1092-7875
eISSN: 1573-6628
Publisher: United States
Grant note: T32 GM081740 / NIGMS NIH HHS
Language: English
Date published: 11/2016
Academic Unit: Epidemiology; Health, Sport, and Human Physiology
Record Identifier: 9984002575402771

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