Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women

Objectives. To describe psychosocial factors identified as contributors of weight gain in the general population and to examine the relationship between these factors and gestational weight gain among low socioeconomic status, African American, overweight pregnant women. Methods. African American wo...

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Main Authors: Kelly C. Allison, Brian H. Wrotniak, Emmanuelle Paré, David B. Sarwer
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2012/878607
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author Kelly C. Allison
Brian H. Wrotniak
Emmanuelle Paré
David B. Sarwer
author_facet Kelly C. Allison
Brian H. Wrotniak
Emmanuelle Paré
David B. Sarwer
author_sort Kelly C. Allison
collection DOAJ
description Objectives. To describe psychosocial factors identified as contributors of weight gain in the general population and to examine the relationship between these factors and gestational weight gain among low socioeconomic status, African American, overweight pregnant women. Methods. African American women (n=120) with a pregravid body mass index ≥25 kg/m2 completed measures of eating, sleep, and depressed mood between 14 and 24 weeks of gestation. Weight was tracked. Descriptive statistics, correlations, and linear regression modeling were used to characterize the sample and examine predictors of gestational weight gain. Results. Four percent screened positive for night eating syndrome, with 32% consuming at least 25% of their daily caloric intake after dinner (evening hyperphagia). None met criteria for binge eating disorder; 4% reported occasional binge episodes. Cognitive restraint over eating was low. Participants slept 7.1 (SD=1.9) h per night and reported 4.3 (SD=3.6) awakenings per week; 18% reported some level of depressed mood. Night and binge eating were related to each other, sleep quality, and depressed mood. Eating due to cravings was the only psychosocial variable to predict gestational weight gain. Conclusions. Depressed mood, night eating, and nighttime awakenings were common in this cohort, while cognitive restraint over eating was low. Most psychosocial variables were not predictive of excess gestational weight gain.
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spelling doaj-art-ff71cee38d244ebfade6001f2cb95a622025-02-03T01:27:53ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/878607878607Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant WomenKelly C. Allison0Brian H. Wrotniak1Emmanuelle Paré2David B. Sarwer3Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USACenter for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USADivision of Maternal-Fetal Medicine, University of Washington Medical Center, Seattle, WA 98195, USACenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USAObjectives. To describe psychosocial factors identified as contributors of weight gain in the general population and to examine the relationship between these factors and gestational weight gain among low socioeconomic status, African American, overweight pregnant women. Methods. African American women (n=120) with a pregravid body mass index ≥25 kg/m2 completed measures of eating, sleep, and depressed mood between 14 and 24 weeks of gestation. Weight was tracked. Descriptive statistics, correlations, and linear regression modeling were used to characterize the sample and examine predictors of gestational weight gain. Results. Four percent screened positive for night eating syndrome, with 32% consuming at least 25% of their daily caloric intake after dinner (evening hyperphagia). None met criteria for binge eating disorder; 4% reported occasional binge episodes. Cognitive restraint over eating was low. Participants slept 7.1 (SD=1.9) h per night and reported 4.3 (SD=3.6) awakenings per week; 18% reported some level of depressed mood. Night and binge eating were related to each other, sleep quality, and depressed mood. Eating due to cravings was the only psychosocial variable to predict gestational weight gain. Conclusions. Depressed mood, night eating, and nighttime awakenings were common in this cohort, while cognitive restraint over eating was low. Most psychosocial variables were not predictive of excess gestational weight gain.http://dx.doi.org/10.1155/2012/878607
spellingShingle Kelly C. Allison
Brian H. Wrotniak
Emmanuelle Paré
David B. Sarwer
Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women
Obstetrics and Gynecology International
title Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women
title_full Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women
title_fullStr Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women
title_full_unstemmed Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women
title_short Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women
title_sort psychosocial characteristics and gestational weight change among overweight african american pregnant women
url http://dx.doi.org/10.1155/2012/878607
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AT emmanuellepare psychosocialcharacteristicsandgestationalweightchangeamongoverweightafricanamericanpregnantwomen
AT davidbsarwer psychosocialcharacteristicsandgestationalweightchangeamongoverweightafricanamericanpregnantwomen