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Determinants of weight gain and body changes during pregnancy: A qualitative study of French-Canadian pregnant people - 25/01/23

Doi : 10.1016/j.jogoh.2022.102519 
Marianne Gagnon a, b, c, Anne-Sophie Plante a, c, Mylène Turcotte a, Catherine Bégin a, d, Andréanne Michaud a, b, e, Véronique Provencher a, b, Anne-Sophie Morisset a, b, c,
a Centre Nutrition, santé et société (NUTRISS), Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, Quebec City, QC, Canada 
b School of Nutrition, Université Laval, Quebec City, QC, Canada 
c Endocrinology and Nephrology Unit, CHU of Quebec-Université Laval Research Center, Quebec City, QC, Canada 
d School of Psychology, Université Laval, Quebec City, Canada. 
e Institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), Quebec City, QC, Canada 

Correspondind author at: School of Nutrition, Pavillon Paul-Comtois 2425, rue de l'Agriculture, local 2412, Université Laval, Québec, QC G1V 0A6, Canada. Tel: (418) 656-2131 ext. 13982.School of NutritionPavillon Paul-Comtois 2425rue de l'Agriculture, local 2412, Université LavalQuébecQC G1V 0A6Canada

Highlights

Gestational weight gain is perceived as uncontrollable by pregnant people.
Inadequate gestational weight gain may originate from a lack of psychosocial support.
General health of the foetus is the main motivation to adopt strategies in pregnancy.
Inadequate nutrition and exercise-related strategies are applied during pregnancy.
Credible information on gestational weight gain, nutrition and exercise is hard to access.

Le texte complet de cet article est disponible en PDF.

Abstract

Objective

More than half of pregnant Canadian people exceed current gestational weight gain recommendations, which has been associated with adverse outcomes for both parent and child. Although the physiological causes of excessive gestational weight gain have been well investigated, few studies have evaluated the context of gestational weight gain and body changes through the perspective of pregnant people. Therefore, we aim to explore factors influencing body changes and weight gain during pregnancy as experienced by pregnant individuals.

Methods

A total of three focus groups and six individual interviews were conducted with pregnant people (n=21) recruited in the 2nd or 3rd trimester. A semi-structured interview guide was developed according to a pre-existing conceptual model by Hill et al., 2013. Focus groups and interviews were recorded, transcribed, and thematically analysed using NVivo software.

Findings

Results were categorized into four main themes, based on the conceptual model: (1) parental psychological, social and cognitive factors, (2) outcomes, (3) parental behaviors and (4) health behavior change constructs. Participants identified structural, social, professional, and especially partner support (1), health-related strategies (2), body image (1) and knowledge of gestational weight gain recommendations (3) as influent components of their body changes experience.

Conclusions

In this study, the themes addressed affect both pregnant individuals and their relatives. Enhanced knowledge of gestational weight gain recommendations in this population, support from relatives and quality of follow-up offered by health professionals must therefore be considered as possible avenues of intervention.

Le texte complet de cet article est disponible en PDF.

Keywords : Pregnancy, Qualitative research, Gestational weight gain, Psychology, Nutrition, Physical activity

Abbreviations : GWG, BMI, HCP


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Vol 52 - N° 2

Article 102519- février 2023 Retour au numéro
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