Influence of Age, Parity, Dietary Intake, Physical Activity, Corona Virus 2019 Infection, and Depression on Gestational Weight Gain in Overweight and Obese Pregnant Women
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Abstract
Purpose: To investigate predictive powers of age, parity, dietary intake, physical activity, Corona virus 2019 infection, and depression on gestational weight gain in overweight and obese pregnant women.
Design: Predictive correlational design.
Methods: The sample consisted of 138 overweight and obese pregnant women who had antenatal care at a hospital in Chonburi province. Data were collected by using the Personal Data Questionnaire, the Pregnancy and Birth Record Forms, the Thai Edinburgh Postnatal Depression Scale, the Eating Behavior Measurement, and the Physical Activity Questionnaire for Pregnant and Lactating Women, respectively. Data were analyzed by using descriptive statistics, chi-square tests, Fisher’s exact tests, and multiple logistic regression analysis.
Main findings: Age, parity, dietary intake, physical activity, Corona virus 2019 infection, and depression could together predict 27% (R2 = .27) of gestational weight gain in overweight and obese pregnant women and had prediction accuracy of 75.4% (Overall Percentage = 75.4). Physical activity was the strongest predictive factor for gestational weight gain (OR = 5.08, 95%CI [1.56, 16.52]); followed by dietary intakes (OR = 3.05, 95%CI [1.26, 7.38]) and age (OR = 2.69, 95%CI [1.08, 6.70]), respectively.
Conclusion and recommendations: Age, dietary intake, and physical activity affected gestational weight gain in overweight and obese pregnant women. Therefore, midwives should assess those risk factors and develop nursing guidelines with providing education on dietary intake along with physical activity for preventing excessive gestational weight gain in overweight and obese pregnant women.
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