Michelle A Kominiarek1. 1. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Illinois at Chicago, College of Medicine, Chicago, Illinois. Electronic address: Mkomin1@uic.edu.
Abstract
BACKGROUND: An effective behavioral intervention for gestational weight gain in minority obese women needs to incorporate their baseline health behaviors and nutrition patterns. The objective of this study was to compare racial/ethnic differences in health behaviors and nutrition in pregnant obese and non-obese minorities. METHODS: A face-to-face, 75-item survey was administered to 94 women (46% non-obese, 54% obese; 71% Black, 29% Hispanic) at a prenatal visit to an inner-city clinic. Television watching, exercise, and nutrition were compared between obese and non-obese women and racial/ethnic differences were compared within each body mass index (BMI) category using chi-square and Fisher's exact tests. Interactions between BMI category and race/ethnicity for each health behavior were examined. FINDINGS: More obese women described their nutrition as "fair" or "poor" (36% vs. 15%; p = .02) and missed more meals per day (21% vs. 6%; p = .03) compared with non-obese women. Obese Blacks were less likely to improve their nutrition during pregnancy compared with obese Hispanics (28% vs. 58%; p = .08). Non-obese Blacks watched more television (p = .03) and exercised less during pregnancy (p = .04) than non-obese Hispanics. Except for dairy products, there were no differences in daily nutrition (fruit, soda, vegetables, chips) among the BMI categories and racial/ethnic groups; however, fewer than 50% of all participants consumed fruits and vegetables every day. There was an interaction between BMI category and race/ethnicity: Obese Hispanics exercised less before pregnancy (p = .02), but exercised more during pregnancy (p = .01) compared with non-obese Hispanics. CONCLUSIONS: Interventions for gestational weight gain in obese women may have greater success if they considered racial/ethnic differences in health behaviors, especially related to exercise.
BACKGROUND: An effective behavioral intervention for gestational weight gain in minority obesewomen needs to incorporate their baseline health behaviors and nutrition patterns. The objective of this study was to compare racial/ethnic differences in health behaviors and nutrition in pregnant obese and non-obese minorities. METHODS: A face-to-face, 75-item survey was administered to 94 women (46% non-obese, 54% obese; 71% Black, 29% Hispanic) at a prenatal visit to an inner-city clinic. Television watching, exercise, and nutrition were compared between obese and non-obesewomen and racial/ethnic differences were compared within each body mass index (BMI) category using chi-square and Fisher's exact tests. Interactions between BMI category and race/ethnicity for each health behavior were examined. FINDINGS: More obesewomen described their nutrition as "fair" or "poor" (36% vs. 15%; p = .02) and missed more meals per day (21% vs. 6%; p = .03) compared with non-obesewomen. Obese Blacks were less likely to improve their nutrition during pregnancy compared with obese Hispanics (28% vs. 58%; p = .08). Non-obese Blacks watched more television (p = .03) and exercised less during pregnancy (p = .04) than non-obese Hispanics. Except for dairy products, there were no differences in daily nutrition (fruit, soda, vegetables, chips) among the BMI categories and racial/ethnic groups; however, fewer than 50% of all participants consumed fruits and vegetables every day. There was an interaction between BMI category and race/ethnicity: Obese Hispanics exercised less before pregnancy (p = .02), but exercised more during pregnancy (p = .01) compared with non-obese Hispanics. CONCLUSIONS: Interventions for gestational weight gain in obesewomen may have greater success if they considered racial/ethnic differences in health behaviors, especially related to exercise.
Authors: M L Fitzgibbon; L M Tussing-Humphreys; J S Porter; I K Martin; A Odoms-Young; L K Sharp Journal: Obes Rev Date: 2011-11-10 Impact factor: 9.213
Authors: Michelle A Kominiarek; Paul Vanveldhuisen; Judith Hibbard; Helain Landy; Shoshana Haberman; Lee Learman; Isabelle Wilkins; Jennifer Bailit; Ware Branch; Ronald Burkman; Victor Hugo Gonzalez-Quintero; Kimberly Gregory; Christos Hatjis; Matthew Hoffman; Mildred Ramirez; Uma M Reddy; James Troendle; Jun Zhang Journal: Am J Obstet Gynecol Date: 2010-07-31 Impact factor: 8.661
Authors: Suzanne Phelan; Maureen G Phipps; Barbara Abrams; Francine Darroch; Andrew Schaffner; Rena R Wing Journal: Am J Clin Nutr Date: 2011-02-10 Impact factor: 7.045
Authors: Fiona Campbell; Maxine Johnson; Josie Messina; Louise Guillaume; Elizabeth Goyder Journal: BMC Public Health Date: 2011-06-22 Impact factor: 3.295