Korean J Women Health Nurs.  2014 Jun;20(2):155-162. 10.4069/kjwhn.2014.20.2.155.

Factors Influencing Desired Postnatal Weight Loss in Women after Birth

• Yeo JH
• Chun N

• KMID: 1991910
• DOI: http://doi.org/10.4069/kjwhn.2014.20.2.155

Abstract

PURPOSE
The purpose of this study was to identify factors influencing desired postnatal weight loss in women after birth.
METHODS
With correlational survey design, 191women of the study participants completed questionnaires on their desired postnatal weight loss and related factors, and body and health concerns during their hospitalization after birth. Data were collected from February to May, 2011. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple linear regression.
RESULTS
The women's gestational weight gain, pre-pregnant BMI, body concerns, expected time to reach the desired weight after birth and health concerns were identified as factors influencing desired postnatal weight loss in women after birth. The model explained 68% of the variance.
CONCLUSION
Results suggest that nurses in women's health care should consider women's gestational weight, pre-pregnant BMI and their body concerns, health concerns and expected time to reach the desired weight after birth when developing weight management program for women after birth.

Keyword

Postnatal; Weight loss; Body; Health

MeSH Terms

Female
Hospitalization
Humans
Linear Models
Parturition*
Questionnaires
Weight Gain
Weight Loss*
Women's Health

Reference

1. Endres L, Straub H, Plunkett B, Clark-Kauffman E, Wagenaar K, Zhou Y, et al. Postpartum weight retention: risk factors and relationship to obesity at one year. Am J Obstet Gynecol. 2013; 208:suppl 1. S84.

2. Rooney BL, Schauberger CW, Mathiason MA. Impact of perinatal weight change on long-term obesity and obesity-related illnesses. Obstet Gynecol. 2005; 106(6):1349–1356.

3. Walker LO, Sterling BS, Timmerman GM. Retention of pregnancy-related weight in the early postpartum period: Implications for womens health services. J Obstet Gynecol Neonatal Nurs. 2005; 34(4):418–427.

4. DiPietro JA, Millet S, Costigan KA, Gurewitsch E, Caulfield LE. Psychosocial influences on weight gain attitudes and behaviors during pregnancy. J Am Diet Assoc. 2003; 103(10):1314–1319.

5. Park JH, Park OL. A study on the degree of bodily satisfaction and the attitude towards managing external appearance according to women's degree of interest in external appearance. J Korean Soc Beauty Art. 2009; 10(2):115–126.

6. Nyman VM, Prebensen AK, Flensner GE. Obese women's experiences of encounters with midwives and physicians during pregnancy and childbirth. Midwifery. 2010; 26(4):424–429.

7. Fairburn CG, Welch SL. The impact of pregnancy on eating habits and attitudes to shape and weight. Int J Eat Disord. 1990; 9(2):153–160.

8. Lee SE, Yoo EG. An analysis of research on postpartum weight retention. Korean J Women Health Nurs. 2003; 9(3):287–298.

9. Ahn SH, Kim MO. Postpartum weight retention: Patterns and related factors during 3 months postpartum. J Korean Soc Matern Child Health. 2005; 9(1):19–32.

10. Montgomery KS, Bushee TD, Phillips JD, Kirkpatrick T, Catledge C, Braveboy K, et al. Women's challenges with postpartum weight loss. Matern Child Health J. 2011; 15(8):1176–1184.

11. Park JE. A study on the antecedents and consequences of the use of fitness center-focused on the health interest and body interest- [master's thesis]. Seoul: Chung-Ang University;2005.

12. Yeo JH, Kim EY. University students' health habits and relevant factors. J Korean Acad Soc Nurs Educ. 2010; 16(2):283–291.

13. World Health Organization. Global database on body mass index [Internet]. 2014. cited 2014 February 24. Available from: http://apps.who.int/bmi/index.jsp?introPage=in tro_3.html.

14. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004; 363(9403):157–163.

15. Noh JH. Sexual differences of college students in health-concerns, nutritional knowledge, and eating habits [master's thesis]. Seoul: Konkuk University;2009.

16. Lee JY, Kim JD. A study on weight control behavior, body attitude, and obesity stress of a women's university students. J Korean Soc Cosmetol. 2011; 17(3):461–467.

17. Moon HJ. A study of the intention of appearance and the appearance valuation and the attitude of skin health care [master's thesis]. Daejeon: Chungnam National University;2010.

18. Kaiser LL, Allen L. American Dietetic Association. Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy outcome. In : Orshan SA, editor. Maternity, newborn, & women's health nursing. Philadelphia, PA: Lippincott-Williams and Wilkins;2002. p. 98–99.

19. Lawrence M, McKillop FM, Durnin JV. Women who gain more fat during pregnancy may not have bigger babies: Implications for recommended weight gain during pregnancy. Br J Obstet Gynaecol. 1991; 98(3):254–259.

20. National Institute of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults-the evidence report. Obes Res. 1998; 6:suppl 2. 51S–209S.

21. Walker LO. Managing excessive weight gain during pregnancy and the postpartum period. J Obstet Gynecol Neonatal Nurs. 2007; 36(5):490–500.

22. Cho S, Kim C. The effect of female students' obese level and weight control behavior and attitudes on stress. J Korean Soc Health Educ Promot. 1997; 14(2):1–16.

23. Shin HS, Paik SN. Body image, self-esteem and depression in college female students: normal and overweight. J Korean Acad Nurs. 2003; 33(3):331–338.

24. Park KH. The studies about the weight-changes during pregnancy and the condition of mother and infant. Korean Parent Child Health J. 2001; 4(1):68–81.

25. To WW, Cheung W. The relationship between weight gain in pregnancy, birth-weight and postpartum weight retention. Aust N Z J Obstet Gynaecol. 1998; 38(2):176–179.

26. Lee EJ, Kim MH, Kim WY, Cho MS. A survey on weight control and eating behavior in reproductive women by BMI. Korean J Food Cult. 2003; 18(2):172–180.