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Factors Influencing Desired Postnatal Weight Loss in Women after Birth

출산 후 여성의 체중 감소 기대치에 대한 영향 요인

  • Yeo, Jung Hee (Department of Nursing, Dong-A University) ;
  • Chun, Nami (College of Nursing, Sungshin Women's University)
  • 여정희 (동아대학교 간호학과) ;
  • 전나미 (성신여자대학교 간호대학)
  • Received : 2014.03.19
  • Accepted : 2014.06.05
  • Published : 2014.06.20

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.

Keywords

References

  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. American Journal of Obstetrics & Gynecology. 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. Obstetrics & Gynecology. 2005;106(6):1349-1356. https://doi.org/10.1097/01.AOG.0000185480.09068.4a
  3. Walker LO, Sterling BS, Timmerman GM. Retention of pregnancy- related weight in the early postpartum period: Implications for women's health services. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2005;34(2):418-427. https://doi.org/10.1177/0884217505278294
  4. DiPietro JA, Millet S, Costigan KA, Gurewitsch E, Caulfield LE. Psychosocial influences on weight gain attitudes and behaviors during pregnancy. Journal of the American Dietetic Association. 2003;103(10):1314-1319. https://doi.org/10.1016/S0002-8223(03)01070-8
  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. Journal of the Korean Society of Beauty and 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. https://doi.org/10.1016/j.midw.2008.10.008
  7. Fairburn CG, Welch SL. The impact of pregnancy on eating habits and attitudes to shape and weight. International Journal of Eating Disorders. 1990;9(2):153-160. https://doi.org/10.1002/1098-108X(199003)9:2<153::AID-EAT2260090204>3.0.CO;2-8
  8. Lee SE, Yoo EG. An analysis of research on postpartum weight retention. Korean Journal of Women Health Nursing. 2003;9 (3):287-298.
  9. Ahn SH, Kim MO. Postpartum weight retention: Patterns and related factors during 3 months postpartum. Journal of the Korean Society of Maternal and 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. Maternal and Child Health Journal. 2011; 15(8):1176-1184. https://doi.org/10.1007/s10995-010-0681-9
  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. The Journal of Korean Academic Society of Nursing Education. 2010;16(2):283-291. https://doi.org/10.5977/JKASNE.2010.16.2.283
  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. World Health Organization. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet. 2004;363(9403):157-163. https://doi.org/10.1016/S0140-6736(03)15268-3
  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. Journal of the Korean Society of Cosmetology. 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 S. A. Orshan (Editor). Maternity, newborn, & women's health nursing. Philadelphia, PA: Lippincott-Williams and Wilkins; 2002. 98-99 p.
  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. British Journal of Obstetrics and Gynaecology. 1991;98(3):254-259. https://doi.org/10.1111/j.1471-0528.1991.tb13389.x
  20. National Institute of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults-the evidence report. Obesity Research. 1998;6(suppl. 2):51S-209S. https://doi.org/10.1002/j.1550-8528.1998.tb00690.x
  21. Walker LO. Managing excessive weight gain during pregnancy and the postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2007;36(5):490-500. https://doi.org/10.1111/j.1552-6909.2007.00179.x
  22. Cho S, Kim C. The effect of female students' obese level and weight control behavior and attitudes on stress. Journal of Korean Society for Health Education and Promotion. 1997; 14(2):1-16.
  23. Shin HS, Paik SN. Body image, self-esteem and depression in college female students: normal and overweight. Journal of Korean Academy of Nursing. 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 Journal., 2001;4(1):68-81.
  25. To WW, Cheung W. The relationship between weight gain in pregnancy, birth-weight and postpartum weight retention. Australian and New Zealand Journal of Obstetrics and Gynaecology. 1998;38(2):176-179. https://doi.org/10.1111/j.1479-828X.1998.tb02996.x
  26. Lee EJ, Kim MH, Kim WY, Cho MS. A survey on weight control and eating behavior in reproductive women by BMI. Korean Journal of Food Culture. 2003;18(2):172-180.

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