Exploring weight bias internalization in pregnancy.

Adult Body Mass Index Female Gestational Weight Gain Humans Obesity / complications Overweight / complications Pregnancy Pregnancy Complications Pregnancy Outcome Social Stigma Weight Prejudice
Maternal health Obesity Pregnancy Stigma Weight bias

Journal

BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799

Informations de publication

Date de publication:
29 Jul 2022
Historique:
received: 04 04 2022
accepted: 22 07 2022
entrez: 29 7 2022
pubmed: 30 7 2022
medline: 3 8 2022
Statut: epublish

Résumé

Recent research has shown that pregnant individuals experience weight stigma throughout gestation, including negative comments and judgement associated with gestational weight gain (GWG). Weight bias internalization (WBI) is often a result of exposure to weight stigma and is detrimental to biopsychological health outcomes. The purpose of this study was to explore WBI in pregnancy and compare scores based on maternal weight-related factors including pre-pregnancy body mass index (BMI), obesity diagnosis and excessive GWG. Pregnant individuals in Canada and USA completed a modified version of the Adult Weight Bias Internalization Scale. Self-reported pre-pregnancy height and weight were collected to calculate and classify pre-pregnancy BMI. Current weight was also reported to calculate GWG, which was then classified as excessive or not based on Institute of Medicine (2009) guidelines. Participants indicated if they were diagnosed with obesity by a healthcare provider. Inferential analyses were performed comparing WBI scores according to pre-pregnancy BMI, excessive GWG, and obesity diagnosis. Significance was accepted as p < 0.05 and effect sizes accompanied all analyses. 336 pregnant individuals completed the survey, with an average WBI score of 3.9 ± 1.2. WBI was higher among those who had a pre-pregnancy BMI of obese than normal weight (p = 0.04, η Pregnant individuals who have a higher BMI, obesity and gain excessively may experience WBI. Given that weight stigma frequently occurs in pregnancy, effective person-oriented strategies are needed to mitigate stigma and prevent and care for WBI.

Sections du résumé

BACKGROUND BACKGROUND
Recent research has shown that pregnant individuals experience weight stigma throughout gestation, including negative comments and judgement associated with gestational weight gain (GWG). Weight bias internalization (WBI) is often a result of exposure to weight stigma and is detrimental to biopsychological health outcomes. The purpose of this study was to explore WBI in pregnancy and compare scores based on maternal weight-related factors including pre-pregnancy body mass index (BMI), obesity diagnosis and excessive GWG.
METHODS METHODS
Pregnant individuals in Canada and USA completed a modified version of the Adult Weight Bias Internalization Scale. Self-reported pre-pregnancy height and weight were collected to calculate and classify pre-pregnancy BMI. Current weight was also reported to calculate GWG, which was then classified as excessive or not based on Institute of Medicine (2009) guidelines. Participants indicated if they were diagnosed with obesity by a healthcare provider. Inferential analyses were performed comparing WBI scores according to pre-pregnancy BMI, excessive GWG, and obesity diagnosis. Significance was accepted as p < 0.05 and effect sizes accompanied all analyses.
RESULT RESULTS
336 pregnant individuals completed the survey, with an average WBI score of 3.9 ± 1.2. WBI was higher among those who had a pre-pregnancy BMI of obese than normal weight (p = 0.04, η
CONCLUSIONS CONCLUSIONS
Pregnant individuals who have a higher BMI, obesity and gain excessively may experience WBI. Given that weight stigma frequently occurs in pregnancy, effective person-oriented strategies are needed to mitigate stigma and prevent and care for WBI.

Identifiants

DOI: 10.1186/s12884-022-04940-4 PMID: 35906530 PMC: PMC9338529
pubmed: 35906530
doi: 10.1186/s12884-022-04940-4
pii: 10.1186/s12884-022-04940-4
pmc: PMC9338529
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

605

Subventions

Organisme : Social Sciences and Humanities Research Council of Canada
ID : 892-2020-2040
Organisme : les Fonds de Recherche du Québec Santé
ID : Junior 1 Research Scholar Award

Informations de copyright

© 2022. The Author(s).

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Auteurs

Taniya S Nagpal (TS)

Department of Kinesiology, Faculty of Applied Health Sciences, Brock University, St. Catharines, ON, Canada. tnagpal@ualberta.ca.
Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada. tnagpal@ualberta.ca.

Ximena Ramos Salas (XR)

Obesity Canada, Edmonton, AB, Canada.

Michael Vallis (M)

Department of Family Medicine, Dalhousie University, Halifax, NS, Canada.

Helena Piccinini-Vallis (H)

Department of Family Medicine, Dalhousie University, Halifax, NS, Canada.

Angela S Alberga (AS)

Department of Health, Kinesiology & Applied Physiology, Concordia University, Montreal, QC, Canada.

Rhonda C Bell (RC)

Department of Agricultural, Food and Nutritional Sciences, Faculty of ALES, University of Alberta, Edmonton, AB, Canada.

Danilo F da Silva (DF)

School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.

Margie H Davenport (MH)

Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada.

Laura Gaudet (L)

Department of Obstetrics and Gynecology, Queen's University, Kingston, ON, Canada.

Angela C Incollingo Rodriguez (ACI)

Psychological & Cognitive Sciences, Social Science and Policy Studies, Worcester Polytechnic Institute, Worcester, MA, USA.

Rebecca H Liu (RH)

Women's College Hospital Institute for Health System Solutions and Virtual Care (WIHV), Toronto, ON, Canada.

Maxine Myre (M)

Werklund School of Education, University of Calgary, Calgary, AB, Canada.

Kara Nerenberg (K)

Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Sarah Nutter (S)

Department of Educational Psychology and Leadership Studies, University of Victoria, Victoria, BC, Canada.

Shelly Russell-Mayhew (S)

Werklund School of Education, University of Calgary, Calgary, AB, Canada.

Sara C S Souza (SCS)

School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.

Candace Vilhan (C)

Obesity Canada, Patient Advocate Volunteer, Edmonton, AB, Canada.

Kristi B Adamo (KB)

Department of Agricultural, Food and Nutritional Sciences, Faculty of ALES, University of Alberta, Edmonton, AB, Canada.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Biométrie › Anthropométrie › Indice de masse corporelle › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Prise de poids pendant la grossesse › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Phénomènes physiologiques › Constitution physique › Apparence corporelle › Surpoids › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Maladies urogénitales › Maladies de l'appareil urogénital féminin et complications de la grossesse › Complications de la grossesse › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Issue de la grossesse › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Comportement et mécanismes comportementaux › Comportement › Comportement social › Stigmate social › Exploring weight bias internalization in pregnancy.
questionsmedicales.fr › Comportement et mécanismes comportementaux › Prejugé › Préjudice à l'égard du poids › Exploring weight bias internalization in pregnancy.