A Cross-Sectional Survey of 505 Postpartum Women to Assess Lifestyle-Related Behaviour, Barriers, and Myths Affecting Postpartum Weight Retention and Its Management
Tóm tắt
This study aims to assess lifestyle-related factors such as diet, physical activity and sleep along with common myths, beliefs, and barriers to a healthy lifestyle and resultant postpartum weight retention. It has also explored the association of the aforementioned factors with socio-demographic variables. A cross-sectional survey was conducted using a comprehensive pre-validated questionnaire on a convenience sample of postpartum women using a telephonic interview schedule. A total of 505 postpartum women were recruited with median postpartum weight retention of 5 kg. More than half of the participants had incorrect dietary practices with less than one-tenth of women indulging in low/moderate-intensity physical activity. Postpartum women had poorer diet (p < 0.05) and sleep (p < 0.01) in the initial phase postpartum as compared to late postpartum. These women were also less physically active in the initial months and as the postpartum period progressed their physical activity also improved significantly (p < 0.001). Socio-demographic variables such as socio-economic status, education, and employment status were significantly associated with unhealthy lifestyle practices. Common barriers were lack of knowledge, time constraints, lack of childcare support and cultural myths and beliefs. The findings of the study will help in developing a comprehensive women-centric weight management module focusing on practical guidelines for lifestyle, breastfeeding and other confounding factors associated with postpartum weight management.
Tài liệu tham khảo
Farpour-Lambert NJ, Ells LJ, Martinez de Tejada B, Scott C. Obesity and weight gain in pregnancy and postpartum: an evidence review of lifestyle interventions to inform maternal and child health policies. Front Endocrinol (Lausanne). 2018;26(9):546. https://doi.org/10.3389/fendo.2018.00546.
Nasreddine L, Ayoub J, Abbas N, Abdul Malik M, Naja F. Postpartum weight retention and its determinants in lebanon and qatar: results of the mother and infant nutrition assessment (MINA) Cohort. IJERPH. 2020;17(21):7851.
Widen EM, Gallagher D. Body composition changes in pregnancy: measurement, predictors and outcomes. Eur J Clinical Nutr. 2014;68(6):643–52. https://doi.org/10.1038/ejcn.2014.40.
Bogaerts A, Ameye L, Bijlholt M, Amuli K, Heynickx D, Devlieger R. INTER-ACT: prevention of pregnancy complications through an e-health driven interpregnancy lifestyle intervention - study protocol of a multicentre randomised controlled trial. BMC Pregnancy Childbirth. 2017;17(1):154. https://doi.org/10.1186/s12884-017-1336-2.PMID:28549455;PMCID:PMC5446743.
Al-Bkerat M. Nutritional beliefs and practices of Arabic speaking middle eastern mothers. https://doi.org/10.23860/diss-al-bkerat-maissa-2019
Myrissa K, Stevens R, Kelaiditi E. Dietary and lifestyle patterns in UK postpartum women. Proc Nutr Soc. 2020. https://doi.org/10.1017/s0029665120003900.
Shloim N, Rudolf M, Feltbower RG, Blundell-Birtill P, Hetherington MM. Israeli and British women’s wellbeing and eating behaviours in pregnancy and postpartum. J Reprod Infant Psychol. 2019;37(2):123–38. https://doi.org/10.1080/02646838.2018.1529408. (Epub 2018 Oct 16 PMID: 30325661).
Withers M, Kharazmi N, Lim E. Traditional beliefs and practices in pregnancy, childbirth and postpartum: a review of the evidence from Asian countries. Midwifery. 2018;56:158–70.
Soria-Contreras DC, Rifas-Shiman SL, Aris IM, Perng W, Switkowski KM, Téllez-Rojo MM, et al. Weight trajectories after delivery are associated with adiposity and cardiometabolic markers at 3 Years postpartum among women in project viva. J Nutr. 2020;150(7):1889–98.
Kumari A, Ranjan P, Kaur D, Anwar W, Malhotra A, Upadhyay AD, et al. Development and validation of a questionnaire to assess the risk factors, facilitators, and barriers to postpartum weight management. J Obstet Gynecol India. 2022;72(2):160–7. https://doi.org/10.1007/s13224-022-01631-0Feedback:[email protected].
Kumari A, Ranjan P, Vikram NK, Kaur D, Balsalkar G, Malhotra A, et al. Executive summary of evidence and consensus-based clinical practice guideline for management of obesity and overweight in postpartum women: an AIIMS-DST initiative. Diabetes Metab Syndr. 2022;16(3): 102425.
Valerie J S, Christina F H, Nisha K, Stephenie C L, Milagros C R. weight perceptions and weight-related behaviors among low income postpartum women. J Obes Weight-Loss Medic [Internet]. 2018 [cited 2022 Apr 6];4(1). https://www.clinmedjournals.org/articles/jowm/journal-of-obesity-and-weight-loss-medication-jowm-4-022.php?jid=jowm
Li N, Su X, Liu T, Sun J, Zhu Y, Dai Z, Zhang Y, Pan L, Jiang W, Zhu W. Dietary patterns of Chinese puerperal women and their association with postpartum weight retention: Results from the mother-infant cohort study. Matern Child Nutr. 2021;17(1):e13061. https://doi.org/10.1111/mcn.13061.
Vernekar PP. A study on traditional beliefs and practices during the postpartum period among mothers at a district hospital in Goa. Int J Prev Curative Commun Med. 2021;07(03):1–11. https://doi.org/10.24321/2454.325x.202111.
Tak M, Shankar B, Kadiyala S. Dietary transition in India: temporal and regional trends, 1993 to 2012. Food Nutr Bull. 2019;40(2):254–70.
Sharma M, Kishore A, Roy D, Joshi K. A comparison of the Indian diet with the EAT-Lancet reference diet. BMC Public Health. 2020;20(1):812.
Makama M, Awoke MA, Skouteris H, Moran LJ, Lim S. Barriers and facilitators to a healthy lifestyle in postpartum women: a systematic review of qualitative and quantitative studies in postpartum women and healthcare providers. Obes Rev 2021 Apr [cited 2022 Apr 11];22(4). https://onlinelibrary.wiley.com/doi/https://doi.org/10.1111/obr.13167
Kaur D, Ranjan P, Kumari A, Malhotra A, Kaloiya GS, Meena VP, et al. Awareness, beliefs and perspectives regarding weight retention and weight gain among postpartum women in India: a thematic analysis of focus group discussions and in-depth interviews. J Obstet Gynaecol India. 2022;17:1–7.
Saligheh M, McNamara B, Rooney R. Perceived barriers and enablers of physical activity in postpartum women: a qualitative approach. BMC Pregnancy Childbirth. 2016;16(1):131.
Sharma S, van Teijlingen E, Hundley V, Angell C, Simkhada P. Dirty and 40 days in the wilderness: eliciting childbirth and postnatal cultural practices and beliefs in Nepal. BMC Pregnancy Childbirth. 2016;16(1):147.
Fadzil F, Shamsuddin K, Wan Puteh SE. Traditional postpartum practices among malaysian mothers: a review. J Altern Complement Med. 2016;22(7):503–8. https://doi.org/10.1089/acm.2013.0469. (Epub 2015 Jul 13 PMID: 26167656).
Salarzadeh Jenatabadi H, Bt Wan Mohamed Radzi CWJ, Samsudin N. Associations of body mass index with demographics, lifestyle, food intake, and mental health among postpartum women: a structural equation approach. Int J Environ Res Public Health. 2020;17(14):5201. https://doi.org/10.3390/ijerph17145201.
Sachdev R, Garg K, Shwetam S, Srivastava AR, Srivastava A. Awareness of Indian government initiated social security schemes utilization among villagers of Kanpur rural region: An evaluative cross sectional study. J Family Med Prim Care. 2022;11(6):2456–60. https://doi.org/10.4103/jfmpc.jfmpc_1727_21.
Martin JC, Joham AE, Mishra GD, Hodge AM, Moran LJ, Harrison CL. Postpartum diet quality: a cross-sectional analysis from the Australian longitudinal study on women’s health. JCM. 2020;9(2):446.
Poulain T, Spielau U, Vogel M, Dathan-Stumpf A, Körner A, Kiess W. Changes in diet from pregnancy to one year after birth: a longitudinal study. BMC Pregnancy Childbirth. 2021;21(1):600.