Factors Influencing Desired Postnatal Weight Loss in Women after Birth

Jung Hee Yeo; Nami Chun

doi:10.4069/kjwhn.2014.20.2.155

Journal List > Korean J Women Health Nurs > v.20(2) > 1089475

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Yeo and Chun: Factors Influencing Desired Postnatal Weight Loss in Women after Birth

Original Article

Korean Journal of Women Health Nursing 2014; 20(2): 155-162.

Published online: 30 June 2014

DOI: https://doi.org/10.4069/kjwhn.2014.20.2.155

Factors Influencing Desired Postnatal Weight Loss in Women after Birth

Jung Hee Yeo¹, Nami Chun²

¹Department of Nursing, Dong-A University, Busan, Korea.

²College of Nursing, Sungshin Women's University, Seoul, Korea.

Corresponding author: Chun, Nami. College of Nursing, Sungshin Women's University, 55 Dobong-ro, 76ga-gil, Gangbuk-gu, Seoul 142-732, Korea. Tel: +82-10-5112-0724, Fax: +82-2-920-2092, nmchun@sungshin.ac.kr

Received 19 March 2014 Revised 5 May 2014 Accepted 5 June 2014

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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: Postnatal, Weight loss, Body, Health

Figures and Tables

Table 1

Desired Postnatal Weight Loss by Women's Characteristics (N=191)

BMI=Body Mass Index.

^†BMI<18.50; ^‡BMI: 18.50~24.99; ^§BMI: 25.0~29.9: ^∥BMI>30.00; ^¶Post-hoc test.

Table 2

Influencing Factors of Desired Postnatal Weight Loss in Women after Birth (N=169)

BMI=Body mass index.

^†Dummy variables.

Notes

This article was supported by the Dong-A University research fund.

Summary Statement

▪ What is already known about this topic?

Postpartum weight retention has been proposed as a contributor to lifetime obesity. Age, smoking, employment status, socio-economic status, unplanned pregnancy, and breastfeeding are the identified factors influencing weight retention.

▪ What this paper adds?

This paper focused on the importance of women's desiring postnatal weight loss as a motivational factor for weight reduction right after birth.

▪ Implications for practice, education and/or policy

This paper gives directions for maternity care unit nurses on developing weight management program by considering the factors influencing desired postnatal weight loss in women after birth.

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. 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.

TOOLS

Similar articles