%0 Journal Article
%T Preconception Lifestyle and Weight-Related Behaviors by Maternal Body Mass Index: A Cross-Sectional Study of Pregnant Women
%A Adina Y. Lang
%A Cheryce L. Harrison
%A Jacqueline A. Boyle
%J Archive of "Nutrients".
%D 2019
%R 10.3390/nu11040759
%X Obesity is a rising global health challenge, particularly for reproductive-aged women. Our cross-sectional study of pregnant women (n = 223) examined associations between preconception body mass index (BMI) and socio-demographics, weight perceptions and lifestyle behaviors. Over half of women were overweight (33.2%) or obese (22.0%), 49.6% of which perceived their weight as normal. High proportions of women reported planning their pregnancies (70.0%) and were actively trying to lose or maintain their weight preconception (72.7%). Weight management approaches varied from reducing discretionary foods (63.7%) to professional support (8.1%). Obese women had significantly greater odds of reducing discretionary foods (odds ratio (OR) = 6.69 95% confidence interval (CI) 2.13每21.00, p = 0.001) and using structured diets (adjusted odds ratio (AOR) = 9.13 95% CI 2.90每28.81, p < 0.001) compared to normal-weight women. After adjusting for socio-demographics, compared to normal-weight women, overweight (AOR = 5.24 95% CI 2.19每12.56, p < 0.001) and obese (AOR = 2.85 95% CI 1.06每7.67, p = 0.04) women had significantly increased odds of exercising for weight management and significantly lower odds of taking folic-acid preconception (overweight: AOR = 0.40 95% CI 0.18每0.90, p = 0.01, obese: AOR = 0.38 95% CI 0.16每0.91, p = 0.03). Large proportions of women planning a pregnancy have an overweight/obese BMI, with associated suboptimal health behaviors and reduced health professional engagement preconception. Further research exploring women＊s perspectives regarding preconception lifestyles is needed to inform effective preconception health promotion strategies
%K preconception
%K risk perception
%K health behaviors
%K body mass index
%K women＊s health
%K pregnancy intention
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521092/