Beyond BMI: Pregnancy-related Weight Stigma Increases Risk of Gestational Diabetes

Overview

Journal Prim Care Diabetes

Publisher Elsevier

Specialties Endocrinology
Public Health

Date 2021 Jul 19

PMID 34275770

Citations 8

Authors

Taniya S Nagpal

A Janet Tomiyama

Angela C Incollingo Rodriguez

Affiliations

Soon will be listed here.

Abstract

The objective of this research brief was to assess if prenatal weight stigma is a predictive factor for perinatal complications compared to pre-pregnancy body mass index (BMI). Data were assessed from 358 women. Results indicated weight stigma concerns increased the odds of gestational diabetes, with a stronger association than BMI.

Citing Articles

Experiencing weight stigma during childbirth increases the odds of cesarean birth.

Schwenk R, Wyss C, Aubry E BMC Pregnancy Childbirth. 2025; 25(1):191.

PMID: 39984947 PMC: 11846236. DOI: 10.1186/s12884-025-07251-6.

Prenatal weight stigma can affect relationship quality and maternal health outcomes.

Nagpal T, Incollingo Rodriguez A BMC Pregnancy Childbirth. 2024; 24(1):678.

PMID: 39425073 PMC: 11488195. DOI: 10.1186/s12884-024-06859-4.

Presentation of a weight bias internalization tool for use in pregnancy and a call for future research: A commentary.

Nagpal T, Pearce N, Adamo K Obes Pillars. 2024; 10:100107.

PMID: 38524875 PMC: 10957497. DOI: 10.1016/j.obpill.2024.100107.

Moderation of associations between weight discrimination and diabetes status by psychosocial factors.

Finch L, Hawkley L, Schumm L, Iveniuk J, McClintock M, Huang E J Behav Med. 2023; 47(2):244-254.

PMID: 37946026 PMC: 11017919. DOI: 10.1007/s10865-023-00454-2.

Experiences of stigma, psychological distress, and facilitative coping among pregnant people with gestational diabetes mellitus.

Sun S, Pellowski J, Pisani C, Pandey D, Go M, Chu M BMC Pregnancy Childbirth. 2023; 23(1):643.

PMID: 37679726 PMC: 10486063. DOI: 10.1186/s12884-023-05949-z.

References

Wharton S, Lau D, Vallis M, Sharma A, Biertho L, Campbell-Scherer D . Obesity in adults: a clinical practice guideline. CMAJ. 2020; 192(31):E875-E891. PMC: 7828878. DOI: 10.1503/cmaj.191707. View

Kc K, Shakya S, Zhang H . Gestational diabetes mellitus and macrosomia: a literature review. Ann Nutr Metab. 2015; 66 Suppl 2:14-20. DOI: 10.1159/000371628. View

Freitas I, Hintz M, Orth L, Rosa T, Moehlecke Iser B, Psendziuk C . Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes. Rev Bras Ginecol Obstet. 2019; 41(11):647-653. PMC: 10316814. DOI: 10.1055/s-0039-1696947. View

Giannakou K, Evangelou E, Yiallouros P, Christophi C, Middleton N, Papatheodorou E . Risk factors for gestational diabetes: An umbrella review of meta-analyses of observational studies. PLoS One. 2019; 14(4):e0215372. PMC: 6474596. DOI: 10.1371/journal.pone.0215372. View

Hunger J, Major B . Weight stigma mediates the association between BMI and self-reported health. Health Psychol. 2014; 34(2):172-5. PMC: 4308542. DOI: 10.1037/hea0000106. View

Minschart C, De Weerdt K, Elegeert A, Van Crombrugge P, Moyson C, Verhaeghe J . Antenatal Depression and Risk of Gestational Diabetes, Adverse Pregnancy Outcomes, and Postpartum Quality of Life. J Clin Endocrinol Metab. 2021; 106(8):e3110-e3124. DOI: 10.1210/clinem/dgab156. View

Tomiyama A, Carr D, Granberg E, Major B, Robinson E, Sutin A . How and why weight stigma drives the obesity 'epidemic' and harms health. BMC Med. 2018; 16(1):123. PMC: 6092785. DOI: 10.1186/s12916-018-1116-5. View

Himmelstein M, Puhl R . At multiple fronts: Diabetes stigma and weight stigma in adults with type 2 diabetes. Diabet Med. 2020; 38(1):e14387. DOI: 10.1111/dme.14387. View

Nagpal T, Salas X, Vallis M, Piccinini-Vallis H, Adamo K, Alberga A . Coming Soon: An Internalized Weight Bias Assessment Scale for Use During Pregnancy. Obesity (Silver Spring). 2021; 29(5):788-789. DOI: 10.1002/oby.23169. View

10.

Pearl R, Puhl R . Measuring internalized weight attitudes across body weight categories: validation of the modified weight bias internalization scale. Body Image. 2013; 11(1):89-92. DOI: 10.1016/j.bodyim.2013.09.005. View

11.

Incollingo Rodriguez A, Dunkel Schetter C, Brewis A, Tomiyama A . The psychological burden of baby weight: Pregnancy, weight stigma, and maternal health. Soc Sci Med. 2019; 235:112401. DOI: 10.1016/j.socscimed.2019.112401. View

12.

Pearl R, Wadden T, Hopkins C, Shaw J, Hayes M, Bakizada Z . Association between weight bias internalization and metabolic syndrome among treatment-seeking individuals with obesity. Obesity (Silver Spring). 2017; 25(2):317-322. PMC: 5300503. DOI: 10.1002/oby.21716. View

13.

Incollingo Rodriguez A, Tomiyama A, Guardino C, Dunkel Schetter C . Association of weight discrimination during pregnancy and postpartum with maternal postpartum health. Health Psychol. 2019; 38(3):226-237. DOI: 10.1037/hea0000711. View

14.

Puhl R, Suh Y . Health Consequences of Weight Stigma: Implications for Obesity Prevention and Treatment. Curr Obes Rep. 2015; 4(2):182-90. DOI: 10.1007/s13679-015-0153-z. View