Healthful Eating Behaviors Among Couples Contribute to Lower Gestational Weight Gain

Overview

Journal Nutrients

Date 2024 Mar 28

PMID 38542733

Authors

Joshua R Sparks

Leanne M Redman

Kimberly L Drews

Clark R Sims

Rebecca A Krukowski

Aline Andres

Affiliations

Soon will be listed here.

Abstract

Through longitudinal analysis from the GLOWING cohort study, we examined the independent and joint relationships between couples' eating behaviors and gestational weight gain (GWG). Pregnant persons (n = 218) and their non-pregnant partners (n = 157) completed an Eating Inventory. GWG was calculated as gestation weight at 36 weeks minus that at 10 weeks. General linear models were used to examine the relationships between GWG and the pregnant persons, non-pregnant partners, and couples (n = 137; mean of pregnant persons and non-pregnant partners) cognitive restraint (range 0-21), dietary disinhibition (range 0-18), and perceived hunger (range 0-14), with higher scores reflecting poorer eating behaviors. The adjusted models included race/ethnicity, education, income, marital status, and age. The pregnant persons and their non-pregnant partners' cognitive restraint, dietary disinhibition, and perceived hunger scores were 9.8 ± 4.7, 4.8 ± 3.2, and 4.4 ± 2.5 and 6.6 ± 4.6, 5.4 ± 3.4, and 4.7 ± 3.2, respectively. Higher cognitive restraint scores among the pregnant persons and couples were positively associated with GWG ( ≤ 0.04 for both). Stratified analyses revealed this was significant for the pregnant persons with overweight ( ≤ 0.04). The non-pregnant partners' eating behaviors alone were not significantly associated with GWG ( ≥ 0.31 for all). The other explored relationships between GWG and the couples' eating behaviors were insignificant ( ≥ 0.12 for all). Among the pregnant persons and couples, reduced GWG may be achieved with higher levels of restrained eating. Involving non-pregnant partners in programs to optimize GWG may be beneficial.

References

Bellisle F, Clement K, Le Barzic M, Le Gall A, Guy-Grand B, Basdevant A . The Eating Inventory and body adiposity from leanness to massive obesity: a study of 2509 adults. Obes Res. 2005; 12(12):2023-30. DOI: 10.1038/oby.2004.253. View

Most J, Dervis S, Haman F, Adamo K, Redman L . Energy Intake Requirements in Pregnancy. Nutrients. 2019; 11(8). PMC: 6723706. DOI: 10.3390/nu11081812. View

Toivonen K, Oinonen K, Duchene K . Preconception health behaviours: A scoping review. Prev Med. 2016; 96:1-15. DOI: 10.1016/j.ypmed.2016.11.022. View

Bagherzadeh R, Gharibi T, Safavi B, Mohammadi S, Karami F, Keshavarz S . Pregnancy; an opportunity to return to a healthy lifestyle: a qualitative study. BMC Pregnancy Childbirth. 2021; 21(1):751. PMC: 8569967. DOI: 10.1186/s12884-021-04213-6. View

Slane J, Levine M . Association of Restraint and Disinhibition to Gestational Weight Gain among Pregnant Former Smokers. Womens Health Issues. 2015; 25(4):390-5. PMC: 4492878. DOI: 10.1016/j.whi.2015.03.005. View

Clark M, Ogden J . The impact of pregnancy on eating behaviour and aspects of weight concern. Int J Obes Relat Metab Disord. 1999; 23(1):18-24. DOI: 10.1038/sj.ijo.0800747. View

Gavard J, Artal R . Gestational weight gain and maternal and neonatal outcomes in term twin pregnancies in obese women. Twin Res Hum Genet. 2014; 17(2):127-33. DOI: 10.1017/thg.2013.91. View

Hedderson M, Gunderson E, Ferrara A . Gestational weight gain and risk of gestational diabetes mellitus. Obstet Gynecol. 2010; 115(3):597-604. PMC: 3180899. DOI: 10.1097/AOG.0b013e3181cfce4f. View

Wang Y, Min J, Khuri J, Li M . A Systematic Examination of the Association between Parental and Child Obesity across Countries. Adv Nutr. 2017; 8(3):436-448. PMC: 5421118. DOI: 10.3945/an.116.013235. View

10.

Stunkard A, Messick S . The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985; 29(1):71-83. DOI: 10.1016/0022-3999(85)90010-8. View

11.

Eberle C, Kirchner M, Herden R, Stichling S . Paternal metabolic and cardiovascular programming of their offspring: A systematic scoping review. PLoS One. 2020; 15(12):e0244826. PMC: 7775047. DOI: 10.1371/journal.pone.0244826. View

12.

Heinonen K . Strengthening Antenatal Care towards a Salutogenic Approach: A Meta-Ethnography. Int J Environ Res Public Health. 2021; 18(10). PMC: 8152723. DOI: 10.3390/ijerph18105168. View

13.

Cappelleri J, Bushmakin A, Gerber R, Leidy N, Sexton C, Lowe M . Psychometric analysis of the Three-Factor Eating Questionnaire-R21: results from a large diverse sample of obese and non-obese participants. Int J Obes (Lond). 2009; 33(6):611-20. DOI: 10.1038/ijo.2009.74. View

14.

Krukowski R, West D, DiCarlo M, Shankar K, Cleves M, Tedford E . A Behavioral Intervention to Reduce Excessive Gestational Weight Gain. Matern Child Health J. 2016; 21(3):485-491. DOI: 10.1007/s10995-016-2127-5. View

15.

Rhodes A, Smith A, Llewellyn C, Croker H . Investigating partner involvement in pregnancy and identifying barriers and facilitators to participating as a couple in a digital healthy eating and physical activity intervention. BMC Pregnancy Childbirth. 2021; 21(1):450. PMC: 8237776. DOI: 10.1186/s12884-021-03917-z. View

16.

Hieronimus B, Ensenauer R . Influence of maternal and paternal pre-conception overweight/obesity on offspring outcomes and strategies for prevention. Eur J Clin Nutr. 2021; 75(12):1735-1744. PMC: 8636250. DOI: 10.1038/s41430-021-00920-7. View

17.

Kebbe M, Flanagan E, Sparks J, Redman L . Eating Behaviors and Dietary Patterns of Women during Pregnancy: Optimizing the Universal 'Teachable Moment'. Nutrients. 2021; 13(9. PMC: 8471126. DOI: 10.3390/nu13093298. View

18.

Dimofski P, Meyre D, Dreumont N, Leininger-Muller B . Consequences of Paternal Nutrition on Offspring Health and Disease. Nutrients. 2021; 13(8). PMC: 8400857. DOI: 10.3390/nu13082818. View

19.

Gilmore L, Ravussin E, Bray G, Han H, Redman L . An objective estimate of energy intake during weight gain using the intake-balance method. Am J Clin Nutr. 2014; 100(3):806-12. PMC: 4135491. DOI: 10.3945/ajcn.114.087122. View

20.

Davidson K, Barry M, Mangione C, Cabana M, Caughey A, Davis E . Behavioral Counseling Interventions for Healthy Weight and Weight Gain in Pregnancy: US Preventive Services Task Force Recommendation Statement. JAMA. 2021; 325(20):2087-2093. DOI: 10.1001/jama.2021.6949. View