Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes

Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Method...

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Main Authors: Avery, Amanda, Hillier, Sarah, Pallister, Carolyn, Barber, Jennifer, Lavin, Jacquie
Format: Article
Published: Mark Allen Healthcare 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/38692/
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author Avery, Amanda
Hillier, Sarah
Pallister, Carolyn
Barber, Jennifer
Lavin, Jacquie
author_facet Avery, Amanda
Hillier, Sarah
Pallister, Carolyn
Barber, Jennifer
Lavin, Jacquie
author_sort Avery, Amanda
building Nottingham Research Data Repository
collection Online Access
description Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Methods: online survey using quantitative questions to determine motivation and lifestyle behaviours related to post-natal weight management in women attending a commercial weight management organisation. Weekly weights confirmed from digitally recorded data. Results: 1015 responded. Mean joining BMI was 33.3kg/m2 ± 5.85 and when surveyed 30.5kg/m2 ± 5.86, a change of -2.8 ± 0.1 kg/m² (p <0.01, 95% CI 2.76 – 3.11). 463 (45.7%) joined the groups between 6-26 weeks postnatal. Main motivators to lose weight were ‘to improve how I feel about my body size and shape’ (85.2%) and ‘improve self-confidence’ (76.6%) although only ‘to improve my health’ (65.6%) correlated with actual weight loss (0.114, p<0.01). Healthcare professional recommendation was less of a reason (6.5%). Improvements in self-confidence (77.6%), self-esteem (78.6%), wellbeing (85.2%) and body size/shape (70.1%) were reported. Conclusion: Women chose to engage to improve self-confidence, feelings about their body shape and health. There is an opportunity for healthcare professionals to encourage women early after giving birth to engage in weight loss and this may improve outcomes.
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spelling nottingham-386922024-08-15T15:21:05Z https://eprints.nottingham.ac.uk/38692/ Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes Avery, Amanda Hillier, Sarah Pallister, Carolyn Barber, Jennifer Lavin, Jacquie Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Methods: online survey using quantitative questions to determine motivation and lifestyle behaviours related to post-natal weight management in women attending a commercial weight management organisation. Weekly weights confirmed from digitally recorded data. Results: 1015 responded. Mean joining BMI was 33.3kg/m2 ± 5.85 and when surveyed 30.5kg/m2 ± 5.86, a change of -2.8 ± 0.1 kg/m² (p <0.01, 95% CI 2.76 – 3.11). 463 (45.7%) joined the groups between 6-26 weeks postnatal. Main motivators to lose weight were ‘to improve how I feel about my body size and shape’ (85.2%) and ‘improve self-confidence’ (76.6%) although only ‘to improve my health’ (65.6%) correlated with actual weight loss (0.114, p<0.01). Healthcare professional recommendation was less of a reason (6.5%). Improvements in self-confidence (77.6%), self-esteem (78.6%), wellbeing (85.2%) and body size/shape (70.1%) were reported. Conclusion: Women chose to engage to improve self-confidence, feelings about their body shape and health. There is an opportunity for healthcare professionals to encourage women early after giving birth to engage in weight loss and this may improve outcomes. Mark Allen Healthcare 2016-11-11 Article PeerReviewed Avery, Amanda, Hillier, Sarah, Pallister, Carolyn, Barber, Jennifer and Lavin, Jacquie (2016) Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes. British Journal of Midwifery, 24 (11). pp. 806-812. ISSN 2052-4307 obesity weight management pregnant postnatal http://www.magonlinelibrary.com/doi/abs/10.12968/bjom.2016.24.11.806 doi:10.12968/bjom.2016.24.11.806 doi:10.12968/bjom.2016.24.11.806
spellingShingle obesity
weight management
pregnant
postnatal
Avery, Amanda
Hillier, Sarah
Pallister, Carolyn
Barber, Jennifer
Lavin, Jacquie
Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes
title Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes
title_full Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes
title_fullStr Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes
title_full_unstemmed Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes
title_short Factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes
title_sort factors influencing engagement in postnatal weight management and subsequent weight and well-being outcomes
topic obesity
weight management
pregnant
postnatal
url https://eprints.nottingham.ac.uk/38692/
https://eprints.nottingham.ac.uk/38692/
https://eprints.nottingham.ac.uk/38692/