Association Between Body Image Before and During Pregnancy and Gestational Weight Gain in Japanese Women: A Prospective Cohort Study

Shiraishi, Mie; Kurashima, Yuki; Harada, Rio

Maternal and Child Health Journal, 2023, 28, 708-718

Number of Access:234（2025-07-26 11:30 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/93407

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Title
Association Between Body Image Before and During Pregnancy and Gestational Weight Gain in Japanese Women: A Prospective Cohort Study
Creator
NRID
1000050632220 1000050632220
researchmap permalink
012345678 012345678
Scopus Author ID
55082942600 55082942600
CreatorName
Shiraishi, Mie
CreatorName
Kurashima, Yuki
CreatorName
Harada, Rio
Subject
Body dissatisfaction
Body shape perception
Dietary restriction
Pregnancy
Weight gain
Description
The version of record of this article, first published in Maternal and Child Health Journal, is available online at Publisher’s website: https://doi.org/10.1007/s10995-023-03854-7
Abstract
Objectives: More than half of women do not achieve appropriate gestational weight gain. Maternal body image may be an important factor associated with gestational weight gain. However, this association has not been thoroughly evaluated. We aimed to elucidate whether body image parameters before and during pregnancy are associated with gestational weight gain in Japanese women. Methods: This prospective cohort study was conducted at a hospital in Osaka, Japan from March 2020 to March 2021. We recruited women with singleton pregnancies in their second and third trimesters. Body image was assessed using the Pregnancy and Weight Gain Attitude Scale and additional questions. Gestational weight gain was classified as insufficient, appropriate, or excessive based on recommended ranges in Japan. One-way analysis of variance, chi-square tests, and multinomial logistic regression analyses were performed to identify factors associated with insufficient or excessive weight gain. Results: Of 266 enrolled women, 47 had insufficient weight gain and 100 had excessive weight gain during pregnancy. Risk factors for excessive gestational weight gain included a history of dietary restriction before pregnancy, negative attitudes toward gestational weight gain, and perception of body shape as fat and body shape dissatisfaction during pregnancy. Perception of body shape as thin during pregnancy was identified as a risk factor for insufficient gestational weight gain. Conclusions: Body image before and during pregnancy may be an important factor in preventing insufficient or excessive gestational weight gain in Japanese women. Healthcare professionals should consider body image when providing health guidance on weight management to pregnant women.
Publisher
Springer
Source Title
Maternal and Child Health Journal
Volume (Issue)
28
Page
708-718
Date of Issued
2023-12-05
Language
English
Handle URL
https://hdl.handle.net/11094/93407
PISSN
10927875
eISSN
15736628
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.1007/s10995-023-03854-7
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version
Version of Record
Category
学術雑誌論文 Journal Article