Greater nutrition knowledge is associated with lower 1-year postpartum weight retention in low-income women.
The purpose of this study was to assess nutrition knowledge during early and late postpartum in a sample of low-income and minority women, and to determine if that knowledge had any relationship to weight retention at 1-year postpartum. A questionnaire was developed and validated in a sample of 151 low-income new mothers. This instrument was then administered to a separate sample of mothers (n=140) of similar demographics to assess nutrition knowledge at 0 to 1 days and 12 months postpartum. In addition, a survey of nutrition information sources was administered at both time points. Nutrition knowledge was compared with 12-month postpartum weight retention and demographic variables. Women who retained less than 5% of weight gained during pregnancy had greater knowledge of nutrition at 0 months (53% vs 49%, P<0.05) and 12 months (55% vs 51%, P<0.05) than those who retained 5% or more of weight gained during pregnancy. Whites had higher nutrition knowledge scores than non-Hispanic blacks and Hispanics. Women who lactated 6 months or more had more knowledge than those who lactated less than 6 months. Higher knowledge test scores were observed among women who used the Internet and books/magazines as their source for information. These results indicate that assessment of nutrition knowledge in early postpartum can identify women at risk for significant weight retention.
Nuss
Henry
H
University of Texas at Austin, USA. hnuss@spa.ars.usda.gov
Freeland-Graves
Jeanne
J
Clarke
Kristine
K
Klohe-Lehman
Deborah
D
Milani
Tracey J
TJ
D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D001835:Body Weight / Q000502:physiology; D001942:Breast Feeding / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology*; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008913:Minority Groups / Q000523:psychology; D009035:Mothers / Q000523:psychology*; D009747:Nutritional Physiological Phenomena; D052756:Nutritional Sciences / Q000193:education; D009765:Obesity / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control / Q000523:psychology*; D049590:Postpartum Period; D011203:Poverty; D011247:Pregnancy; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D015431:Weight Loss