title: Perception of weight status and its impact on gestational weight gain in an urban population.
abstract: To examine the association between actual and perceived overweight/obese status and excess gestational weight gain (GWG). As part of an infant feeding trial, multi-ethnic lower and moderate income women-completed a checklist of current health conditions, including "overweight/obesity," "asthma," and "hypertension" while pregnant. Odds of excessive GWG per the Institute of Medicine guidelines in 'accurate' versus 'inaccurate' reporters, by overweight status were analyzed with multivariate logistic regression for women with pre-or early pregnancy BMIs of ≥18.5. 775 women met study criteria. Just 21 % (n = 107) of overweight/obese women accurately identified their weight status, compared to >90 % accurate report of documented hypertension or asthma. Compared to normal-weight accurate reporters, the adjusted odds of excessive GWG in overweight/obese women was 2.3 (95 % CI 1.4, 3.7) in accurate reporters, and 2.5 (95 % CI 1.7, 3.4) in inaccurate reporters. Overweight/obesity is associated with excessive GWG, but this risk is not modified by inaccurate reporting/perception of weight-status.
authors: Department of Obstetrics and Gynecology, Maternal-Fetal Care Center, NYU Langone Medical Center, 150 East 32nd St., Suite 101, New York, NY, 10016, USA, shilpi.mehta-lee@nyumc.org.
authors: Shilpi S
authors: SS
authors: Mehta-Lee
authors: Jennifer L
authors: JL
authors: Lischewski Goel
authors: Linzhi
authors: L
authors: Xu
authors: Mindy R
authors: MR
authors: Brittner
authors: Peter S
authors: PS
authors: Bernstein
authors: Karen A
authors: KA
authors: Bonuck
mesh_terms: D000328:Adult; D001828:Body Image; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D005865:Gestational Age; D006801:Humans; D016015:Logistic Models; D009765:Obesity / Q000150:complications / Q000453:epidemiology*; D050177:Overweight / Q000150:complications / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D012307:Risk Factors; D014481:United States; D014505:Urban Population / Q000706:statistics & numerical data*; D015430:Weight Gain; D055815:Young Adult