title: Baseline Demographic, Anthropometric, Psychosocial, and Behavioral Characteristics of Rural, Southern Women in Early Pregnancy.
abstract: Objectives Beginning life in a healthy uterine environment is essential for future well-being, particularly as it relates to chronic disease risk. Baseline (early pregnancy) demographic, anthropometric (height and weight), psychosocial (depression and perceived stress), and behavioral (diet and exercise) characteristics of rural, Southern, pregnant women enrolled in a maternal, infant, and early childhood home visiting program are described. Methods Participants included 82 women early in their second trimester of pregnancy and residing in three Lower Mississippi Delta counties in the United States. Baseline data were collected through direct measurement and surveys. Results Participants were primarily African American (96 %), young (mean age = 23 years), single (93 %), and received Medicaid (92 %). Mean gestational age was 18 weeks, 67 % of participants were overweight or obese before becoming pregnant, and 16 % tested positive for major depression. Participants were sedentary (mean minutes of moderate intensity physical activity/week = 30), had low diet quality (mean Healthy Eating Index-2010 total score = 43 points), with only 38, 4, and 7 % meeting recommendations for saturated fat, fiber, and sodium intakes, respectively. Conclusions for Practice In the Lower Mississippi Delta, there is a need for interventions that are designed to help women achieve optimal GWG by improving their diet quality and increasing the amount of physical activity performed during pregnancy. Researchers also should consider addressing barriers to changing health behaviors during pregnancy that may be unique to this region of the United States.
authors.affiliation: United States Department of Agriculture, Agricultural Research Service, 141 Experiment Station Road, Stoneville, MS, 38776, USA. jessica.thomson@ars.usda.gov.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Thomson
authors.affiliation: Department of Medicine and Cancer Center, University of Illinois at Chicago, 1747 W Roosevelt Road, #416, Chicago, IL, 60608, USA.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Tussing-Humphreys
authors.affiliation: United States Department of Agriculture, Agricultural Research Service, 141 Experiment Station Road, Stoneville, MS, 38776, USA.
authors.forename: Melissa H
authors.initials: MH
authors.lastname: Goodman
authors.affiliation: Department of Medicine and Cancer Center, University of Illinois at Chicago, 1747 W Roosevelt Road, #416, Chicago, IL, 60608, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Olender
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003865:Major Depressive Disorder; D004032:Diet; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008922:Mississippi; D011247:Pregnancy; D037841:Pregnant People / Q000208:ethnology* / Q000523:psychology*; D012424:Rural Population; D015430:Weight Gain
keywords: African American; Diet quality; Early pregnancy; Gestational weight gain; Physical activity