title: Provider Advice and Women's Intentions to Meet Weight Gain, Physical Activity, and Nutrition Guidelines During Pregnancy.
abstract: To determine the prevalence and accuracy of patient-reported provider advice on weight gain, physical activity, and nutrition during prenatal visits and to examine the associations of provider advice with women's behavioral intentions toward weight gain, physical activity, and nutrition.
  
  
  
  A mixed-methods study design was used to assess patient-report of provider advice and health intentions in women between 20 and 30 weeks gestation (n = 188). Bivariate analyses examined patient-reported provider advice on weight gain, physical activity, and nutrition with women's behavioral intentions. Linear and logistic regression models examined associations of provider weight gain recommendations with women's intended weight gain.
  
  
  
  Approximately 52 % of women reported provider advice on weight gain, 63 % on physical activity, and 56 % on nutrition. Of those who reported weight gain advice, 79 % cited provider recommendations within the Institute of Medicine guidelines, 9 % below, and 11 % above. Patient-report of provider advice on physical activity and nutrition were consistent with guidelines, but limited in scope. Provider advice (yes/no) was significantly associated with women's intentions to meet physical activity (p = 0.01) and nutrition (p = 0.02), but not weight gain guidelines (p = 0.86). Provider recommended weight gain (pounds) was significantly associated with women's intended weight gain in linear and logistic regression models.
  
  
  
  A large percentage of women report receiving no advice from providers on weight gain, physical activity or nutrition during pregnancy. Of those who receive advice, most report recommendations consistent with current guidelines. Provider advice was associated with women's weight gain, physical activity, and nutrition intentions in pregnancy.
authors.affiliation: Division of Epidemiology and Community Health, University of Minnesota, 1300 S 2nd Street, Suite 300, Minneapolis, MN, 55454, USA. whitaker@umn.edu.
authors.forename: Kara M
authors.initials: KM
authors.lastname: Whitaker
authors.affiliation: Department of Exercise Science, University of South Carolina, Columbia, SC, USA.|Prevention Research Center, University of South Carolina, Columbia, SC, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Wilcox
authors.affiliation: Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA.
authors.forename: Jihong
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Exercise Science, University of South Carolina, Columbia, SC, USA.|Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA.
authors.forename: Steven N
authors.initials: SN
authors.lastname: Blair
authors.affiliation: Department of Exercise Science, University of South Carolina, Columbia, SC, USA.
authors.forename: Russell R
authors.initials: RR
authors.lastname: Pate
mesh_terms: D000328:Adult; D003376:Counseling; D015444:Exercise / Q000523:psychology*; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D018673:Nutrition Policy; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011247:Pregnancy; D037841:Pregnant People / Q000208:ethnology* / Q000523:psychology; D011295:Prenatal Care / Q000379:methods*; D011795:Surveys and Questionnaires; D015430:Weight Gain
keywords: Nutrition; Physical activity; Pregnancy; Provider advice; Weight gain