Associations between socio-demographic characteristics, reproductive history, lifestyle behaviors, and pre-pregnancy bmi with gestational weight gain among pregnant mothers attending government health clinics in Batu Pahat, Johor /
This cross sectional study aimed to determine the factors associated with gestational weight gain (GWG) among pregnant mothers attending seven selected government health clinics in Batu Pahat, Johor. A total of 207 generally healthy Malaysian pregnant mothers with singleton pregnancy. in second (36....
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|Summary:||This cross sectional study aimed to determine the factors associated with gestational weight gain (GWG) among pregnant mothers attending seven selected government health clinics in Batu Pahat, Johor. A total of 207 generally healthy Malaysian pregnant mothers with singleton pregnancy. in second (36.2%) or third trimester (63.8%) were interviewed. The prevalence of inappropriate GWG was high (73.4%), with 55.0% had inadequate GWG and 18.4% had excessive GWG. About one in four of the respondents (23.7%) had monthly household income less than RM 1500 while another quarter (27.0%) earned more than RM 3000 monthly. Five percent of the respondents exposed to secondhand smoke at home and workplace. Three out of five of respondents were practicing sedentary to light activities while the remaining were having moderate to vigorous activities. Besides bread, cereal, rice and pasta, majority of the respondents did not meet the recommendation serving intake of fruit and vegetable, meat and its alternative as well as milk and dairy products. More than half ofthe respondents (56.5%) were in normal weight while 30.5% of them were in overweight or obese prior to pregnancy. Respondents with household income less than RM 1500/month were associated with experiencing excessive GWG (26.6%) while those earned more than RM 3500lmonth were associated with gaining weight inadequately (64.3%) (χ²=9.787, p<0.05). More respondents with inadequate GWG were exposed to secondhand smoke at home and workplace (80.0%) than those exposed themselves at either home or workplace (43.9%) and even not expose at all (60.9%) (χ²=13.606, p<0.05). Respondents engaged in moderate to vigorous activities were associated with experiencing inadequate GWG (64.4%) while practicing sedentary to light activities were associated with gaining weight excessively (23.3%) (χ²=6.539, p<0.05). Higher proportion of respondents who took less than 3 servings of meat and alternatives per day were categorized in inadequate GWG (58.9%) than those took more than this (29.6%) (χ²=10.021, p<0.05). Pre-pregnancy BMI of respondents with inadequate GWG (22.47±3.94 kg/m²) was lower than sufficient (23.64 ± 6.25 kg/m²) and excessive GWG (26.27 ± 6.25 kg/m²) (F=9.534, p< 0.05). In short, about two-third of the pregnant mothers attending government health clinics in Batu Pahat experienced inappropriate GWG with majority had inadequate GWG. Antenatal nutrition care and management should be given earlier to those with factors associated with inappropriate GWG.|
|Physical Description:||105 : ill. ; 30cm.|