ArticleThe Australasian medical journal2013
Enablers of and barriers to making healthy change during pregnancy in overweight and obese women.
Article in The Australasian medical journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.
- Influence of prenatal aquatic activities on fetal outcomes and maternal physical and mental outcomes: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Further development and (cost-)effectiveness of the Smarter Pregnancy lifestyle program tailored for pregnant women with obesity (HYGEIA trial).BMC pregnancy and childbirth · 2026Trial
- Effect of Evidence-Based Materials and Access to Local Resources on Physical Activity Levels, Beliefs, and Motivation During Pregnancy in a Rural Setting.Journal of physical activity & health · 2020Trial
- Water Exercise and Quality of Life in Pregnancy: A Randomised Clinical Trial.International journal of environmental research and public health · 2020Trial
- Influence of a Water-Based Exercise Program in the Rate of Spontaneous Birth: A Randomized Clinical Trial.International journal of environmental research and public health · 2020Trial
- Changes in fruit and vegetable consumption habits from pre-pregnancy to early pregnancy among Norwegian women.BMC pregnancy and childbirth · 2017Trial
- A Digital Lifestyle App for Hypertension During Pregnancy: Mixed Methods Intervention Development Study Using the Person-Based Approach.JMIR formative research · 2025Article
- Diet intake and adherence to recommendations in women with gestational diabetes mellitus.European journal of clinical nutrition · 2025Article
- Socio-economic contextual determinants and behavioral changes during pregnancy: evidence from the "MAMI-MED" cohort.Population health metrics · 2025Article
- Pilates exercise in pregnancy: a systematic review and meta-analysis.BMC sports science, medicine & rehabilitation · 2025Article
- Pregnant Women's Experiences With a Collaborative Midwife-Dietitian Empowerment Programme to Improve Diet Quality.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Women's experience of body weight management during and post-pregnancy: a mixed methods approach.BMC pregnancy and childbirth · 2024Article
- Experiences of Physical Activity, Healthy Eating and Quality of Life During and Following Pregnancy in Overweight and Obese Postpartum Women.Maternal and child health journal · 2023Article
- Identifying barriers, facilitators, and interventions to support healthy eating in pregnant women with or at risk for hypertensive disorders of pregnancy.Cardiovascular digital health journal · 2022Article
- Exercise and Physical Activity Levels and Associated Factors Among High-Risk Pregnant Women.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022Article
- Reflections and Challenges of Pregnant and Postpartum Participant Recruitment in the Context of the Opioid Epidemic.Maternal and child health journal · 2021Article
- Association between food insecurity and emotional eating in Latinos and the mediating role of perceived stress.Public health nutrition · 2020Article
- Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research.PloS one · 2020Article
- It takes a community to conceive: an analysis of the scope, nature and accuracy of online sources of health information for couples trying to conceive.Reproductive biomedicine & society online · 2019Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh Body Mass Index (BMI) during pregnancy is associated with an increased risk of adverse health outcomes. Making healthy change during pregnancy is beneficial, especially for overweight and obese women.
aimsThe aim of this study was to explore the barriers and enablers identified by overweight and obese women that preclude and facilitate making healthy change during pregnancy.
methodTwenty-six women who were overweight or obese during pregnancy were interviewed at 28 weeks gestational age. Interviews were transcribed verbatim and the analysis is based on the thematic analysis methodology.
resultsThe core concept of "being pregnant" indicated women consider this specific time as both a reason not to make healthy change as well as a motivation for change. Overweight and obese women cited the following barriers to making healthy change during pregnancy: physiological (e.g. pregnancy complications and tiredness); emotional (e.g. preference and mood); cognitive (e.g. lack knowledge); interpersonal (e.g. lack support); and environmental (e.g. availability of healthy choice). Similar enablers were identified by overweight and obese women: physiological (e.g. relief of pregnancy symptoms); emotional (e.g. approval and commitment); cognitive (e.g. knowledge and belief); interpersonal (e.g. family support); and environmental (e.g. help from others). More barriers than enablers were given, indicating that women were more sensitive to barriers than the enablers for making healthy change. Factors viewed by some women as barriers were viewed as enablers by others.
conclusionWhen designing interventions to promote healthy eating and physical activity during pregnancy, individually focused interventions must be implemented in conjunction with environmental-level interventions to facilitate behaviour change.
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Registered trials
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