Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus: An Explorative Study

Judith G M Jelsma; Karen M. Van Leeuwen; Nicolette Oostdam; Christopher Bunn; David Simmons; Gernot Desoye; Rosa Corcoy; Juan M Adelantado; Alexandra Kautzky-Willer; Jurgen Harreiter; Frans Andre Van Assche; Roland Devlieger; Dirk Timmerman; David Hill; Peter Damm; Elisabeth R. Mathiesen; Ewa Wender-Ozegowska; Agnieszka Zawiejska; Pablo Rebollo; Annunziata Lapolla; Maria G Dalfrà; Stefano Del Prato; Alessandra Bertolotto; Fidelma Dunne; Dorte M. Jensen; Lise Lotte Torvin Andersen; Frank J Snoek; Mireille N M van Poppel

doi:10.1155/2016/3435791

Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus: An Explorative Study

Judith G M Jelsma^*, Karen M. Van Leeuwen, Nicolette Oostdam, Christopher Bunn, David Simmons, Gernot Desoye, Rosa Corcoy, Juan M Adelantado, Alexandra Kautzky-Willer, Jurgen Harreiter, Frans Andre Van Assche, Roland Devlieger, Dirk Timmerman, David Hill, Peter Damm, Elisabeth R. Mathiesen, Ewa Wender-Ozegowska, Agnieszka Zawiejska, Pablo Rebollo, Annunziata LapollaMaria G Dalfrà, Stefano Del Prato, Alessandra Bertolotto, Fidelma Dunne, Dorte M. Jensen, Lise Lotte Torvin Andersen, Frank J Snoek, Mireille N M van Poppel

^*Corresponding author for this work

Department of Clinical Medicine

20 Citations (Scopus)

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Abstract

Introduction. We explored beliefs, perceived barriers, and preferences regarding lifestyle changes among overweight European pregnant women to help inform the development of future lifestyle interventions in the prevention of gestational diabetes mellitus. Methods. An explorative mixed methods, two-staged study was conducted to gather information from pregnant European women (BMI ≥ 25 kg/m²). In three European countries 21 interviews were conducted, followed by 71 questionnaires in six other European countries. Content analysis and descriptive and chi-square statistics were applied (p < 0.05). Results. Women preferred to obtain detailed information about their personal risk. The health of their baby was a major motivating factor. Perceived barriers for physical activity included pregnancy-specific issues such as tiredness and experiencing physical complaints. Insufficient time was a barrier more frequently reported by women with children. Abstaining from snacking was identified as a challenge for the majority of women, especially for those without children. Women preferred to obtain support from their partner, as well as health professionals and valued flexible lifestyle programs. Conclusions. Healthcare professionals need to inform overweight pregnant women about their personal risk, discuss lifestyle modification, and assist in weight management. Lifestyle programs should be tailored to the individual, taking into account barriers experienced by overweight first-time mothers and multipara women.

Original language	English
Article number	3435791
Journal	Journal of Pregnancy
Volume	2016
Number of pages	11
ISSN	2090-2727
DOIs	https://doi.org/10.1155/2016/3435791
Publication status	Published - 2016

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Jelsma, J. G. M., Van Leeuwen, K. M., Oostdam, N., Bunn, C., Simmons, D., Desoye, G., Corcoy, R., Adelantado, J. M., Kautzky-Willer, A., Harreiter, J., Van Assche, F. A., Devlieger, R., Timmerman, D., Hill, D., Damm, P., Mathiesen, E. R., Wender-Ozegowska, E., Zawiejska, A., Rebollo, P., ... van Poppel, M. N. M. (2016). Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus: An Explorative Study. Journal of Pregnancy, 2016, Article 3435791. https://doi.org/10.1155/2016/3435791

Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus: An Explorative Study. / Jelsma, Judith G M; Van Leeuwen, Karen M.; Oostdam, Nicolette et al.
In: Journal of Pregnancy, Vol. 2016, 3435791, 2016.

Research output: Contribution to journal › Journal article › Research › peer-review

Jelsma, JGM, Van Leeuwen, KM, Oostdam, N, Bunn, C, Simmons, D, Desoye, G, Corcoy, R, Adelantado, JM, Kautzky-Willer, A, Harreiter, J, Van Assche, FA, Devlieger, R, Timmerman, D, Hill, D, Damm, P , Mathiesen, ER, Wender-Ozegowska, E, Zawiejska, A, Rebollo, P, Lapolla, A, Dalfrà, MG, Del Prato, S, Bertolotto, A, Dunne, F, Jensen, DM, Andersen, LLT, Snoek, FJ & van Poppel, MNM 2016, 'Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus: An Explorative Study', Journal of Pregnancy, vol. 2016, 3435791. https://doi.org/10.1155/2016/3435791

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title = "Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus: An Explorative Study",

abstract = "Introduction. We explored beliefs, perceived barriers, and preferences regarding lifestyle changes among overweight European pregnant women to help inform the development of future lifestyle interventions in the prevention of gestational diabetes mellitus. Methods. An explorative mixed methods, two-staged study was conducted to gather information from pregnant European women (BMI ≥ 25 kg/m2). In three European countries 21 interviews were conducted, followed by 71 questionnaires in six other European countries. Content analysis and descriptive and chi-square statistics were applied (p < 0.05). Results. Women preferred to obtain detailed information about their personal risk. The health of their baby was a major motivating factor. Perceived barriers for physical activity included pregnancy-specific issues such as tiredness and experiencing physical complaints. Insufficient time was a barrier more frequently reported by women with children. Abstaining from snacking was identified as a challenge for the majority of women, especially for those without children. Women preferred to obtain support from their partner, as well as health professionals and valued flexible lifestyle programs. Conclusions. Healthcare professionals need to inform overweight pregnant women about their personal risk, discuss lifestyle modification, and assist in weight management. Lifestyle programs should be tailored to the individual, taking into account barriers experienced by overweight first-time mothers and multipara women.",

author = "Jelsma, {Judith G M} and {Van Leeuwen}, {Karen M.} and Nicolette Oostdam and Christopher Bunn and David Simmons and Gernot Desoye and Rosa Corcoy and Adelantado, {Juan M} and Alexandra Kautzky-Willer and Jurgen Harreiter and {Van Assche}, {Frans Andre} and Roland Devlieger and Dirk Timmerman and David Hill and Peter Damm and Mathiesen, {Elisabeth R.} and Ewa Wender-Ozegowska and Agnieszka Zawiejska and Pablo Rebollo and Annunziata Lapolla and Dalfr{\`a}, {Maria G} and {Del Prato}, Stefano and Alessandra Bertolotto and Fidelma Dunne and Jensen, {Dorte M.} and Andersen, {Lise Lotte Torvin} and Snoek, {Frank J} and {van Poppel}, {Mireille N M}",

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doi = "10.1155/2016/3435791",

language = "English",

volume = "2016",

journal = "Journal of Pregnancy",

issn = "2090-2727",

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T1 - Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus

T2 - An Explorative Study

AU - Jelsma, Judith G M

AU - Van Leeuwen, Karen M.

AU - Oostdam, Nicolette

AU - Bunn, Christopher

AU - Simmons, David

AU - Desoye, Gernot

AU - Corcoy, Rosa

AU - Adelantado, Juan M

AU - Kautzky-Willer, Alexandra

AU - Harreiter, Jurgen

AU - Van Assche, Frans Andre

AU - Devlieger, Roland

AU - Timmerman, Dirk

AU - Hill, David

AU - Damm, Peter

AU - Mathiesen, Elisabeth R.

AU - Wender-Ozegowska, Ewa

AU - Zawiejska, Agnieszka

AU - Rebollo, Pablo

AU - Lapolla, Annunziata

AU - Dalfrà, Maria G

AU - Del Prato, Stefano

AU - Bertolotto, Alessandra

AU - Dunne, Fidelma

AU - Jensen, Dorte M.

AU - Andersen, Lise Lotte Torvin

AU - Snoek, Frank J

AU - van Poppel, Mireille N M

PY - 2016

Y1 - 2016

N2 - Introduction. We explored beliefs, perceived barriers, and preferences regarding lifestyle changes among overweight European pregnant women to help inform the development of future lifestyle interventions in the prevention of gestational diabetes mellitus. Methods. An explorative mixed methods, two-staged study was conducted to gather information from pregnant European women (BMI ≥ 25 kg/m2). In three European countries 21 interviews were conducted, followed by 71 questionnaires in six other European countries. Content analysis and descriptive and chi-square statistics were applied (p < 0.05). Results. Women preferred to obtain detailed information about their personal risk. The health of their baby was a major motivating factor. Perceived barriers for physical activity included pregnancy-specific issues such as tiredness and experiencing physical complaints. Insufficient time was a barrier more frequently reported by women with children. Abstaining from snacking was identified as a challenge for the majority of women, especially for those without children. Women preferred to obtain support from their partner, as well as health professionals and valued flexible lifestyle programs. Conclusions. Healthcare professionals need to inform overweight pregnant women about their personal risk, discuss lifestyle modification, and assist in weight management. Lifestyle programs should be tailored to the individual, taking into account barriers experienced by overweight first-time mothers and multipara women.

AB - Introduction. We explored beliefs, perceived barriers, and preferences regarding lifestyle changes among overweight European pregnant women to help inform the development of future lifestyle interventions in the prevention of gestational diabetes mellitus. Methods. An explorative mixed methods, two-staged study was conducted to gather information from pregnant European women (BMI ≥ 25 kg/m2). In three European countries 21 interviews were conducted, followed by 71 questionnaires in six other European countries. Content analysis and descriptive and chi-square statistics were applied (p < 0.05). Results. Women preferred to obtain detailed information about their personal risk. The health of their baby was a major motivating factor. Perceived barriers for physical activity included pregnancy-specific issues such as tiredness and experiencing physical complaints. Insufficient time was a barrier more frequently reported by women with children. Abstaining from snacking was identified as a challenge for the majority of women, especially for those without children. Women preferred to obtain support from their partner, as well as health professionals and valued flexible lifestyle programs. Conclusions. Healthcare professionals need to inform overweight pregnant women about their personal risk, discuss lifestyle modification, and assist in weight management. Lifestyle programs should be tailored to the individual, taking into account barriers experienced by overweight first-time mothers and multipara women.

U2 - 10.1155/2016/3435791

DO - 10.1155/2016/3435791

M3 - Journal article

C2 - 26885396

AN - SCOPUS:84962897517

SN - 2090-2727

VL - 2016

JO - Journal of Pregnancy

JF - Journal of Pregnancy

M1 - 3435791

ER -

Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus: An Explorative Study

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