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

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-...

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Main Authors: Judith G. M. Jelsma, Karen M. van Leeuwen, Nicolette Oostdam, Christopher Bunn, David Simmons, Gernot Desoye, Rosa Corcoy, Juan M. Adelantado, Alexandra Kautzky-Willer, Jürgen 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 T. Andersen, Frank J. Snoek, Mireille N. M. van Poppel
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2016/3435791
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author Judith G. M. Jelsma
Karen M. van Leeuwen
Nicolette Oostdam
Christopher Bunn
David Simmons
Gernot Desoye
Rosa Corcoy
Juan M. Adelantado
Alexandra Kautzky-Willer
Jürgen 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 T. Andersen
Frank J. Snoek
Mireille N. M. van Poppel
author_facet Judith G. M. Jelsma
Karen M. van Leeuwen
Nicolette Oostdam
Christopher Bunn
David Simmons
Gernot Desoye
Rosa Corcoy
Juan M. Adelantado
Alexandra Kautzky-Willer
Jürgen 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 T. Andersen
Frank J. Snoek
Mireille N. M. van Poppel
author_sort Judith G. M. Jelsma
collection DOAJ
description 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.
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spelling doaj-art-5f59e43ab293403188e52e3c0403b76c2025-08-20T02:35:21ZengWileyJournal of Pregnancy2090-27272090-27352016-01-01201610.1155/2016/34357913435791Beliefs, Barriers, and Preferences of European Overweight Women to Adopt a Healthier Lifestyle in Pregnancy to Minimize Risk of Developing Gestational Diabetes Mellitus: An Explorative StudyJudith G. M. Jelsma0Karen M. van Leeuwen1Nicolette Oostdam2Christopher Bunn3David Simmons4Gernot Desoye5Rosa Corcoy6Juan M. Adelantado7Alexandra Kautzky-Willer8Jürgen Harreiter9Frans Andre van Assche10Roland Devlieger11Dirk Timmerman12David Hill13Peter Damm14Elisabeth R. Mathiesen15Ewa Wender-Ozegowska16Agnieszka Zawiejska17Pablo Rebollo18Annunziata Lapolla19Maria G. Dalfrà20Stefano del Prato21Alessandra Bertolotto22Fidelma Dunne23Dorte M. Jensen24Lise Lotte T. Andersen25Frank J. Snoek26Mireille N. M. van Poppel27Department of Public and Occupational Health, EMGO+-Institute for Health and Care Research, VU University Medical Centre, 1081 BT Amsterdam, NetherlandsDepartment of Health Sciences, Faculty of Earth & Life Sciences, EMGO+-Institute for Health and Care Research, VU University, 1081 BT Amsterdam, NetherlandsDepartment of Public and Occupational Health, EMGO+-Institute for Health and Care Research, VU University Medical Centre, 1081 BT Amsterdam, NetherlandsInstitute of Health and Wellbeing, University of Glasgow, Glasgow G12 8RZ, UKInstitute of Metabolic Science, Addenbrooke’s Hospital, Cambridge CB2 0QQ, UKDepartment of Obstetrics and Gynecology, Medical University of Graz, 8036 Graz, AustriaInstitut de Recerca de l’Hospital de la Santa Creu i Sant Pau, 08026 Barcelona, SpainInstitut de Recerca de l’Hospital de la Santa Creu i Sant Pau, 08026 Barcelona, SpainDivison of Endocrinology and Metabolism, Department of Medicine III, Medical University of Vienna, 1010 Vienna, AustriaDivison of Endocrinology and Metabolism, Department of Medicine III, Medical University of Vienna, 1010 Vienna, AustriaKU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, 3000 Leuven, BelgiumKU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, 3000 Leuven, BelgiumKU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, 3000 Leuven, BelgiumRecherche en Santé Lawson SA, 9552 St. Gallen, SwitzerlandCenter for Pregnant Women with Diabetes, Departments of Endocrinology and Obstetrics, Rigshospitalet, Faculty of Health Sciences, University of Copenhagen, 1165 Copenhagen, DenmarkCenter for Pregnant Women with Diabetes, Departments of Endocrinology and Obstetrics, Rigshospitalet, Faculty of Health Sciences, University of Copenhagen, 1165 Copenhagen, DenmarkMedical Faculty I, Poznan University of Medical Sciences, 61-701 Poznan, PolandMedical Faculty I, Poznan University of Medical Sciences, 61-701 Poznan, PolandBAP Health Outcomes Research SL, 33010 Oviedo, SpainUniversita degli Studi di Padova, 35122 Padova, ItalyUniversita degli Studi di Padova, 35122 Padova, ItalyUniversità di Pisa, 56126 Pisa, ItalyUniversità di Pisa, 56126 Pisa, ItalyNational University of Ireland, Galway, IrelandDepartments of Endocrinology and Gynecology & Obstetrics, Odense University Hospital, 5000 Odense, DenmarkDepartments of Endocrinology and Gynecology & Obstetrics, Odense University Hospital, 5000 Odense, DenmarkDepartment of Medical Psychology, EMGO+-Institute for Health and Care Research, VU University Medical Centre, 1081 BT Amsterdam, NetherlandsDepartment of Public and Occupational Health, EMGO+-Institute for Health and Care Research, VU University Medical Centre, 1081 BT Amsterdam, NetherlandsIntroduction. 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.http://dx.doi.org/10.1155/2016/3435791
spellingShingle Judith G. M. Jelsma
Karen M. van Leeuwen
Nicolette Oostdam
Christopher Bunn
David Simmons
Gernot Desoye
Rosa Corcoy
Juan M. Adelantado
Alexandra Kautzky-Willer
Jürgen 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 T. Andersen
Frank J. Snoek
Mireille N. M. van Poppel
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
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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url http://dx.doi.org/10.1155/2016/3435791
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