Factors Associated With Gestational Weight Gain Among Nurses in Korea

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2025-09-01 DOI:10.1016/j.jogn.2025.06.005

Sook Jung Kang, Woon Young Hwang, Hyunju Dan, Sue Kim, Kwang-Pil Ko

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引用次数: 0

Abstract

Objective

To identify risk factors associated with inadequate and excessive gestational weight gain (GWG) among nurses in Korea.

Design

Secondary analysis of data from the Korea Nurses' Health Study, a nationwide prospective cohort study.

Setting

Online surveys distributed from 2014 to 2023 in Korea.

Participants

Nurses (N = 296) who gave birth in the past year.

Methods

We categorized GWG using guidelines from the Institute of Medicine and conducted bivariate and logistic regression analyses to identify factors associated with inadequate and excessive GWG.

Results

Among participants, 40.2% had inadequate GWG, 36.1% had adequate GWG, and 23.7% had excessive GWG. We found significant differences in GWG based on pre-pregnancy body mass index (BMI) and weekly overtime hours worked. As age increased, the odds of excessive GWG decreased (odds ratio (OR) = 0.89, 95% confidence interval (CI) [0.79, 0.99]), whereas higher levels of fatigue were associated with increased odds (OR = 1.08, 95% CI [1.01, 1.15]) of excessive GWC.

Conclusion

Our study suggests that health care providers should consider ethnicity, pre-pregnancy BMI, overtime work hours, age, and fatigue levels when educating and caring for pregnant nurses. Although the findings reflect a specific maternal population of Korean nurses, they may inform care for similar working women. We recommend that information about GWG be incorporated into prenatal education, visits, checklists, and counseling for women who are pregnant or planning to become pregnant.

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韩国护士孕期体重增加的相关因素

目的：确定韩国护士妊娠期体重增加不足和过度（GWG）相关的危险因素。设计：对韩国护士健康研究的数据进行二次分析，这是一项全国性的前瞻性队列研究。背景：2014年至2023年在韩国进行的在线调查。研究对象：296名近一年内分娩的护士。方法：我们使用医学研究所的指南对GWG进行分类，并进行双变量和逻辑回归分析，以确定与GWG不足和过量相关的因素。结果：40.2%的受试者GWG不足，36.1%的受试者GWG充足，23.7%的受试者GWG过量。我们发现基于孕前体重指数（BMI）和每周加班时间的GWG有显著差异。随着年龄的增长，过度GWG的几率降低(比值比（OR) = 0.89, 95%可信区间（CI）[0.79, 0.99]），而高水平的疲劳与过度GWC的几率增加（OR = 1.08, 95% CI[1.01, 1.15]）相关。结论：我们的研究表明，卫生保健提供者在教育和照顾怀孕护士时应考虑种族、孕前BMI、加班时间、年龄和疲劳程度。虽然研究结果反映了韩国护士的特定产妇群体，但它们可能为类似职业妇女的护理提供参考。我们建议将有关GWG的信息纳入产前教育、访问、检查清单和怀孕或计划怀孕妇女的咨询中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing 医学-妇产科学

CiteScore

3.20

自引率

5.60%

发文量

审稿时长

43 days

期刊介绍： JOGNN is a premier resource for health care professionals committed to clinical scholarship that advances the health care of women and newborns. With a focus on nursing practice, JOGNN addresses the latest research, practice issues, policies, opinions, and trends in the care of women, childbearing families, and newborns. This peer-reviewed scientific and technical journal is highly respected for groundbreaking articles on important - and sometimes controversial - issues. Articles published in JOGNN emphasize research evidence and clinical practice, building both science and clinical applications. JOGNN seeks clinical, policy and research manuscripts on the evidence supporting current best practice as well as developing or emerging practice trends. A balance of quantitative and qualitative research with an emphasis on biobehavioral outcome studies and intervention trials is desired. Manuscripts are welcomed on all subjects focused on the care of women, childbearing families, and newborns.