{"id":"https://openalex.org/W2954677201","doi":"https://doi.org/10.1249/01.mss.0000560867.85791.e6","title":"Provider Advice on Weight Gain, Physical Activity, and Healthy Eating in Twin Pregnancies","display_name":"Provider Advice on Weight Gain, Physical Activity, and Healthy Eating in Twin Pregnancies","publication_year":2019,"publication_date":"2019-06-01","ids":{"openalex":"https://openalex.org/W2954677201","doi":"https://doi.org/10.1249/01.mss.0000560867.85791.e6","mag":"2954677201"},"language":"en","primary_location":{"id":"doi:10.1249/01.mss.0000560867.85791.e6","doi":"https://doi.org/10.1249/01.mss.0000560867.85791.e6","is_oa":false,"landing_page_url":"https://doi.org/10.1249/01.mss.0000560867.85791.e6","pdf_url":null,"source":{"id":"https://openalex.org/S14544163","display_name":"Medicine & Science in Sports & Exercise","issn_l":"0195-9131","issn":["0195-9131","1530-0315"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine &amp; Science in Sports &amp; Exercise","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072112714","display_name":"Kara M. Whitaker","orcid":"https://orcid.org/0000-0003-2343-4162","observed_orcids":["https://orcid.org/0000-0003-2343-4162"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kara M. Whitaker","raw_affiliation_strings":["University of Iowa, Iowa City, IA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Iowa, Iowa City, IA","institution_ids":["https://openalex.org/I126307644"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049449676","display_name":"Meghan Baruth","orcid":"https://orcid.org/0000-0002-5784-113X","observed_orcids":["https://orcid.org/0000-0002-5784-113X"]},"institutions":[{"id":"https://openalex.org/I27920566","display_name":"Saginaw Valley State University","ror":"https://ror.org/01y7m0485","country_code":"US","type":"education","lineage":["https://openalex.org/I27920566"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Meghan Baruth","raw_affiliation_strings":["Saginaw Valley State University, University Center, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Saginaw Valley State University, University Center, MI","institution_ids":["https://openalex.org/I27920566"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073209219","display_name":"Rebecca A. Schlaff","orcid":"https://orcid.org/0000-0002-3439-2220","observed_orcids":["https://orcid.org/0000-0002-3439-2220"]},"institutions":[{"id":"https://openalex.org/I27920566","display_name":"Saginaw Valley State University","ror":"https://ror.org/01y7m0485","country_code":"US","type":"education","lineage":["https://openalex.org/I27920566"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca A. Schlaff","raw_affiliation_strings":["Saginaw Valley State University, University Center, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Saginaw Valley State University, University Center, MI","institution_ids":["https://openalex.org/I27920566"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109362422","display_name":"Christopher P. Connolly","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I72951846","display_name":"Washington State University","ror":"https://ror.org/05dk0ce17","country_code":"US","type":"education","lineage":["https://openalex.org/I72951846"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher P. Connolly","raw_affiliation_strings":["Washington State University, Pullman, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Washington State University, Pullman, WA","institution_ids":["https://openalex.org/I72951846"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100422745","display_name":"Jihong Liu","orcid":"https://orcid.org/0000-0001-8685-3036","observed_orcids":["https://orcid.org/0000-0001-8685-3036"]},"institutions":[{"id":"https://openalex.org/I155781252","display_name":"University of South Carolina","ror":"https://ror.org/02b6qw903","country_code":"US","type":"education","lineage":["https://openalex.org/I155781252"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jihong Liu","raw_affiliation_strings":["University of South Carolina, Columbia, SC. (Sponsor: Sara Wilcox, FACSM)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of South Carolina, Columbia, SC. (Sponsor: Sara Wilcox, FACSM)","institution_ids":["https://openalex.org/I155781252"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5073537804","display_name":"Sara Wilcox","orcid":"https://orcid.org/0000-0003-4992-4610","observed_orcids":["https://orcid.org/0000-0003-4992-4610"]},"institutions":[{"id":"https://openalex.org/I155781252","display_name":"University of South Carolina","ror":"https://ror.org/02b6qw903","country_code":"US","type":"education","lineage":["https://openalex.org/I155781252"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sara Wilcox","raw_affiliation_strings":["University of South Carolina, Columbia, SC. (Sponsor: Sara Wilcox, FACSM)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of South Carolina, Columbia, SC. (Sponsor: Sara Wilcox, FACSM)","institution_ids":["https://openalex.org/I155781252"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.10274513,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"51","issue":"6S","first_page":"123","last_page":"124"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10673","display_name":"Gestational Diabetes Research and Management","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10673","display_name":"Gestational Diabetes Research and Management","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.008500000461935997,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11732","display_name":"Assisted Reproductive Technology and Twin Pregnancy","score":0.004800000227987766,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/twin-pregnancy","display_name":"twin pregnancy","score":0.9330000281333923},{"id":"https://openalex.org/keywords/gestational-weight-gain","display_name":"gestational weight gain","score":1.0},{"id":"https://openalex.org/keywords/exercise-during-pregnancy","display_name":"exercise during pregnancy","score":0.8360000252723694},{"id":"https://openalex.org/keywords/healthy-eating","display_name":"healthy eating","score":0.8790000081062317},{"id":"https://openalex.org/keywords/iom-weight-gain-guidelines","display_name":"IOM weight gain guidelines","score":0.9359999895095825},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.7369999885559082},{"id":"https://openalex.org/keywords/bed-rest","display_name":"bed rest","score":0.5640000104904175},{"id":"https://openalex.org/keywords/maternal-counseling","display_name":"maternal counseling","score":0.5600000023841858},{"id":"https://openalex.org/keywords/energy-intake","display_name":"energy intake","score":0.6890000104904175}],"concepts":[{"id":"https://openalex.org/C2780320433","wikidata":"https://www.wikidata.org/wiki/Q3403879","display_name":"Weight gain","level":3,"score":0.6833794116973877},{"id":"https://openalex.org/C2779955035","wikidata":"https://www.wikidata.org/wiki/Q4686785","display_name":"Advice (programming)","level":2,"score":0.5841282606124878},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5119934678077698},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.42907050251960754},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.36720889806747437},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.35244160890579224},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.33141130208969116},{"id":"https://openalex.org/C147583825","wikidata":"https://www.wikidata.org/wiki/Q620876","display_name":"Body weight","level":2,"score":0.31316637992858887},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.15592354536056519},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.13637706637382507},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10286995768547058},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1249/01.mss.0000560867.85791.e6","doi":"https://doi.org/10.1249/01.mss.0000560867.85791.e6","is_oa":false,"landing_page_url":"https://doi.org/10.1249/01.mss.0000560867.85791.e6","pdf_url":null,"source":{"id":"https://openalex.org/S14544163","display_name":"Medicine & Science in Sports & Exercise","issn_l":"0195-9131","issn":["0195-9131","1530-0315"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine &amp; Science in Sports &amp; Exercise","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3044632544","https://openalex.org/W6939411922","https://openalex.org/W6939572584","https://openalex.org/W2986984048","https://openalex.org/W2279576931","https://openalex.org/W2009389232","https://openalex.org/W2567350456","https://openalex.org/W2759664264","https://openalex.org/W2462630052","https://openalex.org/W3017466681"],"abstract_inverted_index":{"PURPOSE:":[0],"To":[1],"examine":[2],"provider":[3,71,87,100,118,238],"advice":[4,24,72,88,101,119,141,207,214,221,239,259,267],"on":[5,25,73,89,102,120,123,127,155,177,192,295,311],"gestational":[6],"weight":[7,63],"gain":[8,64,230],"(GWG),":[9],"physical":[10],"activity":[11],"(PA),":[12],"and":[13,20,49,75,91,125,145,188,224,263,298,316],"healthy":[14],"eating":[15],"(HE)":[16],"during":[17,129],"twin":[18,67,131,304],"pregnancies,":[19],"to":[21,160,173,181,202,229,247,284,292,300],"determine":[22],"if":[23],"GWG":[26,74,77,103,137,206,258],"is":[27,277],"associated":[28,270],"with":[29,104,190,271,318],"women\u2019s":[30,76,105],"GWG.":[31,275],"METHODS:":[32],"Data":[33],"are":[34],"from":[35],"301":[36],"women,":[37],"aged":[38],"21-43":[39],"years,":[40],"who":[41,135,152,204,212,218,236],"delivered":[42],"twins":[43],"in":[44,54,162,198,303],"the":[45,97,148,319],"prior":[46],"24":[47],"months":[48],"completed":[50],"an":[51],"online":[52],"survey":[53],"2018.":[55],"The":[56],"2009":[57],"Institute":[58,320],"of":[59,99,115,184,255,321],"Medicine":[60,322],"(IOM)":[61,323],"provisional":[62],"guidelines":[65,216,241,249],"for":[66,109,281],"pregnancies":[68],"defined":[69],"whether":[70],"were":[78,153,222,242],"below,":[79,142],"within,":[80,144],"or":[81,164,169,217,265,273],"above":[82,147,240],"guidelines.":[83,150],"Content":[84],"analysis":[85],"described":[86,140],"PA":[90],"HE.":[92],"Multinomial":[93],"logistic":[94],"regression":[95],"examined":[96],"associations":[98],"GWG,":[106,121,296],"after":[107],"adjustment":[108],"potential":[110],"confounders.":[111],"RESULTS:":[112],"Approximately":[113],"66%":[114],"women":[116,203,211,256,294],"reported":[117,136,158,205,213,219,237,257],"73%":[122],"PA,":[124,297],"59%":[126],"HE":[128,178,299],"their":[130],"pregnancy.":[132],"Of":[133],"those":[134],"advice,":[138],"30%":[139],"60%":[143],"10%":[146],"IOM":[149,209,261,288],"Women":[151,235],"not":[154],"bedrest":[156],"(15%)":[157],"recommendations":[159,180],"engage":[161],"light-":[163],"moderate-intensity":[165],"activities":[166],"like":[167],"walking":[168],"swimming,":[170],"but":[171],"cautioned":[172],"avoid":[174],"overexertion.":[175],"Advice":[176,310],"included":[179],"increase":[182],"consumption":[183],"protein,":[185],"fruits,":[186],"vegetables":[187],"vitamins/minerals,":[189],"emphasis":[191],"increasing":[193],"caloric":[194],"intake.":[195],"As":[196],"seen":[197],"Table":[199],"1,":[200],"compared":[201],"within":[208],"guidelines,":[210,262,289],"below":[215],"no":[220,266],"7.23":[223],"2.76":[225],"times":[226,244],"more":[227,245],"likely":[228,246],"less":[231],"than":[232],"recommended,":[233],"respectively.":[234],"5.05":[243],"exceed":[248],"(all":[250],"p<0.05).":[251],"CONCLUSION:":[252],"Forty":[253],"percent":[254],"outside":[260],"inaccurate":[264],"was":[268],"strongly":[269],"inadequate":[272],"excessive":[274],"There":[276],"a":[278],"clear":[279],"need":[280],"intervention":[282],"strategies":[283],"educate":[285],"providers":[286],"about":[287],"including":[290],"how":[291],"counsel":[293],"optimize":[301],"outcomes":[302],"pregnancies.Table":[305],"1:":[306],"Association":[307],"Between":[308],"Provider":[309],"Gestational":[312],"Weight":[313],"Gain":[314],"(GWG)":[315],"Compliance":[317],"Guidelines*":[324]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2019-07-12T00:00:00"}
