Overweight and obesity following childbirth: Promoting healthy maternal weight is a missed opportunity for primary care

ANZOS 2013 abstracts associated with the respective lifestyle topics. Supportive/encouraging messages were more frequently used in physical activity ads, while there were a higher proportion of messages about health consequences and social norms/acceptability in weight ads compared to all other ads. Execution style differed across lifestyle topics, with depicted scenes more common in physical activity ads, simulation/animation in nutrition ads, and graphic images and negative testimonials in weight ads. There was relatively low use of principles known to facilitate behaviour change, with the exception of physical activity ads which typically addressed modelling (91%), objective capacity (82%) and, to a lesser extent, positive reinforcement (59%) and subjective capacity (50%). Conclusion: This study provides useful insight into the advertising characteristics employed in existing public health campaigns and highlights important differences in how messages about weight, physical activity and nutrition are being communicated. Findings from this study will serve as a foundation for subsequent audience testing research to identify effective elements of healthy weight and lifestyle mass media campaigns. http://dx.doi.org/10.1016/j.orcp.2013.12.610 112 Overweight and obesity following childbirth: Promoting healthy maternal weight is a missed opportunity for primary care Paige van der Pligt ∗ , Karen Campbell, Megan Teychenne, Kylie Ball, Kylie Hesketh, David Crawford Faculty of Health, Deakin University, Burwood, Vic, Australia Background: Postpartum weight retention (PPWR) increases the risk for adverse health outcomes during subsequent pregnancies and is associated with future maternal obesity. Understanding opportunities to limit PPWR is key in promoting healthy weight for women across the life-course. Aims: To document change in maternal BMI across the perinatal period, assess frequency of health care provider’s advice regarding weight, diet, and physical activity and assess associations of frequency of advice with BMI and PPWR in a cohort of Melbourne women. Methods: First time mothers (n = 448) enrolled in the InFANT Extend study completed a baseline questionnaire at ∼3 months postpartum assessing

e59 provision of clinician advice during and following pregnancy. Pre-pregnancy weight and gestational weight-gain (GWG) were self-reported and postpartum height and weight were objectively measured. Chi Square tests assessed differences in provision of advice by BMI. Analysis of covariance adjusting for GWG assessed associations of advice with PPWR. Results: Mean BMI increased from 24.8 ± 4.9 kg/m2 pre-pregnancy to 26.2 ± 4.9 kg/m2 at 3 months postpartum. The proportion of women classified obese (BMI ≥ 30 kg/m2 ) almost doubled from pre-pregnancy (11.8%) to 3 months postpartum (21.7%) (p < 0.001). Mean PPWR at 3 months was 4.3 ± 5.7 kg and 21.2% of women had PPWR ≥8 kg. There was little emphasis on postpartum weight or weight-loss advice with 14.1% of women reporting having received weight advice compared with physical activity (51.9%) and dietary (47.5%) advice. Women were more likely to have received weight advice during pregnancy than following childbirth (54.5% vs 5.8% respectively) (p < 0.001). No association was found between provision of clinician advice regarding weight, physical activity or diet and postpartum BMI or PPWR. Conclusion: Despite higher rates of overweight and obesity observed as a result of pregnancy weight gain, few women receive weight advice following childbirth. Supportive strategies to limit PPWR are needed to reduce the risk of maternal overweight and obesity. http://dx.doi.org/10.1016/j.orcp.2013.12.611 113 Maternal depressive symptoms in the early postnatal period predict attenuated responsiveness in feeding at child age 2 years Kimberley M. Mallan 1,∗ , Elena Jansen 1 , Jacinda Wilson 1 , Lynne A. Daniels 1 , Anthea Magarey 2 , Jan M. Nicholson 3 1 Queensland

University of Technology, Kelvin Grove, QLD, Australia 2 Flinders University, Adelaide, SA, Australia 3 Parenting Research Centre, Melbourne, Vic, Australia Aim: Maternal depression is a known risk factor for poor outcomes for children. Pathways to these poor outcomes relate to reduced maternal responsiveness and engagement with the child. Lack of responsiveness may also be evident in the feeding