{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:46:14Z","timestamp":1785437174095,"version":"3.56.0"},"reference-count":54,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100020116","name":"The Summit Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020116","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Midwifery"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.midw.2026.104747","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T16:34:58Z","timestamp":1771518898000},"page":"104747","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Weight stigma from close others may drive reduced adherence to physical activity and nutrition recommendations during pregnancy and postpartum"],"prefix":"10.1016","volume":"156","author":[{"given":"Taniya S.","family":"Nagpal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1609-4163","authenticated-orcid":false,"given":"Angela C.","family":"Incollingo Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.midw.2026.104747_bib0001","unstructured":"ACOG. (2023). Nutrition during pregnancy. https:\/\/www.acog.org\/womens-health\/faqs\/nutrition-during-pregnancy."},{"key":"10.1016\/j.midw.2026.104747_bib0002","unstructured":"ACOG. (2025). After pregnancy. https:\/\/www.acog.org\/womens-health\/pregnancy\/after-pregnancy."},{"key":"10.1016\/j.midw.2026.104747_bib0003","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.appet.2015.03.017","article-title":"The association between diet quality and mental health during the perinatal period. A systematic review","volume":"91","author":"Baskin","year":"2015","journal-title":"Appetite"},{"key":"10.1016\/j.midw.2026.104747_bib0004","doi-asserted-by":"crossref","DOI":"10.1136\/bjsports-2024-108619","article-title":"Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis","author":"Beamish","year":"2025","journal-title":"Br. J. Sports Med."},{"key":"10.1016\/j.midw.2026.104747_bib0005","unstructured":"Canada, G.O. (2024a). Your guide to a healthy pregnancy. https:\/\/www.canada.ca\/en\/public-health\/services\/health-promotion\/healthy-pregnancy\/healthy-pregnancy-guide.html#a1."},{"key":"10.1016\/j.midw.2026.104747_bib0006","unstructured":"Canada, G.O. (2024b). Your guide to postpartum health and caring for your baby. https:\/\/www.canada.ca\/en\/public-health\/services\/child-infant-health\/postpartum-health-guide.html."},{"issue":"2","key":"10.1016\/j.midw.2026.104747_bib0007","doi-asserted-by":"crossref","DOI":"10.1111\/mcn.12916","article-title":"Dietary guideline adherence during preconception and pregnancy: a systematic review","volume":"16","author":"Caut","year":"2020","journal-title":"Matern. Child Nutr."},{"issue":"1","key":"10.1016\/j.midw.2026.104747_bib0008","article-title":"Determination of distress, emotional eating and internalized weight bias levels of Turkish pregnant women","volume":"43","author":"\u00c7elik","year":"2023","journal-title":"J. Obs. Gynaecol."},{"key":"10.1016\/j.midw.2026.104747_bib0009","unstructured":"Chauhan, G., & Tadi, P. (2020). Physiology, postpartum changes."},{"issue":"2","key":"10.1016\/j.midw.2026.104747_bib0010","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1123\/kr.2013-0009","article-title":"Overcoming barriers to physical activity during pregnancy and the postpartum period: the potential impact of social support","volume":"3","author":"Connolly","year":"2014","journal-title":"Kinesiol. Rev."},{"issue":"21","key":"10.1016\/j.midw.2026.104747_bib0011","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1136\/bjsports-2018-099836","article-title":"Impact of prenatal exercise on neonatal and childhood outcomes: a systematic review and meta-analysis","volume":"52","author":"Davenport","year":"2018","journal-title":"Br. J. Sports Med."},{"issue":"8","key":"10.1016\/j.midw.2026.104747_bib0012","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1136\/bjsports-2025-109785","article-title":"2025 Canadian guideline for physical activity, sedentary behaviour and sleep throughout the first year post partum","volume":"59","author":"Davenport","year":"2025","journal-title":"Br. J. Sports Med."},{"key":"10.1016\/j.midw.2026.104747_bib0014","doi-asserted-by":"crossref","DOI":"10.1136\/bjsports-2024-108478","article-title":"Impact of postpartum physical activity on maternal depression and anxiety: a systematic review and meta-analysis","author":"Deprato","year":"2025","journal-title":"Br. J. Sports Med."},{"issue":"6","key":"10.1016\/j.midw.2026.104747_bib0015","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1249\/MSS.0000000000001941","article-title":"Benefits of physical activity during pregnancy and postpartum: an umbrella review","volume":"51","author":"Dipietro","year":"2019","journal-title":"Med. Sci. Sports Exerc."},{"issue":"4","key":"10.1016\/j.midw.2026.104747_bib0016","doi-asserted-by":"crossref","DOI":"10.3390\/nu11040840","article-title":"The impact of maternal eating disorders on dietary intake and eating patterns during pregnancy: a systematic review","volume":"11","author":"D\u00f6rsam","year":"2019","journal-title":"Nutrients"},{"issue":"3","key":"10.1016\/j.midw.2026.104747_bib0017","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1007\/s10995-008-0359-8","article-title":"Perceived barriers to physical activity among pregnant women","volume":"13","author":"Evenson","year":"2009","journal-title":"Matern. Child Health J."},{"key":"10.1016\/j.midw.2026.104747_bib0018","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12905-019-0839-6","article-title":"Women\u2019s perceived social support: associations with postpartum weight retention, health behaviors and depressive symptoms","volume":"19","author":"Faleschini","year":"2019","journal-title":"BMC. Womens Health"},{"issue":"2","key":"10.1016\/j.midw.2026.104747_bib0019","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/OGX.0b013e318242030e","article-title":"The potential impact of physical activity during pregnancy on maternal and neonatal outcomes","volume":"67","author":"Ferraro","year":"2012","journal-title":"Obs. Gynecol. Surv."},{"key":"10.1016\/j.midw.2026.104747_bib0020","series-title":"Becoming a parent: the Emotional Journey Through Pregnancy and Childbirth","author":"Ganley","year":"2005"},{"issue":"1","key":"10.1016\/j.midw.2026.104747_bib0021","doi-asserted-by":"crossref","DOI":"10.1111\/mcn.13068","article-title":"Be healthy in pregnancy: exploring factors that impact pregnant women's nutrition and exercise behaviours","volume":"17","author":"Grenier","year":"2021","journal-title":"Matern. Child Nutr."},{"issue":"5","key":"10.1016\/j.midw.2026.104747_bib0022","doi-asserted-by":"crossref","DOI":"10.1111\/obr.13710","article-title":"Drivers and facilitators of weight stigma among preconception, pregnant, and postpartum women: a systematic review","volume":"25","author":"Hailu","year":"2024","journal-title":"Obes. Rev."},{"issue":"14","key":"10.1016\/j.midw.2026.104747_bib0023","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1136\/bjsports-2022-105777","article-title":"Public health guidelines for physical activity during pregnancy from around the world: a scoping review","volume":"57","author":"Hayman","year":"2023","journal-title":"Br. J. Sports Med."},{"issue":"3","key":"10.1016\/j.midw.2026.104747_bib0024","doi-asserted-by":"crossref","first-page":"e87","DOI":"10.1016\/j.amepre.2016.05.023","article-title":"Prevalence of US pregnant women meeting 2015 ACOG physical activity guidelines","volume":"51","author":"Hesketh","year":"2016","journal-title":"Am. J. Prev. Med."},{"issue":"2","key":"10.1016\/j.midw.2026.104747_bib0025","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1037\/hea0000575","article-title":"Weight stigma and health: the mediating role of coping responses","volume":"37","author":"Himmelstein","year":"2018","journal-title":"Health Psychol."},{"key":"10.1016\/j.midw.2026.104747_bib0026","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2019.112401","article-title":"The psychological burden of baby weight: pregnancy, weight stigma, and maternal health","volume":"235","author":"Incollingo Rodriguez","year":"2019","journal-title":"Soc. Sci. Med."},{"key":"10.1016\/j.midw.2026.104747_bib0027","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.midw.2016.09.016","article-title":"If she wants to eat\u2026and eat and eat\u2026fine! it's gonna feed the baby\": pregnant women and partners' perceptions and experiences of pregnancy with a BMI >40kg\/m(2)","volume":"49","author":"Keely","year":"2017","journal-title":"Midwifery"},{"issue":"6","key":"10.1016\/j.midw.2026.104747_bib0028","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1002\/oby.23168","article-title":"Eating and exercise-related correlates of weight stigma: a multinational investigation","volume":"29","author":"Lessard","year":"2021","journal-title":"Obesity"},{"key":"10.1016\/j.midw.2026.104747_bib0029","doi-asserted-by":"crossref","DOI":"10.1016\/j.bodyim.2023.101678","article-title":"A systematic review of weight stigma and disordered eating cognitions and behaviors","volume":"48","author":"Levinson","year":"2024","journal-title":"Body. Image"},{"key":"10.1016\/j.midw.2026.104747_bib0030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.bodyim.2023.01.003","article-title":"An integrative model of weight stigma, body image, and physical activity in adolescents","volume":"45","author":"Lucibello","year":"2023","journal-title":"Body. Image"},{"issue":"4","key":"10.1016\/j.midw.2026.104747_bib0031","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1111\/jmwh.13375","article-title":"Pregnant and postpartum women's perceptions of barriers to and enablers of physical activity during pregnancy: a qualitative systematic review","volume":"67","author":"McKeough","year":"2022","journal-title":"J. Midwifery. Womens Health"},{"issue":"12","key":"10.1016\/j.midw.2026.104747_bib0032","doi-asserted-by":"crossref","DOI":"10.3390\/nu12123900","article-title":"Impact of early nutrition, physical activity and sleep on the fetal programming of disease in the pregnancy: a narrative review","volume":"12","author":"Moreno-Fernandez","year":"2020","journal-title":"Nutrients"},{"issue":"3","key":"10.1016\/j.midw.2026.104747_bib0033","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1097\/GRF.0000000000000207","article-title":"Components of exercise prescription and pregnancy","volume":"59","author":"Mottola","year":"2016","journal-title":"Clin. Obs. Gynecol."},{"issue":"11","key":"10.1016\/j.midw.2026.104747_bib0034","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.1016\/j.jogc.2018.07.001","article-title":"No. 367-2019 Canadian guideline for physical activity throughout pregnancy","volume":"40","author":"Mottola","year":"2018","journal-title":"J. Obs. Gynaecol. Can."},{"issue":"1","key":"10.1016\/j.midw.2026.104747_bib0035","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1186\/s12884-024-06859-4","article-title":"Prenatal weight stigma can affect relationship quality and maternal health outcomes","volume":"24","author":"Nagpal","year":"2024","journal-title":"BMC. Pregnancy. ChildBirth"},{"key":"10.1016\/j.midw.2026.104747_bib0036","doi-asserted-by":"crossref","DOI":"10.1016\/j.midw.2021.103186","article-title":"Weight stigma and prenatal physical activity: exploring the perspectives of pregnant women living with obesity","volume":"104","author":"Nagpal","year":"2022","journal-title":"Midwifery"},{"issue":"5","key":"10.1016\/j.midw.2026.104747_bib0037","doi-asserted-by":"crossref","first-page":"R111","DOI":"10.1530\/REP-20-0337","article-title":"Physical activity throughout pregnancy is key to preventing chronic disease","volume":"160","author":"Nagpal","year":"2020","journal-title":"Reproduction"},{"issue":"2","key":"10.1016\/j.midw.2026.104747_bib0038","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/s12529-022-10083-9","article-title":"Close relationships as sources of pregnancy-related weight stigma for expecting and new mothers","volume":"30","author":"Nagpal","year":"2023","journal-title":"Int. J. Behav. Med."},{"issue":"1","key":"10.1016\/j.midw.2026.104747_bib0039","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1002\/oby.23032","article-title":"The Media as a source of weight stigma for pregnant and postpartum women","volume":"29","author":"Nippert","year":"2021","journal-title":"Obesity"},{"issue":"12","key":"10.1016\/j.midw.2026.104747_bib0040","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.3390\/ijerph13121187","article-title":"Development and preliminary validation of a comprehensive questionnaire to assess women\u2019s knowledge and perception of the current weight gain guidelines during pregnancy","volume":"13","author":"Ockenden","year":"2016","journal-title":"Int. J. Environ. Res. Public Health"},{"issue":"12","key":"10.1016\/j.midw.2026.104747_bib0041","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1002\/oby.23274","article-title":"Is weight stigma associated with physical activity? a systematic review","volume":"29","author":"Pearl","year":"2021","journal-title":"Obesity"},{"issue":"2","key":"10.1016\/j.midw.2026.104747_bib0042","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1037\/amp0000538","article-title":"Weight stigma as a psychosocial contributor to obesity","volume":"75","author":"Puhl","year":"2020","journal-title":"Am. Psychol."},{"key":"10.1016\/j.midw.2026.104747_bib0043","series-title":"Exercise and Physical Activity During Pregnancy and Postpartum: Evidence-Based Guidelines","first-page":"363","article-title":"Exercise prescription and adaptations in early postpartum","author":"Santos-Rocha","year":"2022"},{"issue":"2","key":"10.1016\/j.midw.2026.104747_bib0044","doi-asserted-by":"crossref","first-page":"141","DOI":"10.34172\/hpp.2022.18","article-title":"Interventions to improve social support among postpartum mothers: a systematic review","volume":"12","author":"Sharifipour","year":"2022","journal-title":"Health Promot. Perspect."},{"issue":"12","key":"10.1016\/j.midw.2026.104747_bib0045","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1007\/s10995-020-03007-0","article-title":"Eating habits, advice from Family\/friends, and limited personal effort may increase the likelihood of gaining outside gestational weight gain recommendations","volume":"24","author":"Souza","year":"2020","journal-title":"Matern. Child Health J."},{"issue":"2","key":"10.1016\/j.midw.2026.104747_bib0046","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.jogc.2022.11.011","article-title":"Recent patterns of physical activity and sedentary behaviour among pregnant adults in Canada","volume":"45","author":"Srugo","year":"2023","journal-title":"J. Obstet. Gynaecol. Can."},{"issue":"1","key":"10.1016\/j.midw.2026.104747_bib0047","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1186\/s12889-021-10565-7","article-title":"Weight stigma experiences and self-exclusion from sport and exercise settings among people with obesity","volume":"21","author":"Thedinga","year":"2021","journal-title":"BMC. Public Health"},{"issue":"4","key":"10.1016\/j.midw.2026.104747_bib0048","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1017\/S0033291719003714","article-title":"Physical activity and prenatal depression: going beyond statistical significance by assessing the impact of reliable and clinical significant change","volume":"51","author":"Vargas-Terrones","year":"2021","journal-title":"Psychol. Med."},{"key":"10.1016\/j.midw.2026.104747_bib0049","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.appet.2016.01.034","article-title":"Weight stigma and eating behavior: a review of the literature","volume":"102","author":"Vartanian","year":"2016","journal-title":"Appetite"},{"issue":"1","key":"10.1016\/j.midw.2026.104747_bib0050","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/1359105307084318","article-title":"Effects of weight stigma on exercise motivation and behavior: a preliminary investigation among college-aged females","volume":"13","author":"Vartanian","year":"2008","journal-title":"J. Health Psychol."},{"key":"10.1016\/j.midw.2026.104747_bib0051","unstructured":"Weinberg, A.R. (2016). Calcium and vitamin D intake during pregnancy and postpartum in the alberta pregnancy outcomes and nutrition (APrON) study."},{"issue":"3","key":"10.1016\/j.midw.2026.104747_bib0052","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1123\/jsep.28.3.231","article-title":"The psychological need satisfaction in exercise scale","volume":"28","author":"Wilson","year":"2006","journal-title":"J. Sport Exerc. Psychol."},{"issue":"5","key":"10.1016\/j.midw.2026.104747_bib0053","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1111\/jan.13511","article-title":"Impact of weight stigma on physiological and psychological health outcomes for overweight and obese adults: a systematic review","volume":"74","author":"Wu","year":"2018","journal-title":"J. Adv. Nurs."},{"key":"10.1016\/j.midw.2026.104747_bib0054","doi-asserted-by":"crossref","DOI":"10.1016\/j.nut.2021.111582","article-title":"Diet and mental health in pregnancy: nutrients of importance based on large observational cohort data","volume":"96","author":"Yelverton","year":"2022","journal-title":"Nutrition"},{"key":"10.1016\/j.midw.2026.104747_bib0055","doi-asserted-by":"crossref","first-page":"219","DOI":"10.2147\/IJWH.S447270","article-title":"The association between exercise during pregnancy and the risk of preterm birth","volume":"16","author":"Zhang","year":"2024","journal-title":"Int. J. Womens Health"}],"container-title":["Midwifery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613826000513?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613826000513?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T08:51:45Z","timestamp":1777539105000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0266613826000513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":54,"alternative-id":["S0266613826000513"],"URL":"https:\/\/doi.org\/10.1016\/j.midw.2026.104747","relation":{},"ISSN":["0266-6138"],"issn-type":[{"value":"0266-6138","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Weight stigma from close others may drive reduced adherence to physical activity and nutrition recommendations during pregnancy and postpartum","name":"articletitle","label":"Article Title"},{"value":"Midwifery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.midw.2026.104747","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"104747"}}