Date of Award


Document Type


Degree Name

Master of Public Health (MPH)


School of Public Health

First Advisor

Nicola Hawley



Objective: To investigate the extent to which the use of mindful eating techniques is associated with gestational weight gain among a clinic-based sample of pregnant women.

Methods: Four hundred and forty-eight pregnant women in their second trimester of pregnancy participated in the Expect With Me group care study and were selected for this secondary analysis. Sociodemographic and general health data was collected at baseline. Mindfulness practice was measured based on frequency of performing mindful thinking and mindful eating techniques in the third trimester. The main outcome was excessive average weekly gestational weight gain, which was determined using the guidelines published by Institute of Medicine in 2009.

Results: Among control variables, compared to White women, women in other race had 0.29 times the odds (95%CI: 0.14-0.64) to gain excessive weight. Controlling for sociodemographic and behavioral factors, women who entered pregnancy overweight or obese had 3.48 times the odds (95%CI 2.05-1.09) and 2.30 times the odds (95%CI 1.44-3.06) of gaining excessive gestational weight compared to who were normal weight, respectively. Participants paying attention to physical hunger and fullness had 1.66 times the odds (95%CI: 1.09-2.53) of excessive gestational weight gain.

Conclusion: Mindful eating practices were observed more commonly among women who gained weight in excess of gestational weight gain guidelines. Further research is needed to understand the temporality of this association, specifically whether mindful eating practices were, in fact, adopted as a strategy for managing excess weight gain rather than as a preventative measure.


This thesis is restricted to Yale network users only. It will be made publicly available on 08/28/2021