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Trial for reducing weight retention in new mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme
journal contribution
posted on 2015-01-01, 00:00 authored by S A Wilkinson, Paige van der PligtPaige van der Pligt, K S Gibbons, H D McIntyreBACKGROUND: Failure to return to pregnancy weight by 6 months postpartum is associated with long-term obesity, as well as adverse health outcomes. This research evaluated a postpartum weight management programme for women with a body mass index (BMI) > 25 kg m(-2) that combined behaviour change principles and a low-intensity delivery format with postpartum nutrition information. METHODS: Women were randomised at 24-28 weeks to control (supported care; SC) or intervention (enhanced care; EC) groups, stratified by BMI cohort. At 36 weeks of gestation, SC women received a 'nutrition for breastfeeding' resource and EC women received a nutrition assessment and goal-setting session about post-natal nutrition, plus a 6-month correspondence intervention requiring return of self-monitoring sheets. Weight change, anthropometry, diet, physical activity, breastfeeding, fasting glucose and insulin measures were assessed at 6 weeks and 6 months postpartum. RESULTS: Seventy-seven percent (40 EC and 41 SC) of the 105 women approached were recruited; 36 EC and 35 SC women received a programme and 66.7% and 48.6% completed the study, respectively. No significant differences were observed between any outcomes. Median [interquartile range (IQR)] weight change was EC: -1.1 (9.5) kg versus SC: -1.1 (7.5) kg (6 weeks to 6 months) and EC: +1.0 (8.7) kg versus SC: +2.3 (9) kg (prepregnancy to 6 months). Intervention women breastfed for half a month longer than control women (180 versus 164 days; P = 0.10). An average of 2.3 out of six activity sheets per participant was returned. CONCLUSIONS: Despite low intervention engagement, the high retention rate suggests this remains an area of interest to women. Future strategies must facilitate women's engagement, be individually tailored, and include features that support behaviour change to decrease women's risk of chronic health issues.
History
Journal
Journal of human nutrition and dieteticsVolume
28Issue
s1Season
Special issue : pregancy infancy and childhoodPagination
15 - 28Publisher
Wiley-BlackwellLocation
Chichester, Eng.Publisher DOI
eISSN
1365-277XLanguage
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2013, The British Dietetic AssociationUsage metrics
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No categories selectedKeywords
behaviour changehealth service deliveryobesityoverweightpostpartumweight managementAdultBody Mass IndexBreast FeedingDietFemaleHealth BehaviorHumansPatient DropoutsPostnatal CarePostpartum PeriodPregnancyProgram EvaluationWeight LossYoung AdultScience & TechnologyLife Sciences & BiomedicineNutrition & DieteticsBODY-MASS INDEXMATERNAL OBESITYPHYSICAL-ACTIVITYPREGNANCY COMPLICATIONSBEHAVIOR-CHANGEWOMENRISKGAININTERVENTIONS
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