The role of GPs in preventing excessive gestational weight gain among obese women early in pregnancy

2014 ◽  
Vol 8 ◽  
pp. 37
Author(s):  
Lisa Y. Gibson ◽  
Anna Fletcher ◽  
Kim Clark ◽  
Tanyana Jackiewicz
2011 ◽  
Vol 7 (6) ◽  
pp. 641-661 ◽  
Author(s):  
Suzanne Phelan ◽  
Kris Jankovitz ◽  
Todd Hagobian ◽  
Barbara Abrams

Excessive gestational weight gain is a prevalent problem and an independent predictor of future obesity in both mothers and offspring. Intervention research to prevent excessive gestational weight gain is still in its infancy but results to date have been quite modest. Research in weight control outside of pregnancy over the past 30 years has been more robust and identified several key components of effective programs, including use of caloric restriction, daily diet self-monitoring, self-weighing, behavior therapy and ongoing patient–provider contact. The aim of this article is to summarize intervention components shown to be effective in promoting successful weight control outside of pregnancy and explore potential applications in pregnancy. Available evidence suggests that the strategies shown to be effective for weight control outside of pregnancy may also promote better weight control in pregnancy, but several lines for future investigation remain.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Paul M. C. Lemmens ◽  
Francesco Sartor ◽  
Lieke G. E. Cox ◽  
Sebastiaan V. den Boer ◽  
Joyce H. D. M. Westerink

2016 ◽  
Vol 34 (02) ◽  
pp. e14-e21 ◽  
Author(s):  
Rebecca Goldstein ◽  
Shakila Thangaratinam ◽  
Jacqueline Boyle ◽  
Helena Teede

2020 ◽  
Author(s):  
Ching-Fang Lee ◽  
Li-Kang Chi ◽  
Jian-Pei Huang ◽  
Chen-Ju Lin

BACKGROUND Overweight and obese women tend to gain excessive weight and have adverse outcomes during pregnancy. Despite the increasing number of health-related apps, there is still a lack of a user-based app to help prevent excessive gestational weight gain (GWG) and extend the longevity of the changes in behavior needed to maintain a woman’s optimal weight during pregnancy. OBJECTIVE The aim of this study was to identify the problems and needs for designing an mHealth app for obese and overweight pregnant women that they can continue to use to control their GWG. METHODS We used a qualitative interpretive approach and analytical induction to present the findings of three focus group sessions involving 13 overweight and obese pregnant women in Taipei, Taiwan. This study was conducted from July to October 2019. RESULTS Five problems and 10 needs were identified related to the use of an app to control overweight and obese women’s GWG. These problems were 1) an information gap, 2) a lack of support, 3) perceived complications of using the app(s), 4) easily forgetting the app(s), and 5) low motivation. The 10 main needs were 1) prenatal examination, 2) credible information, 3) short and easily understandable information, 4) a network community of peer support, 5) feedback from and interaction with healthcare providers, 6) a convenient and user-friendly interface, 7) goal-setting, 8) evaluation and tracking, 9) reminders, and 10) incentives for systematic celebrations and rewarding success. CONCLUSIONS The results of this study will help in the development of a user-based app that serves as a guide based on evidenced and informative practices. CLINICALTRIAL No


2021 ◽  
Vol 17 ◽  
pp. 174550652110036
Author(s):  
Tiffany L Green ◽  
Muloongo Simuzingili ◽  
Mandar Bodas ◽  
Hong Xue

Objectives: The goals of this study were to examine the associations between nativity and pregnancy-related weight and to assess the associations between maternal duration of residence and age at arrival in the United States on pregnancy-related weight among immigrants. Methods: Using logistic regression and data from the Early Childhood Longitudinal Study–Birth Cohort, we assessed differences in preconception weight and gestational weight gain between US-born and immigrant women (N = 7000). We then analyzed differences in both outcomes by duration of residence among immigrants (n = 1850) and examined whether the identified relationships varied by age at arrival in the United States. Results: Compared to US-born mothers, immigrants were less likely to be classified as obese prior to pregnancy (odds ratio 0.435, 95% confidence interval, 0.321–0.590) or experience excessive gestational weight gain (odds ratio 0.757, 95% confidence interval, 0.614–0.978). Among the immigrant sub-sample, living in the United States for 10–15 years (odds ratio 2.737, 95% confidence interval, 1.459–5.134) or 16+ years was positively associated with both preconception obesity (odds ratio 2.918, 95% confidence interval, 1.322–6.439) and excessive gestational weight gain (odds ratio 1.683, 95% confidence interval, 1.012–2.797, 16+ years only). There was some evidence that the duration of residence was positively associated with preconception obesity, but only among women who had moved to the United States at age 18 years and older. Conclusion: In sum, while immigrants are less likely than US-born mothers to experience preconception obesity or excessive gestational weight gain, these outcomes vary among the former group by duration of US residence.


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