scholarly journals Gestational weight gain in overweight and obese women enrolled in a healthy lifestyle and eating habits program

2013 ◽  
Vol 27 (13) ◽  
pp. 1348-1352 ◽  
Author(s):  
E. Petrella ◽  
M. Malavolti ◽  
V. Bertarini ◽  
L. Pignatti ◽  
I. Neri ◽  
...  
2015 ◽  
Vol 47 (5) ◽  
pp. 404-411.e1 ◽  
Author(s):  
Cynthie K. Anderson ◽  
Tanis J. Walch ◽  
Sara M. Lindberg ◽  
Aubrey M. Smith ◽  
Steven R. Lindheim ◽  
...  

2021 ◽  
Author(s):  
Ching-Fang Lee ◽  
Li-Kang Chi ◽  
Yvonne Hsiung ◽  
Jian-Pei Huang ◽  
Chun-Wei Chang

BACKGROUND Overweight and obese women’s excessive gestational weight gain (GWG) may be a health risk for both the mother and the fetus; excessive GWG leads to the retention of weight postpartum and thus obesity. Given the overwhelming number of existing pregnancy-related applications (apps), we lack only a few methodological guidelines for integrating theory, evidence and previously validated apps to help overweight and obese women manage their GWG during pregnancy. OBJECTIVE This two-phase study aimed to develop the MyHealthyWeight (MHW) app based on social-cognitive theory (SCT) and evaluate its effectiveness for overweight and obese women in helping prevent excessive GWG by enhancing adherence to optimal GWG goals and healthy behavior during pregnancy. METHODS First, we constructed and developed the MHW app based on SCT theory, and we later employed a mixed-method study to evaluate the effects of the app on overweight and obese pregnant women. RESULTS All participating overweight and obese pregnant women (100%) achieved their optimal GWG through increased self-efficacy and physical activity. Their total and moderate-intensity physical activity expenditures improved, while their sedentary and light-intensity levels of physical activity decreased. CONCLUSIONS This theory-based MHW app for weight management was greatly valued by the pregnant users. Its usefulness for health-care professionals in assisting overweight and obese pregnant women in preventing excessive GWG by promoting healthy behavior, in particular through physical exercise and a healthy diet, during pregnancy was also confirmed. CLINICALTRIAL NCT04553718


2011 ◽  
Vol 35 (2) ◽  
pp. 187
Author(s):  
S.D. McDonald ◽  
E. Pullenayegum ◽  
V. Taylor ◽  
O. Lutsiv ◽  
K. Bracken ◽  
...  

2019 ◽  
Vol 47 (6) ◽  
pp. 585-591 ◽  
Author(s):  
Tanja Premru-Srsen ◽  
Zorana Kocic ◽  
Vesna Fabjan Vodusek ◽  
Ksenija Geršak ◽  
Ivan Verdenik

Abstract Background Identifying the risk factors for preeclampsia (PE) is essential for the implementation of preventive actions. In the present study, we aimed at exploring the association between total gestational weight gain (GWG) and PE. Methods We performed a population-based cohort survey of 98,820 women with singleton pregnancies who delivered in Slovenia from 2013 to 2017. Aggregated data were obtained from the National Perinatal Information System (NPIS). The main outcome measure was the incidence of PE. The main exposure variable was total GWG standardized for the gestational duration by calculating the z-scores. The associations between total GWG and PE stratified by pre-pregnancy body mass index (BMI) categories adjusted for a variety of covariates were determined using multivariable logistic regression. We calculated the crude odds ratio (OR) and adjusted odds ratio (aOR) with a 95% confidence interval using a two-way test. Results Excessive GWG was associated with increased odds of PE in all pre-pregnancy BMI categories. The increase in the odds of PE by 445% was the highest in underweight women and by 122% was the lowest in obese women. Low GWG was associated with decreased odds of PE in all pre-pregnancy BMI categories except in normal-weight women with a GWG below −2 standard deviation (SD) and underweight women. The decrease in the odds of PE by 67% was the highest in obese women and by 41% was the lowest in normal-weight women. Conclusion Excessive GWG is a significant risk factor for PE, especially in underweight women, while low GWG is an important protective factor against PE, especially in obese women.


2020 ◽  
Vol 135 ◽  
pp. 43S
Author(s):  
Mariana Oliva ◽  
Bradley Sipe ◽  
Linda Odibo ◽  
Anthony O. Odibo

2015 ◽  
Vol 123 (2) ◽  
pp. 199-206 ◽  
Author(s):  
MA Faucher ◽  
M Hastings-Tolsma ◽  
JJ Song ◽  
DS Willoughby ◽  
S Gerding Bader

2021 ◽  
Author(s):  
Susan de Jersey ◽  
Nina Meloncelli ◽  
Taylor Guthrie ◽  
Hilary Powlesland ◽  
Leonie Callaway ◽  
...  

BACKGROUND Despite comprehensive guidelines for healthy gestational weight gain (GWG) and evidence for the efficacy of dietary counselling coupled with weight monitoring, reporting on the effectiveness of interventions into routine antenatal care is limited. OBJECTIVE This study aims to implement and evaluate the Living Well during Pregnancy (LWdP) program in a large, Australian antenatal care setting. Specifically, LWdP will be incorporated into usual care and will be delivered to a population of pregnant women at risk of excessive GWG through a dietitian-delivered telephone coaching service. METHODS Metrics from the RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework will guide the evaluation in this hybrid effectiveness-implementation study. All women aged ≥16 years, without pre-exiting diabetes with a pre-pregnancy BMI > 25kg/m2 or a pre-pregnancy BMI<25kgm2 and gaining weight above recommendations at <20 weeks gestation referred for dietetic care during the 12 month study period will be eligible for participation. The setting is a metropolitan hospital that has approximately 6% of the national births per year. Eligible participants will receive up to 10 tele-coaching calls during their pregnancy. Primary outcomes are service level indicators of reach, adoption, and implementation which will be compared to a retrospective control group, with secondary effectiveness outcomes of participant reported anthropometric and behavioural outcomes assessed at pre and post program completion. Additional secondary outcomes relate to the costs associated with program implementation and pregnancy outcomes gathered through routine clinical service data. RESULTS Data collection will be completed at the end of 2020, with results expected to be published by the end of 2021. CONCLUSIONS This study evaluating the implementation of an evidence-based intervention into routine health service delivery will provide the practice-based evidence needed to inform decisions about its incorporation into routine antenatal care.


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