scholarly journals Phase Angle and Bio-Impedance Values during the First Year after Delivery in Women with Previous Excessive Gestational Weight Gain: Innovative Data from the Belgian INTER-ACT Study

2021 ◽  
Vol 18 (14) ◽  
pp. 7482
Author(s):  
Margriet Bijlholt ◽  
Kate Maslin ◽  
Lieveke Ameye ◽  
Jill Shawe ◽  
Annick Bogaerts ◽  
...  
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Phase Angle ◽  
Mixed Model ◽  
Control Group ◽  
First Year ◽  
Fat Percentage ◽  
Singleton Pregnancy ◽  
Gestational Weight

Phase angle (PhA) is a body composition parameter that measures changes in the amount and quality of soft tissue. Few studies have explored PhA in pregnancy or postpartum. The aim of this study was to explore the PhA during the first year postpartum in a Belgian cohort using data from the control group of the INTER-ACT study, an intervention trial targeting those with excess gestational weight gain. A secondary aim was to examine associations between PhA and potential explanatory variables. Women aged ≥18 with excessive weight gain in a singleton pregnancy and without a chronic disease were eligible. Data collection included anthropometry as well as demographic and lifestyle questionnaires at 6 weeks, 6 months and 12 months postpartum. Body composition, including PhA, was measured with the Tanita MC780SMA device. Data was analysed using correlation and mixed model analyses. A total of 509 participants (median age 31.2) were included. The median PhA at 6 weeks postpartum was 5.8°. Higher PhA values were seen in multiparous women (p = 0.02) but there was no association with any other lifestyle or demographic factors. PhA values were positively associated with muscle mass and BMI (r = 0.13, p = 0.004 and r = 0.18, p <0.001) at 6 weeks postpartum. PhA increased slightly in the 12 months postpartum, which was related to a decrease in fat percentage (p = 0.004). Further research in the pregnant/postpartum population is needed to elucidate any links with perinatal or future health outcomes.

scholarly journals Evolution of Postpartum Weight and Body Composition after Excessive Gestational Weight Gain: The Role of Lifestyle Behaviors—Data from the INTER-ACT Control Group

2021 ◽  
Vol 18 (12) ◽  
pp. 6344
Author(s):  
Margriet Bijlholt ◽  
Lieveke Ameye ◽  
Hanne van Uytsel ◽  
Roland Devlieger ◽  
Annick Bogaerts
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Postpartum Weight Retention ◽  
Lifestyle Behaviors ◽  
Weight Retention ◽  
Fat Percentage ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Postpartum Weight

Women with excessive gestational weight gain are at increased risk of postpartum weight retention and potentially also unfavorable body composition. Insight into the lifestyle behaviors that play a role in the evolution of postpartum weight and body composition among these women could aid identification of those at highest risk of long-term adverse outcomes. This secondary analysis of the INTER-ACT randomized controlled trial investigates control group data only (n = 524). The evolution of weight retention, percentage loss of gestational weight gain, fat percentage, waist circumference, and associated lifestyle behaviors between 6 weeks and 12 months postpartum were assessed using mixed model analyses. At six weeks postpartum, every sedentary hour was associated with 0.1% higher fat percentage (P = 0.01), and a higher emotional eating score was associated with 0.2% higher fat percentage (P < 0.001) and 0.3 cm higher waist circumference (P < 0.001). Increase in emotional eating score between 6 weeks and 6 months postpartum was associated with a 0.4 kg (P = 0.003) increase in postpartum weight retention from six months onwards. Among women with overweight, an increase in the uncontrolled eating score between 6 weeks and 6 months postpartum was associated with a 0.3 kg higher postpartum weight retention (P = 0.04), and 0.3% higher fat percentage (P = 0.006) from six months onwards. In conclusion, sedentary and eating behaviors play important roles in postpartum weight and body composition of women with excessive gestational weight gain and should therefore be incorporated as focal points in lifestyle interventions for this population.

Obesity as a Predictor of Delayed Lactogenesis II

2017 ◽  
Vol 33 (4) ◽  
pp. 684-691 ◽  
Author(s):  
Irma Preusting ◽  
Jessica Brumley ◽  
Linda Odibo ◽  
Diane L. Spatz ◽  
Judette M. Louis
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Singleton Pregnancy ◽  
Targeted Interventions ◽  
Gestational Weight ◽  
Prepregnancy Bmi ◽  
Increased Risk ◽  
Prepregnancy Obesity ◽  
Observational Cohort ◽  
Breastfeeding Cessation

Background: Lactogenesis II is the onset of copious milk production. A delay in this has been associated with an increased risk of formula supplementation and early cessation of breastfeeding. Prepregnancy obesity has also been associated with decreased breastfeeding rates and early cessation. Research aim: This study aimed to evaluate the effect of prepregnancy obesity on self-reported delayed lactogenesis II. Methods: We conducted a prospective observational cohort study of 216 women with a singleton pregnancy and who planned to breastfeed. We compared the onset of lactogenesis II between women with a body mass index (BMI) < 30 kg/m2 and women with a BMI ≥ 30 kg/m2. Using multivariate logistic regression analyses, we assessed the relationship between maternal BMI and delay of lactogenesis II. Results: The prevalence of delayed lactogenesis II among women with prepregnancy BMI < 30 kg/m2 and BMI ≥ 30 kg/m2 was 46.4% and 57.9%, respectively. Delayed lactogenesis II occurred more frequently among women who were obese at the time of delivery ( p < .05). After controlling for the covariates, age, prepregnancy BMI, and gestational weight gain were positively associated with delayed lactogenesis II. Conclusion: Prepregnancy obesity and excessive gestational weight gain are associated with an increased risk of delayed lactogenesis II. Women who are at risk for delay in lactogenesis II and early breastfeeding cessation will need targeted interventions and support for them to achieve their personal breastfeeding goals.

scholarly journals Lower education predicts poor response to dietary intervention in pregnancy, regardless of neighbourhood affluence: secondary analysis from the ROLO randomised control trial

2017 ◽  
Vol 20 (16) ◽  
pp. 2959-2969 ◽  
Author(s):  
Eileen C O’Brien ◽  
Goiuri Alberdi ◽  
Aisling A Geraghty ◽  
Fionnuala M McAuliffe
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Dietary Intervention ◽  
Randomised Control Trial ◽  
Control Group ◽  
Education Session ◽  
Neighbourhood Deprivation ◽  
Gestational Weight ◽  
Dietary Education ◽  
In Pregnancy

AbstractObjectiveTo determine if response to a low glycaemic index (GI) dietary intervention, measured by changes in dietary intake and gestational weight gain, differed across women of varying socio-economic status (SES).DesignSecondary data analysis of the ROLO randomised control trial. The intervention consisted of a two-hour low-GI dietary education session in early pregnancy. Change in GI was measured using 3 d food diaries pre- and post-intervention. Gestational weight gain was categorised as per the 2009 Institute of Medicine guidelines. SES was measured using education and neighbourhood deprivation.SettingThe National Maternity Hospital, Dublin, Ireland.SubjectsWomen (n 625) recruited to the ROLO randomised control trial.ResultsThe intervention significantly reduced GI and excess gestational weight gain (EGWG) among women with third level education residing in both disadvantaged (GI, mean (sd), intervention v. control: −3·30 (5·15) v. −0·32 (4·22), P=0·024; EGWG, n (%), intervention v. control: 7 (33·6) v. 22 (67·9); P=0·022) and advantaged areas (GI: −1·13 (3·88) v. 0·06 (3·75), P=0·020; EGWG: 41 (34·1) v. 58 (52·6); P=0·006). Neither GI nor gestational weight gain differed between the intervention and control group among women with less than third level education, regardless of neighbourhood deprivation.ConclusionsA single dietary education session was not effective in reducing GI or gestational weight gain among less educated women. Multifaceted, appropriate and practical approaches are required in pregnancy interventions to improve pregnancy outcomes for less educated women.

285: The relationship between gestational weight gain and infant body composition at birth

2015 ◽  
Vol 212 (1) ◽  
pp. S154-S155
Author(s):  
Amy O'Higgins ◽  
Thomas McCartan ◽  
Anne Doolan ◽  
Laura Mullaney ◽  
Sophie Gray ◽  
...  
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Gestational Weight ◽  
The Relationship

scholarly journals Living Well during Pregnancy: Protocol for the implementation of a tele-coaching healthy lifestyle program for women at high risk of excess gestational weight gain (Preprint)

2021 ◽  
Author(s):  
Susan de Jersey ◽  
Nina Meloncelli ◽  
Taylor Guthrie ◽  
Hilary Powlesland ◽  
Leonie Callaway ◽  
...  
Keyword(s):  
Weight Gain ◽  
Antenatal Care ◽  
Gestational Weight Gain ◽  
Program Implementation ◽  
Healthy Lifestyle ◽  
Health Service Delivery ◽  
Control Group ◽  
Gestational Weight ◽  
Living Well ◽  
Routine Antenatal Care

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.

scholarly journals Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

2020 ◽  
Vol 21 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Alka Pawalia ◽  
Sivachidambaram Кulandaivelan ◽  
Satya Savant ◽  
Vikram Singh Yadav
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Diet Group ◽  
Control Group ◽  
Weight Retention ◽  
Indian Women ◽  
Behavioural Interventions ◽  
Gestational Weight ◽  
Supervised Exercise

AbstractThe aim of this study was to measure the adequacy of gestational weight gain (GWG) in Indian women using various behavioural interventions during pregnancy, which primarily aim to observe the effects on obesity markers and weight retention.In this experimental study, one hundred and forty pregnant women underwent interventions in 5 groups, control (C), diet (D), home exercise (HE), supervised exercise (SE) and supervised exercise with diet (SED), from pregnancy through delivery with 2 months follow-up post-delivery. The outcome measures were GWG and baby birth weight.A one-way ANOVA indicated no differences in the mean GWG between groups (12.39±4.71 kg, p=0.947). The control group had the most (50%) and both the supervised exercise groups had the fewest (32%) women who gained above the recommended GWG, followed by the diet group (33.3%). The D and HE groups had the most women who gained within the GWG range, while both the SE and SED groups had the most women who gained below the GWG range. However, these results did not affect the birth weight between the groups (mean 2.96 kg±0.40, p=0.203). In women with normal BMIs, (18.5-22.9 kg/m2), the diet group had the most effective maintenance of adequate GWG, with 15%, 55%, and 30% of the women gaining above, within, and below the recommended GWG, respectively. The SE and SED groups had the least postpartum weight retention (PPWR) at 2 months, followed by the HM, D and C groups; i.e., the results showed a trend in the desired direction clinically, although they were not statistically significant (p=0.12).Supervised exercise can be effectively used as a pregnancy intervention to prevent excess GWG in Indian women. Diet counselling was found to be the next best intervention in combination with exercise, as well as for women with normal BMI.

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