Effect of the e-health supported INTER-ACT lifestyle intervention on postpartum weight retention and body composition, and associations with lifestyle behavior: A randomized controlled trial

Uytsel, Hanne Van; Bijlholt, Margriet; Devlieger, Roland; Ameye, Lieveke; Jochems, Lisbeth; Holsbeke, C. Van; Schreurs, Annick; Catry, Vincent; Bogaerts, Annick

doi:10.1016/j.ypmed.2022.107321

Cited by 6 publications

(3 citation statements)

References 29 publications

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“…Overall, the INTER-ACT postpartum intervention has previously been shown to have limited effectiveness: It improved postpartum eating behavior, but not physical behavior, 24 nor did it have a direct effect on PPWR, fat percentage or waist circumference changes. 25 However, women who changed their eating behavior as a result of the intervention did retain less postpartum weight, and decreased more of their fat percentage and waist circumference than women who had not changed their eating behavior. 25 This shows the importance of not only directly measuring outcomes (e.g., weight or body composition), but also the behavioral change mechanisms predicting these outcomes (e.g., eating behavior).…”

Section: Discussionmentioning

confidence: 92%

“… 25 However, women who changed their eating behavior as a result of the intervention did retain less postpartum weight, and decreased more of their fat percentage and waist circumference than women who had not changed their eating behavior. 25 This shows the importance of not only directly measuring outcomes (e.g., weight or body composition), but also the behavioral change mechanisms predicting these outcomes (e.g., eating behavior). We now add to this knowledge that the implementation of app-based self-monitoring may be one such behavioral change mechanisms that is useful to increase postpartum weight loss and decrease substantial PPWR.…”

Section: Discussionmentioning

confidence: 92%

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The impact of self-monitoring physical and mental health via an mHealth application on postpartum weight retention: Data from the INTER-ACT RCT

Geusens,

Van Uytsel,

Ameye

et al. 2024

Health Promot Perspect

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Background: Postpartum weight retention (PPWR) has many health risks. Digital self-monitoring of weight can potentially make postpartum weight management easier. We aim to test to what extent the self-monitoring of weight, steps and mental health through an mHealth application increases postpartum weight loss and reduces the odds of substantial PPWR (≥5 kg). Methods: Participants were mothers in the intervention arm of the INTER-ACT multicenter randomized controlled trial (RCT), an inter-pregnancy lifestyle intervention among mothers with excessive gestational weight gain. Participants (n=288) had access to an mHealth application to log their weight, steps and mental health between 6 weeks and 6 months postpartum. A linear multiple regression model and a logistic regression model were run to test to what extent self-monitoring via the app increases postpartum weight loss and reduces the risk of substantial PPWR. Results: Women who logged their weight more often lost more weight (B=0.03, β=0.26, CIB =[0.01,0 .05], P<0.01), and had reduced odds of substantive PPWR (OR=0.99, CIOR =[0.98, 0.999], P<.05). Mental health logging reduced the odds of substantive PPWR (OR=0.98, CIOR =[0.97, 1.00], P<0.05), but was unrelated to the amount of weight loss. Steps logging was unrelated to either weight loss or substantive PPWR. Conclusion: Mothers with excessive gestational weight gain can benefit from app-based lifestyle interventions to reduce PPWR by self-monitoring their weight. More attention to mental health in PPWR interventions is needed.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 92%

The impact of self-monitoring physical and mental health via an mHealth application on postpartum weight retention: Data from the INTER-ACT RCT

Geusens,

Van Uytsel,

Ameye

et al. 2024

Health Promot Perspect

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“…The primary aim of the study was to assess the effectiveness of the INTER-ACT intervention on pregnancy and birth-related complications (a composite outcome: gestational diabetes, pregnancy-induced hypertension, cesarean section and large-gestational-age babies) in the subsequent pregnancy. Secondary outcomes (postpartum maternal mental health, postpartum weight retention and body composition and postpartum lifestyle behaviors such as eating behavior and physical activity) have already been analyzed [ 25 , 26 , 27 , 28 , 29 ]. The current secondary analyses focus on maternal mental health, pre-pregnancy weight and body composition during the interpregnancy period.…”

Section: Methodsmentioning

confidence: 99%

Mental Health during the Interpregnancy Period and the Association with Pre-Pregnancy Body Mass Index and Body Composition: Data from the INTER-ACT Randomized Controlled Trial

et al. 2023

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Mental health problems and obesity are two common complications during pregnancy and postpartum. The preconception period is considered an appropriate period for prevention. Therefore, insights into interpregnancy mental health and the impact on weight and body composition are of interest to developing effective weight management strategies. The primary aim of this study is to assess the difference in women’s mental health during the interpregnancy period and the association with pre-pregnancy body mass index (BMI) and body composition. The secondary aim is to study whether this association is affected by socio-demographic factors, interpregnancy interval and sleep. The study is a secondary analysis of the INTER-ACT e-health-supported lifestyle trial. Women were eligible if they had a subsequent pregnancy and mental health measurements at 6 weeks after childbirth and at the start of the next pregnancy (n = 276). We used univariate analyses to assess differences in mental health and performed regression analysis to assess their association with pre-pregnancy BMI and body composition at the start of the next pregnancy. Our results show a statistically significant increase in anxiety and depressive symptoms between 6 weeks after childbirth and the start of the next pregnancy (sSTAI-6 ≥ 40: +13%, p =≤ 0.001; GMDS ≥ 13: +9%, p = 0.01). Of the women who were not anxious at 6 weeks after childbirth (sSTAI < 40), more than one-third (39%) developed anxiety at the start of the next pregnancy (p =≤ 0.001). Regression analysis showed that sense of coherence (SOC-13) at the start of the next pregnancy was independently associated with women’s pre-pregnancy BMI and fat percentage. We believe that the development of preconception lifestyle interventions that focus on both weight reduction and support in understanding, managing and giving meaning to stressful events (sense of coherence) may be of added value in optimizing women’s preconception health.

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A method and validation for auditing e-Health applications based on reusable software security requirements specifications

Mejía-Granda,

Fernández-Alemán,

Carrillo de Gea

et al. 2025

International Journal of Medical Informatics

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Effect of the e-health supported INTER-ACT lifestyle intervention on postpartum weight retention and body composition, and associations with lifestyle behavior: A randomized controlled trial

Cited by 6 publications

References 29 publications

The impact of self-monitoring physical and mental health via an mHealth application on postpartum weight retention: Data from the INTER-ACT RCT

The impact of self-monitoring physical and mental health via an mHealth application on postpartum weight retention: Data from the INTER-ACT RCT

Mental Health during the Interpregnancy Period and the Association with Pre-Pregnancy Body Mass Index and Body Composition: Data from the INTER-ACT Randomized Controlled Trial

A method and validation for auditing e-Health applications based on reusable software security requirements specifications

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