Interventions for Weight Management in Postpartum Women

Keller, Colleen; Records, Kathie; Ainsworth, Barbara E.; Permana, Paska A.; Coonrod, Dean V.

doi:10.1111/j.1552-6909.2007.00202.x

Cited by 38 publications

(44 citation statements)

References 37 publications

(33 reference statements)

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“…Several researchers [22,28,141-146] and governmental bodies [147,148] have called for theory-driven empirical studies evaluating interventions that occur after pregnancy, with the specific aim of preventing postpartum weight retention and the diseases that follow. The proposed intervention is one of the first to apply SCT in targeting both individual and institutional levels of support.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, existing interventions have paid little attention to the cultural, social, and contextual factors that influence postpartum body weight [22]. Lack of a theoretical framework may underlie this shortcoming [28]. Finally, existing programs have generally failed to target a population at greatest risk for postpartum weight retention, including low-income, multiethnic women.…”

Section: Introductionmentioning

confidence: 99%

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‘Fit Moms/Mamás Activas’ internet-based weight control program with group support to reduce postpartum weight retention in low-income women: study protocol for a randomized controlled trial

Phelan

Brannen

Erickson

et al. 2015

Trials

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BackgroundHigh postpartum weight retention is a strong independent risk factor for lifetime obesity, cardiovascular disease, and type 2 diabetes in women. Interventions to promote postpartum weight loss have met with some success but have been limited by high attrition. Internet-based treatment has the potential to overcome this barrier and reduce postpartum weight retention, but no study has evaluated the effects of an internet-based program to prevent high postpartum weight retention in women.Methods/DesignFit Moms/Mamás Activas targets recruitment of 12 Women, Infants and Children (WIC) Supplemental Nutrition Program clinics with a total of 408 adult (>18 years), postpartum (<1 year) women with 14.5 kg or more weight retention or a body mass index of 25.0 kg/m2 or higher. Clinics are matched on size and randomly assigned within county to either a 12-month standard WIC intervention or to a 12-month WIC enhanced plus internet-based weight loss intervention. The intervention includes: monthly face-to-face group sessions; access to a website with weekly lessons, a web diary, instructional videos, and computer-tailored feedback; four weekly text messages; and brief reinforcement from WIC counselors. Participants are assessed at baseline, six months, and 12 months. The primary outcome is weight loss over six and 12 months; secondary outcomes include diet and physical activity behaviors, and psychosocial measures.DiscussionFit Moms/Mamás Activas is the first study to empirically examine the effects of an internet-based treatment program, coupled with monthly group contact at the WIC program, designed to prevent sustained postpartum weight retention in low-income women at high risk for weight gain, obesity, and related comorbidities.Trial registrationThis trial was registered with Clinicaltrials.gov (identifier: NCT01408147) on 29 July 2011.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

‘Fit Moms/Mamás Activas’ internet-based weight control program with group support to reduce postpartum weight retention in low-income women: study protocol for a randomized controlled trial

Phelan

Brannen

Erickson

et al. 2015

Trials

View full text Add to dashboard Cite

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“…The main reasons for exclusion were lack of a control group; a different outcome measurement than physical activity or nutritional behaviour; or because mothers of children above 5 years of age were included in the study. Moreover, four review articles were found, all describing studies which mainly investigated the relationship between weight-related behaviours and weight only using prescribed diet or exercise with no attention for lifestyle change (16,(20)(21)(22) . Equally, two intervention studies were excluded for this reason.…”

Section: Study Selectionmentioning

confidence: 99%

Targeting physical activity and nutrition interventions towards mothers with young children: a review on components that contribute to attendance and effectiveness

Hartman

Hosper

Stronks

2010

Public Health Nutr.

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Objective: To gain insight into intervention components targeted specifically to mothers of young children that may contribute to attendance and effectiveness on physical activity and healthy eating. Design: Systematic literature searches were performed using MEDLINE, Embase and cited references. Articles were included if they evaluated the effectiveness of a lifestyle intervention to promote physical activity and/or healthy eating in an experimental design among mothers with young children (age 0-5 years). Data were extracted on study characteristics, intervention components targeted towards mothers with young children, attendance and effectiveness. Extracted data were analysed in a descriptive manner. Results: Eleven articles describing twelve interventions met the inclusion criteria. Of the six studies that measured attendance, two reported high attendance. Embedding the intervention within routine visits to child health clinics seems to increase attendance. Three studies found significant effects on physical activity and three on healthy eating. Effective interventions directed at physical activity included components such as counselling on mother-specific barriers or community involvement in intervention development and implementation. One of the three interventions that effectively increased healthy eating had components targeted at mothers (i.e. used targeted motivational appeals). Conclusions: The number of experimental intervention studies for promoting physical activity and healthy eating among new mothers is limited. However, useful first recommendations can be set for targeting interventions towards mothers, in particular for promoting attendance and physical activity. More insight is required about the need for targeting health promotion programmes at new mothers, especially of those directed at nutritional behaviour. Keywords Physical activity Healthy eating Weight change Interventions MothersFollow-up studies among adults show that weight gain in young women is, on average, relatively large compared with older women (1)(2)(3) . Excessive weight gain during pregnancy, failure to lose weight in an appreciable period of time postpartum and weight gain during the postpartum period may well partly explain this weight gain among young women (4)(5)(6) . New mothers are more likely to gain weight than young adult women without children (7) . In addition, longitudinal studies have shown that postpartum weight retention predicts overweight in the long term (4,5) . Therefore, promoting weight control among new mothers is valuable in obesity prevention.A decrease in physical activity during the transition into motherhood may explain the higher increase in weight gain among new mothers compared with non-mothers. A meta-analysis showed that mothers were less likely to be physically active than fathers and non-parents (8) . In particular, mothers of young children (under the age of 5 years) seem to be at risk for physical inactivity (9,10) . Changes in nutritional behaviour before and after pregnancy are...

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“…39 In one such study, O’Toole et al 40 found a 1-year postpartum weight loss of 7.3 kg in a group of overweight women who received individualized diet and activity recommendations, maintained daily food and activity diaries, and participated in group education sessions. By contrast, a mean weight loss of only 1.4 kg was reported for those participants who did not receive this structured intervention.…”

Section: Prevention Of Type 2 Diabetes Mellitusmentioning

confidence: 99%

Gestational diabetes mellitus: postpartum opportunities for the diagnosis and prevention of type 2 diabetes mellitus

et al. 2008

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SUMMARY Gestational diabetes mellitus (GDM) affects approximately 4% of all pregnant women in the US and represents 90% of all cases of diabetes mellitus diagnosed during pregnancy. In addition to the adverse pregnancy outcomes associated with this complication, a history of GDM predisposes women to the future development of type 2 diabetes mellitus (T2DM). Incidence rates of GDM are increasing in the US. As a consequence, a growing number of women are now at increased risk for T2DM. Opportunities to diagnose and prevent T2DM in women with a history of GDM include early diagnosis by postpartum screening and implementation of diabetes prevention measures. In this Review, we discuss current guidelines for postpartum screening, how they might be implemented, and who should take responsibility for screening individuals at risk of T2DM. In addition, we describe measures to prevent the onset of T2DM in women with a history of GDM, focusing on lifestyle modifications, such as diet and breast-feeding.

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Interventions for Weight Management in Postpartum Women

Cited by 38 publications

References 37 publications

‘Fit Moms/Mamás Activas’ internet-based weight control program with group support to reduce postpartum weight retention in low-income women: study protocol for a randomized controlled trial

‘Fit Moms/Mamás Activas’ internet-based weight control program with group support to reduce postpartum weight retention in low-income women: study protocol for a randomized controlled trial

Targeting physical activity and nutrition interventions towards mothers with young children: a review on components that contribute to attendance and effectiveness

Gestational diabetes mellitus: postpartum opportunities for the diagnosis and prevention of type 2 diabetes mellitus

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