Phone-based interventions to control gestational weight gain: a systematic review on features and effects

Farzandipour, Mehrdad; Nabovati, Ehsan; Anvari, Shima; Vahedpoor, Zahra; Sharif, Reihane

doi:10.1080/17538157.2018.1540421

Cited by 25 publications

(30 citation statements)

References 42 publications

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“…Weight management during pregnancy was reported to be an effective way to control birth weight,20 21 34 and evidence had proved that excessive gestational weight gain may lead to HBW and large-for-gestational age infants 35 36. The Institute of Medicine in the USA revised the gestational weight gain guidelines in 2009, encouraging health professionals and mothers to manage weight gain by following healthy dietary recommendations and increasing PA,36 and noted phone-based interventions can help pregnant women control gestational weight gain by providing guidance, reminders and educational materials 37. Other factors such as sedentary time might also influence the risk of obesity in children and adolescents 15.…”

Section: Discussionmentioning

confidence: 99%

Association of high birth weight with overweight and obesity in Chinese students aged 6–18 years: a national, cross-sectional study in China

Zou

Yang

et al. 2019

BMJ Open

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BackgroundThe prevalence of childhood overweight and obesity in China has drastically increased 57 times over the past 30 years, and to control birth weight is an effective way to reduce the risk of overweight and obesity across the life course.ObjectiveThis paper aimed to evaluate the association of high birth weight (HBW) with overweight and obesity in Chinese students aged 6–18 years.MethodsAll students with HBW (n=4981) aged 6–18 years were selected from a cross-sectional survey from seven provinces of China, and 4981 other students with normal birth weight (NBW) were randomly sampled with matched gender, age and province. Anthropometric parameters were measured and characteristics were collected by questionnaires. Multiple logistic regression was used to estimate the OR of overweight and obesity with HBW, unadjusted and adjusted for confounding factors.ResultsParticipants with HBW revealed higher body mass index in childhood. The prevalence of overweight and obesity was significantly higher in the HBW group than in the NBW group (overweight 15.3% vs 13.1%, p<0.05; obesity 16.9% vs 10.6%, p<0.05), and the results were similar for overweight in all age groups except age 6–7, age 14–15 and age 16–18. Additionally, HBW was positively associated with overweight (OR=1.230; 95% CI 1.056 to 1.432) and obesity (OR=1.611; 95% CI 1.368 to 1.897) after adjustment for covariates.ConclusionsHBW leads to an increased risk of overweight and obesity in childhood; thus, measures to control birth weight, such as controlling gestational weight gain, should be taken from the earliest beginning of life.Trial registration number NCT02343588; Post-results.

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Section: Discussionmentioning

confidence: 99%

Association of high birth weight with overweight and obesity in Chinese students aged 6–18 years: a national, cross-sectional study in China

Zou

Yang

et al. 2019

BMJ Open

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“…The feasibility and efficacy of such technology has been proven for weight management among pediatric obese patients [15] and for glucose control in mothers with gestational diabetes mellitus during pregnancy [16]. Furthermore, a systematic review summarized 12 studies using phone - based reporting interventions such as video call, phone calls, short messaging service (SMS) and smartphone apps and showed consistent evidence that although such approaches could help pregnant women control their gestational weight gain, they were not effective in preventing other pregnancy outcomes such as gestational diabetes mellitus [17]. Another systematic review of four randomized controlled trials (RCTs) did not draw any firm conclusions on the effects of mobile app interventions during pregnancy on maternal knowledge, behavior change, and perinatal health outcomes due to heterogeneity of interventions, comparators, and outcome measures across all RCTs [18].…”

Section: Introductionmentioning

confidence: 99%

A Promising Food-Coaching Intervention Program to Achieve Optimal Gestational Weight Gain in Overweight and Obese Pregnant Women: Pilot Randomized Controlled Trial of a Smartphone App

Li¹,

Aris²,

Han³

et al. 2019

JMIR Form Res

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BackgroundTraditional dietary recommendations for achieving optimal gestational weight gain are ineffective for pregnant women due to the lack of real-time communication and tedious consultation processes.ObjectiveIn this pilot study, we aimed to determine the feasibility of a novel food-coaching smartphone app for controlling gestational weight gain and macronutrient intake among overweight and obese pregnant women.MethodsWe designed a randomized controlled trial and recruited 30 overweight and obese pregnant women (1:1 ratio) during 18-20 weeks of gestation and followed them up after 4 and 8 weeks, respectively. Both groups received standard pregnancy dietary orientation at recruitment, while the intervention group received 8 weeks of real-time food coaching via a smartphone app. This food-coaching smartphone app (Glycoleap, Holmusk, Singapore) aimed to improve care and outcomes for people with diabetes. Pregnant women using this app were able to upload food images (eg, a picture of a meal, a drink, or a dessert) and received real-time and detailed food-coaching comments and guidance provided by professional dietitians during the day (8 AM to 8 PM). We recorded detailed characteristics during recruitment and examined anthropometry at all visits. We compared the mean differences of the 8-week gestational weight gain and macronutrient intake between the two groups.ResultsUpon study completion, three subjects dropped out from the intervention, and one gave birth prematurely in the control group. The acceptance rate of the smartphone app was 90%. More participants achieved optimal gestational weight gain per week in the intervention group (8/12, 67%) than in the control group (5/14, 36%). After the 8-week intervention, women in the intervention group appeared to have lower gestational weight gain (mean difference=–0.08 kg; 95% CI –1.80 to 1.63) and cholesterol intake (mean difference=–31.73 mg; 95% CI –102.91 to 39.45) than those in the control group.ConclusionsOur findings showed that this food-coaching smartphone app is feasible and favorable for weight gain control and cholesterol intake control among overweight and obese pregnant women. Although our results were not significant (perhaps, attributed to the small sample size), it provided proof of concept for the feasibility of applying such technology in future randomized controlled trials with a larger sample size, an earlier intervention onset, and a longer follow-up for overweight and obese pregnant women.

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“…This study adopts document and literature review as a research method similar to prior COVID-19 studies Brown and O'Connor, 11 Bokolo 12 based on guidelines from Farzandipour et al 13 ; Koumpouros and Georgoulas 14 to guide this study as seen in Figure 1. Figure 1 depicts the review protocol which comprises of six activities: development of research questions, search strategies, inclusion and exclusion criteria, quality assessment criteria, data extraction and synthesis, and report of findings and discussion.…”

Section: Methodsmentioning

confidence: 99%

Implications of telehealth and digital care solutions during COVID-19 pandemic: a qualitative literature review

Anthony

2020

Informatics for Health and Social Care

124

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The coronavirus disease 2019 (COVID-19) pandemic has brought changes to the way medical care is delivered to keep health workers safe while simultaneously managing available resources. The well-being of patients and healthcare workers is crucial and has become a topic of debate as the world faces adjusts to the COVID-19 pandemic. Therefore, there is need to consider innovative methods of delivering medical care. Telehealth and digital health care which is the provision of medical care via Information Communication Technology (ICT) with highspeed telecommunications systems, has increasingly becoming popular in providing medical care services can be adopted to reduce infections during quarantine and social distancing practices. Specifically, by means of document and literature review this paper discusses the role of telehealth and digital care solutions, types and application of telehealth, and current policies for COVID-19. More importantly, findings from the article present the human, infrastructure, and institutional determinants that influence the adoption of telehealth and digital care solutions during the pandemic. The findings discuss how telehealth and digital care technologies can benefit the society. This study provides implications to informs medical staffs on the potential of digital technologies to provide support during and after the pandemic.

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Phone-based interventions to control gestational weight gain: a systematic review on features and effects

Cited by 25 publications

References 42 publications

Association of high birth weight with overweight and obesity in Chinese students aged 6–18 years: a national, cross-sectional study in China

Association of high birth weight with overweight and obesity in Chinese students aged 6–18 years: a national, cross-sectional study in China

A Promising Food-Coaching Intervention Program to Achieve Optimal Gestational Weight Gain in Overweight and Obese Pregnant Women: Pilot Randomized Controlled Trial of a Smartphone App

Implications of telehealth and digital care solutions during COVID-19 pandemic: a qualitative literature review

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