The impact of a randomized controlled trial of a lifestyle intervention on postpartum physical activity among at-risk hispanic women: Estudio PARTO

Burkart, Sarah; Marcus, Bess H.; Pekow, Penelope S.; Rosal, Milagros C.; Manson, JoAnn E.; Braun, Barry; Chasan‐Taber, Lisa

doi:10.1371/journal.pone.0236408

Cited by 15 publications

(16 citation statements)

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“…For example, regardless of intervention arm, women who selfreported higher levels of postpartum sports/exercise had greater decreases in body weight over follow-up time than women reporting lower levels. In addition, in a prior analysis examining the impact of the Lifestyle Intervention on physical activity in this study population, 38 both intervention arms had significant increases in moderate-to-vigorous physical activity at 1 year postpartum, with only the Lifestyle Intervention arm experiencing increases in vigorous physical activity. This suggests that the impact of the Lifestyle Intervention on physical activity may not have been sufficiently intensive to yield a larger impact on postpartum weight loss.…”

Section: Discussionmentioning

confidence: 81%

“…This enabled the isolation of the impact of Lifestyle Intervention on weight outcomes and ruled out the possibility that the social support provided by the health educators contributed to differences between arms. Prior findings from Estudio PARTO that both intervention arms had significant increases in moderate-to-vigorous physical activity at 1 year postpartum 38 support the possibility that social support may have been responsible, in part, for attenuating differences between arms. Among Hispanic women, social support has been identified as a major facilitator of behavior change.…”

Section: Discussionmentioning

confidence: 91%

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The Impact of a Lifestyle Intervention on Postpartum Weight Retention Among At-Risk Hispanic Women

Palnati¹,

Marcus²,

Pekow³

et al. 2021

American Journal of Preventive Medicine

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Introduction: This study assesses the impact of a culturally modified, motivationally targeted, individually tailored intervention on postpartum weight retention among Hispanic women with abnormal glucose tolerance during pregnancy.Methods: Estudio Parto (Project Aiming to Reduce Type twO diabetes) was an RCT conducted in Western Massachusetts (collected 2013-2017, analyzed 2018−2020). Hispanic women with blood glucose ≥140 mg/dL (7.77 mmol/L) on routine nonfasting oral glucose challenge test were randomized to a Lifestyle Intervention (n=100) focusing on healthy exercise and diet or to a comparison Health and Wellness Intervention (n=104) with no mention of exercise or diet behavior changes. The primary outcome was change in weight, calculated as the difference between prepregnancy weight and 6-week, 6-month, and 12-month postpartum weight. The secondary outcome was achievement of weight reduction to prepregnancy weight if prepregnancy BMI was normal, or a 5% reduction if prepregnancy BMI was overweight/obese. Results:In intent-to-treat analyses, there were no significant differences in weight change pattern between the intervention arms across all follow-up timepoints (b=0.03, 95% CI= À3.38, 3.45). However, at 12 months postpartum, women in the Lifestyle Intervention arm had a statistically significant 2.5-fold higher odds of meeting the secondary weight reduction outcome (OR=2.52, 95% CI=1.09, 5.82) than women in the Health and Wellness arm. Regardless of intervention arm, women who reported higher levels of postpartum sports/exercise had a greater decrease in weight (b= À2.39, 95% CI= À4.66, À0.13, p=0.04) than women reporting lower levels. Conclusions:In this randomized trial among Hispanic women, no significant overall differences in weight change pattern between intervention arms were observed. Higher levels of self-reported physical activity were associated with greater weight loss in both arms.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 91%

The Impact of a Lifestyle Intervention on Postpartum Weight Retention Among At-Risk Hispanic Women

Palnati¹,

Marcus²,

Pekow³

et al. 2021

American Journal of Preventive Medicine

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“…Postpartum diet and exercise interventions in women with prior GDM have also been tested and shown more promise in reducing risk factors for subsequent diabetes and CVD, [67][68][69][70][71][72][73][74][75][76][77][78] although low engagement, 79 modest effects on weight, 80 and poor adherence remain problematic. 81 The Diabetes Prevention Program included women with previous GDM, 74 and, consistent with the full sample results, lifestyle intervention for weight loss or metformin signi cantly reduced the incidence of diabetes by 50% compared with the placebo group. 7482 While postpartum interventions in women with prior GDM reduce risk of diabetes, the effects of postpartum interventions on recurrence of GDM in a subsequent pregnancy and effects on future maternal and child health outcomes have not been investigated.…”

Section: Risk Factors For Gestational Diabetesmentioning

confidence: 73%

Protocol for a randomized controlled trial of pre-pregnancy lifestyle intervention to reduce recurrence of gestational diabetes: Gestational Diabetes Prevention/Prevención de la Diabetes Gestacional

Phelan

Jelalian

Coustan

et al. 2021

Preprint

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BackgroundGestational diabetes mellitus (GDM) is associated with several maternal complications in pregnancy, including preeclampsia, preterm labor, need for induction of labor, and cesarean delivery as well as increased long-term risks of type 2 diabetes, metabolic syndrome, and cardiovascular disease. Intrauterine exposure to GDM raises the risk for complications in offspring as well, including stillbirth, macrosomia, and birth trauma and long-term risk of metabolic disease. One of the strongest risk factors for GDM is the occurrence of GDM in a prior pregnancy. Preliminary data from epidemiologic and bariatric surgery studies suggest that reducing body weight before pregnancy can prevent development of GDM, but no adequately powered trial has tested the effects of a maternal lifestyle intervention before pregnancy to reduce body weight and prevent GDM recurrence.MethodsThe principal aim of Gestational Diabetes Prevention/Prevención de la Diabetes Gestacional is to determine whether a lifestyle intervention to reduce body weight before pregnancy can reduce GDM recurrence. This two-site trial targets recruitment of 252 women with overweight and obesity who have previous histories of GDM and who plan to have another pregnancy in the next 1–3 years. Women are randomized within site to a comprehensive pre-pregnancy lifestyle intervention to promote weight loss with ongoing treatment until conception or an educational control group. Participants are assessed preconceptionally (at study entry, after 4 months, and at brief quarterly visits until conception), during pregnancy (at 26 weeks’ gestation) and at 6 weeks postpartum. The primary outcome is GDM recurrence and secondary outcomes include fasting glucose, biomarkers of cardiometabolic disease, prenatal and perinatal complications, and changes over time in weight, diet, physical activity and psychosocial measures.DiscussionGestational Diabetes Prevention /Prevención de la Diabetes Gestacional is the first randomized controlled trial to evaluate the effects of a lifestyle intervention delivered before pregnancy to prevent GDM recurrence. If found effective, the proposed lifestyle intervention could lay the groundwork for shifting current treatment practices towards the interconception period and provide evidence-based preconception counseling to optimize reproductive outcomes and prevent GDM and associated health risks.Trial registrationClinicalTrials.gov Identifier: NCT02763150

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“…It measures the frequency and duration of different types of activities and provides an intensity value for each activity [ 6 , 8 , 15 ]. It has been translated and validated for several countries, namely: Vietnam [ 16 ], Brazil [ 17 , 18 ], Turkey [ 19 , 20 ], Spain [ 21 ], Poland [ 22 ], Japan [ 23 ], China [ 24 ], France [ 25 ], Arabia [ 26 ], South Korea [ 27 ] and Denmark [ 28 ], as it has already been used in numerous clinical studies [ 5 , 6 , 29 , 30 ]. Taken altogether, that allows the collection of reliable data and facilitates the comparison and discussion of the results of different studies, including studies at an international level [ 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

Cultural adaptation and validation of the “Pregnancy Physical Activity Questionnaire” for the Portuguese population

et al. 2023

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Background The lack of instruments to assess the level of physical activity in pregnant women, led to the development of the PPAQ (Pregnancy Physical Activity Questionnaire), a self-administered questionnaire, which has already been translated in several countries and has already been used in several studies. Aim(s) Translate and adapt the PPAQ into Portuguese and test its reliability and validity. Methods An analytical observational study was carried out. Linguistic and semantic equivalence was performed through translation and back-translation and content validity was tested by a panel of experts. To test reliability, a test-retest was performed on a sample of 184 pregnant women, with an interval of 7 days and the ICC was used. To test the criterion validity, Pearson’s correlation coefficient (r) was used between the PPAQ and the accelerometer, in a sample of 226 pregnant women. Findings The questionnaire was considered comprehensive. The ICC values of Reliability were: total score (0.77); sedentary activities (0.87); light-intensity activities (0.76); moderate-intensity activities (0.76); vigorous-intensity activities (0.70). For criterion validity was obtained a coefficient correlation of r = -0.030, considered weak and negative, for total activity. Discussion This study describes the translation and validation process of the PPAQ questionnaire from English to Portuguese. The final version of the PPAQ was considered as a valid instrument in terms of content to measure physical activity and was referred to as being simple to apply and easy to understand. Conclusion The PPAQ has content validity, excellent reliability and weak criterion validity, as in the original version.

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The impact of a randomized controlled trial of a lifestyle intervention on postpartum physical activity among at-risk hispanic women: Estudio PARTO

Cited by 15 publications

References 40 publications

The Impact of a Lifestyle Intervention on Postpartum Weight Retention Among At-Risk Hispanic Women

The Impact of a Lifestyle Intervention on Postpartum Weight Retention Among At-Risk Hispanic Women

Protocol for a randomized controlled trial of pre-pregnancy lifestyle intervention to reduce recurrence of gestational diabetes: Gestational Diabetes Prevention/Prevención de la Diabetes Gestacional

Cultural adaptation and validation of the “Pregnancy Physical Activity Questionnaire” for the Portuguese population

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