Weight-Management Interventions for Pregnant or Postpartum Women

Kuhlmann, Anne Sebert; Dietz, Patricia M.; Galavotti, Christine; England, Lucinda J.

doi:10.1016/j.amepre.2008.02.010

Cited by 89 publications

(88 citation statements)

References 22 publications

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“…Furthermore, it is important for intervention success that pregnant women are motivated to keep a healthy weight in pregnancy [17,19], and findings from this and other research [20] indicates that to increase women's motivation regarding keeping a healthy weight in pregnancy, the information given to women should include the benefits to their baby if they avoid excessive weight gain. It is important that health professionals realise how essential information on gestational weight gain is, and manage to integrate it into their discussion with women to avoid the 'information overload' women and health professionals mention both in this study and previous research [20].…”

Section: Discussionmentioning

confidence: 85%

“…Additionally, all women, irrespective of pre-pregnancy weight, must be careful to not gain excessive weight in pregnancy [9], thus many women may benefit from an intervention targeting gestational weight gain [17]. It is important to take pregnant women's views regarding weight into account to be able to develop effective interventions [18] and to increase the chance of intervention success, women need to be positive towards healthy weight management in pregnancy [17,19]. Consequently, before designing an intervention targeting gestational weight gain we wanted to explore women's views towards this issue.…”

Section: Introductionmentioning

confidence: 99%

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The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Olander

Atkinson

Edmunds

et al. 2011

Sexual & Reproductive Healthcare

110

149

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. (2011). The views of pre-and post-natal women and health professionals regarding gestational weight gain: an exploratory study. Sexual & Reproductive Healthcare, 2(1), pp. 43-48. doi: 10.1016/j.srhc.2010.10.004 This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent Study DesignIn total, five focus groups were conducted with pregnant women (n=9), post-natal women (n=14) and health professionals (including midwives, n=7). The focus groups were transcribed verbatim and analysed thematically. Main Outcome MeasuresThe women's views regarding weight gain in pregnancy and what the health professionals' thoughts were concerning the current provision of care they provide to their patients regarding gestational weight gain. ResultsThe women expressed a lack of concern regarding their weight in pregnancy, and reported not receiving any information regarding what constitutes healthy gestational weight gain. The pregnant women reported not monitoring their weight and assumed they would lose weight post-natally through breastfeeding. The health professionals reported being aware of the women's beliefs, however lacked information to give to the women relating to healthy weight gain. ConclusionsIt is likely that the women lacked concern and knowledge regarding gestational weight gain due to not receiving information from their midwives and other health professionals regarding this issue. The health professionals were in turn unsure of what to advise women regarding appropriate gestational weight gain. By ensuring midwives and other health professionals have the knowledge and skills to discuss weight with pregnant women, the women in turn may be more motivated and confident in maintaining a healthy weight at this time.3

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Olander

Atkinson

Edmunds

et al. 2011

Sexual & Reproductive Healthcare

110

149

View full text Add to dashboard Cite

show abstract

“…Increased weight post-natal was also found to be a strong indicator of being overweight 15 years later (Linne et al, 2004). The more weight gained during pregnancy, the more likely that it may be retained postpartum (Johnson et al, 2013) and women who enter a subsequent pregnancy overweight or obese also have a higher risk of adverse outcomes for themselves and/or their infants (Kuhlmann et al, 2008 andMarchi et al, 2015).…”

Section: Introductionmentioning

confidence: 86%

Women's dietary changes before and during pregnancy: A systematic review

Hillier

Olander

2017

Midwifery

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BackgroundDietary intake before and during pregnancy has significant health outcomes for both mother and child, including a healthy gestational weight gain. To ensure effective interventions are successfully developed to improve dietary intake during pregnancy, it is important to understand what dietary changes pregnant women make without intervention. AimsTo systematically identify and review studies examining women's dietary changes before and during pregnancy and to identify characteristics of the women making these changes. MethodsA systematic search strategy was employed using three databases (Web of Science, CINAHL and PubMed) in May 2016. Search terms included those relating to preconception, pregnancy and diet. All papers were quality assessed using the Scottish Intercollegiate Guidelines Network methodology checklist for cohort studies.The search revealed 898 articles narrowed to full-text review of 23 studies.In total, 11 research articles were included in the review, describing nine different studies. The findings were narratively summarized in line with the aims of the review. FindingsThe included studies showed marked heterogeneity, which impacts on the findings. However, the majority report an increase in energy intake (kcal or kJ) during pregnancy. Of the studies that reported changes through food group comparisons, a majority reported a significant increase in fruit and vegetable consumption, a decrease in egg consumption, a decrease in fried and fast food consumption and a decrease in coffee and tea consumption from before to during pregnancy. The characteristics of the women participating in these studies, suggest that age, education and pregnancy intention are associated with healthier dietary changes; however these factors were only assessed in a small number of studies. Key conclusionsThe 11 included articles show varied results in dietary intake during pregnancy as compared to before.More research is needed regarding who makes these healthy changes, this includes consistency regarding measurement tools, outcomes and time points. 3 Implications for practiceMidwives as well as intervention developers need to be aware of the dietary changes women may spontaneously engage in when becoming pregnant, so that care and interventions can build on these.

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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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Weight-Management Interventions for Pregnant or Postpartum Women

Cited by 89 publications

References 22 publications

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Women's dietary changes before and during pregnancy: A systematic review

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

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