Applying behavior change techniques to weight management during pregnancy: Impact on perinatal outcomes

Phillips, Julie; Higgins, Stephen T.

doi:10.1016/j.ypmed.2017.07.023

Cited by 7 publications

(6 citation statements)

References 72 publications

(77 reference statements)

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“…Still, intensive interventions may not be feasible for many women and may be difficult to implement in healthcare delivery settings. In addition, data are needed on long-term maternal and infant health outcomes beyond the immediate postpartum period [13].…”

Section: Introductionmentioning

confidence: 99%

Gestational weight gain and optimal wellness (GLOW): rationale and methods for a randomized controlled trial of a lifestyle intervention among pregnant women with overweight or obesity

Brown

Hedderson

Ehrlich

et al. 2019

BMC Pregnancy Childbirth

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Background Excess gestational weight gain (GWG) is common among women with overweight or obesity, increasing their risks for pregnancy complications, delivering a large infant, and postpartum weight retention. To date, only intensive interventions have had success and few interventions have been designed for implementation in healthcare settings. Methods We describe the development, rationale, and methods of GLOW (GestationaL Weight Gain and Optimal Wellness), a randomized controlled trial evaluating the efficacy of a lifestyle intervention to prevent excess GWG among racially/ethnically diverse women with overweight or obesity in an integrated healthcare delivery system. Participants in Kaiser Permanente Northern California will be randomized, within 2 weeks of completing a study baseline clinic visit at 10 weeks’ gestation, to either usual medical care or a multi-component pregnancy lifestyle intervention adapted from the Diabetes Prevention Program (target N = 400). Informed by focus groups with patients and designed to be feasible in a clinical setting, the intervention will include 13 weekly individual sessions (11 delivered by telephone) focused on behavior change for weight management, healthy eating, physical activity, and stress management. Outcomes will be assessed in women and their infants from randomization to 12 months postpartum. The primary outcome is GWG. Secondary outcomes include changes in diet and physical activity during pregnancy and infant birthweight. Exploratory outcomes include cardiometabolic profile assessed via pregnancy blood samples and cord blood samples; and postpartum weight retention and infant anthropometrics up to 12 months of age. The trial includes systematic approaches to enhance intervention fidelity, intervention adherence, and participant retention in trial assessments. Discussion GLOW is among few trials targeting excess GWG among diverse women with overweight or obesity in a healthcare setting, with long-term maternal and infant outcomes assessed up to 12 months after delivery. This evaluation of a multi-component intervention is designed to produce generalizable results to inform potential adoption of the intervention in clinical settings. Trial registration ClinicalTrials.gov ( NCT02130232 ): submitted April 30, 2014; posted May 5, 2014. Electronic supplementary material The online version of this article (10.1186/s12884-019-2293-8) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Gestational weight gain and optimal wellness (GLOW): rationale and methods for a randomized controlled trial of a lifestyle intervention among pregnant women with overweight or obesity

Brown

Hedderson

Ehrlich

et al. 2019

BMC Pregnancy Childbirth

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“…The data used for this study were from 81 women of 0-week postpartum; 76 of 4-week postpartum; 73 of 8-week postpartum; 72 of 12-week postpartum; 72 of 16-week postpartum; 70 of 20-week postpartum and 59 of 24-week postpartum, a total of 503 sets. The correlation indicates the relationship between the body shape proportion and variables of postpartum such as woman's age, pre-pregnancy weight, height, gravida, baby weight, postpartum week and postpartum weight, as shown in Equation (7), which is similar to Equation (1), however, with postpartum parameters. The values are the proportion of a postpartum woman's body: Chest, Waist, Hip, Upper Arm, Thigh, respectively.…”

Section: Al P 0 = (Almentioning

confidence: 95%

“…Women with diabetes during pregnancy tend to have high blood pressure, which can lead to abdominal surgery and premature birth [6]. Therefore, it is important for all women who are planning to become pregnant to control a proper weight before and during pregnancy using multi-faceted interventions throughout the reproductive years as a part of a long-term follow up and behavioral interventions to minimize pregnancy weight gain [7]. The BMI before pregnancy affects not only the weight gain during pregnancy, but also the postpartum weight retention [8,9].…”

Section: Introductionmentioning

confidence: 99%

Simulation of 3D Body Shapes for Pregnant and Postpartum Women

Sinthanayothin

Xuto

Bholsithi

et al. 2022

Sensors

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Several studies have reported that pre-pregnant women's body mass index (BMI) affects women’s weight gain with complications during pregnancy and the postpartum weight retention. It is important to control the BMI before, during and after pregnancy. Our objectives are to develop a technique that can compute and visualize 3D body shapes of women during pregnancy and postpartum in various gestational ages, BMI, and postpartum durations. Body changes data from 98 pregnant and 83 postpartum women were collected, tracked for six months, and analyzed to create 3D model shapes. This study allows users to simulate their 3D body shapes in real-time and online, based on weight, height, and gestational age, using multiple linear regression and morphing techniques. To evaluate the results, precision tests were performed on simulated 3D pregnant and postpartum women’s shapes. Additionally, a satisfaction test on the application was conducted on new 149 mothers. The accuracy of the simulation was tested on 75 pregnant and 74 postpartum volunteers in terms of relationships between statistical calculation, simulated 3D models and actual tape measurement of chest, waist, hip, and inseam. Our results can predict accurately the body proportions of pregnant and postpartum women.

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“…There is growing recognition of the need to attend to these conditions as part of effective treatment for a wide variety of medical conditions. To address this important development, we invited contributions underscoring the importance of obesity as an unaddressed risk factor for coronary heart disease and the place of weight loss in effective rehabilitation from a cardiac event (Ades and Savage, 2017, in this issue), in the prevention and treatment of type-2 diabetes (Delahanty, 2017, in this issue), as a component of treating advanced cancer (Dittus et al, 2017, in this issue), and in efforts to prevent greater-than-recommended gestational weight gain and the serious adverse impacts of maternal obesity on perinatal outcomes (Phillips and Higgins, 2017, in this issue).…”

Section: Weight Management and Physical Activity In Vulnerable Medmentioning

confidence: 99%

Editorial for the special issue on behavior change, health, and health disparities 2017

Higgins

2017

Preventive Medicine

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This Special Issue of Preventive Medicine (PM) is the 4th in a series on behavior change, health, and health disparities, a topic of critical importance to improving U.S. population health. The U.S. ranks near the bottom on measures of population health relative to other industrialized countries despite spending orders of magnitude more on health care than any other nation. Population health experts agree that the area of personal behavior, or lifestyle, such as substance abuse, physical inactivity/obesity, and non-adherence with medical regimens is the single largest contributor to this situation. These unhealthy behavior patterns disproportionately impact economically disadvantaged populations and other vulnerable populations and represent a major contributor to health disparities. Thus, behavior change represents an essential step in improving population health generally and curtailing health disparities more specifically. While perhaps more severe in the U.S., other industrialized countries are facing similar challenges with personal behavior patterns, adverse health impacts, and health disparities. Thus the topics discussed in this series have implications well beyond the U.S. In this 4th Special Issue we address (a) the potential health impacts of liberalizing laws on recreational marijuana use; (b) the ongoing challenge of tobacco use in vulnerable populations; and (b) the importance of weight management and physical activity in caring for vulnerable medical populations. Across each of these topics we include contributions from accomplished policymakers and scientists to acquaint readers with recent accomplishments and remaining knowledge gaps and challenges in these important topic areas.

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Applying behavior change techniques to weight management during pregnancy: Impact on perinatal outcomes

Cited by 7 publications

References 72 publications

Gestational weight gain and optimal wellness (GLOW): rationale and methods for a randomized controlled trial of a lifestyle intervention among pregnant women with overweight or obesity

Gestational weight gain and optimal wellness (GLOW): rationale and methods for a randomized controlled trial of a lifestyle intervention among pregnant women with overweight or obesity

Simulation of 3D Body Shapes for Pregnant and Postpartum Women

Editorial for the special issue on behavior change, health, and health disparities 2017

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