Behavioral Intervention During Pregnancy for Preventing Abdominal Obesity and Pregnancy Complications in Indian Women: Study Protocol

Pawalia, Alka; Kulandaivelan, Sivachidambaram; Savant, Satya; Yadav, Vikram Singh

doi:10.5958/0976-5506.2018.00174.2

Cited by 5 publications

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“…The main trial had the primary aim to assess the effectiveness of 5 different behavioural interventions during pregnancy, i.e., control group, diet, home exercise, supervised exercise and supervised exercise with diet, on central obesity, weight retention and pregnancy complications in pregnant Indian women. The complete details about the study have been published elsewhere (11). The main trial is registered with the clinical trial registry of India with CTRI No.…”

Section: Methodsmentioning

confidence: 99%

“…The inclusion criteria were women with a singleton live pregnancy, BMI ≥18.5 kg/m 2 , age ≥18 years and access to a mobile phone. One hundred forty pregnant women were studied for a duration of 10 months, i.e., from recruitment at 12-16 weeks of gestation until 2 months after delivery, from the outpatient department of a maternity hospital on the panel of GJUS&T (11). The exclusion criteria were multiple gestations, prior pregnancy complications such as diabetes, hypertension, and vascular disease, and being declared unfit by a gynaecologist.…”

Section: Methodsmentioning

confidence: 99%

“…If they forgot any of the exercises, they were free to ask again during any antenatal visit. Women in the exercise group received weekly supervised prenatal exercise sessions with a trained female physiotherapist from 20-36 weeks of gestation, while those in the exercise + diet group received supervised exercise sessions along with dietary messages during pregnancy (11). Data were collected at recruitment (12-16 weeks), term (36-38 weeks) and 2 months post-delivery.…”

Section: Methodsmentioning

confidence: 99%

“…D i HE grupa su imale najviše ispitanica koje su imale GTR u okviru preporučenog opsega, dok su grupe SE i SED imale najviše ispitanica sa GTR-om ispod preporučenog opsega. Ipak, ovi rezultati nisu uticali na telesnu težinu novorođenčeta ni u jednoj grupi (18,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)9 kg/m2), pri čemu je D grupa imala najefektnije održavanje GT sa 15%, 55% i 30% žena koje dobijaju na težini, ne dobijaju i gube na težini, respektivno. U SE i SED grupama najviše žena je imalo najnižu stopu održavanja telesne težine 2 meseca nakon porođaja, a zatim u grupama HM, D i C; tj., rezultati pokazuju očekivani trend kliničke promene iako razlike nisu bile statističke značajne (p=0,12).…”

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Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

Pawalia

Kulandaivelan

Savant³

et al. 2020

Serbian Journal of Experimental and Clinical Research

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The aim of this study was to measure the adequacy of gestational weight gain (GWG) in Indian women using various behavioural interventions during pregnancy, which primarily aim to observe the effects on obesity markers and weight retention. In this experimental study, one hundred and forty pregnant women underwent interventions in 5 groups, control (C), diet (D), home exercise (HE), supervised exercise (SE) and supervised exercise with diet (SED), from pregnancy through delivery with 2 months follow-up post-delivery. The outcome measures were GWG and baby birth weight. A one-way ANOVA indicated no differences in the mean GWG between groups (12.39±4.71 kg, p=0.947). The control group had the most (50%) and both the supervised exercise groups had the fewest (32%) women who gained above the recommended GWG, followed by the diet group (33.3%). The D and HE groups had the most women who gained within the GWG range, while both the SE and SED groups had the most women who gained below the GWG range. However, these results did not affect the birth weight between the groups (mean 2.96 kg±0.40, p=0.203). In women with normal BMIs, (18.5-22.9 kg/m2), the diet group had the most effective maintenance of adequate GWG, with 15%, 55%, and 30% of the women gaining above, within, and below the recommended GWG, respectively. The SE and SED groups had the least postpartum weight retention (PPWR) at 2 months, followed by the HM, D and C groups; i.e., the results showed a trend in the desired direction clinically, although they were not statistically significant (p=0.12). Supervised exercise can be effectively used as a pregnancy intervention to prevent excess GWG in Indian women. Diet counselling was found to be the next best intervention in combination with exercise, as well as for women with normal BMI.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Sažetakunclassified

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Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

Pawalia

Kulandaivelan

Savant³

et al. 2020

Serbian Journal of Experimental and Clinical Research

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Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review

Dewidar,

John,

Baqar

et al. 2023

Campbell Systematic Reviews

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BackgroundNutritional counseling, which includes two‐way interactive education, has been hypothesized to improve the health and nutritional status of pregnant women, but little is known about the impact such practice of care might have on maternal and infant health and behavioral outcomes of pregnant women living in low income, low‐middle income, and upper‐middle‐income countries (LMIC)s.ObjectivesWe conducted a systematic review to appraise the effectiveness and impact on health equity of two‐way nutritional counseling practices in LMICs on maternal and infant behavioral, nutritional, and health outcomes.Search MethodsWe conducted electronic searches for relevant studies on Medline, Embase, CINAHL, PsychInfo, and the Cochrane CENTRAL for randomized and non‐randomized trials on the effectiveness of two‐way interactive nutritional counseling among pregnant women from the date of database inception up to June 22, 2021. In addition, we searched references of included studies in systematic reviews, gray literature resources, and unpublished studies or reports that satisfied our eligibility criteria using a focused Google search.Selection CriteriaWe included randomized and non‐randomized controlled studies (NRS), controlled before and after, and interrupted time series that assessed the effectiveness of two‐way interactive nutrition counseling targeting pregnant women in LMICs.Data Collection and AnalysisData extraction and risk of bias were conducted in duplicate. The risk of bias (ROB) for randomized trials (RCT) was assessed according to the Cochrane Handbook of Systematic Reviews, and ROB for NRS was assessed using the Newcastle‐Ottawa scale (NOS). RCT and NRS were meta‐analyzed separately.Main ResultsOur search identified 6418 records and 52 studies met our inclusion criteria, but only 28 were used in the quantitative analysis. Twenty‐eight studies were conducted in Asia, the most in Iran. Eight studies were conducted in Africa. Two‐way interactive nutritional counseling during pregnancy may improve dietary caloric intake (mean difference [MD]: 81.65 calories, 95% confidence interval [CI], 15.37–147.93, three RCTs; I2 = 42%; moderate certainty of evidence using GRADE assessment), may reduce hemorrhage (relative risk [RR]: 0.63; 95% CI, 0.25–1.54, two RCTs; I2 = 40%; very low certainty of evidence using GRADE assessment), may improve protein (MD: 10.44 g, 95% CI, 1.83–19.05, two RCTs; I2 = 95%; high certainty of evidence using GRADE assessment), fat intake (MD: 3.42 g, 95% CI, −0.20 to 7.04, two RCTs; I2 = 0%; high certainty of evidence using GRADE assessment), and may improve gestational weight gain within recommendations (RR: 1.84; 95% CI, 1.10–3.09, three RCTs; I2 = 69%). Nutrition counseling probably leads to the initiation of breastfeeding immediately after birth (RR: 1.72; 95% CI, 1.42–2.09, one RCT). There was little to no effect on reducing anemia (RR: 0.77; 95% CI, 0.50–1.20, three RCTs; I2 = 67%; very low certainty of evidence using GRADE assessment) risk of stillbirths (RR: 0.81; 95% CI, 0.52–1.27, three RCTs; I2 = 0%; moderate certainty of evidence using GRADE assessment) and risk of cesarean section delivery (RR: 0.96; 95% CI, 0.76–1.20, four RCTs; I2 = 36%; moderate certainty of evidence using GRADE assessment).Authors’ ConclusionsOur review highlights improvements in maternal behavioral and health outcomes through interactive nutrition counseling during pregnancy. However, we are uncertain about the effects of nutrition counseling due to the low certainty of evidence and a low number of studies for some key outcomes. Moreover, the effects on health equity remain unknown. More methodologically rigorous trials that focus on a precise selection of outcomes driven by the theory of change of nutrition counseling to improve maternal and infant behavioral and health outcomes and consider equity are required.

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Effect of Exercises and Diet Intervention in Pregnancy on Postpartum Weight Retention and Obesity Markers: Findings in Indian Women

Pawalia

Kulandaivelan

Yadav

2020

Journal of Women's Health Physical Therapy

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Behavioral Intervention During Pregnancy for Preventing Abdominal Obesity and Pregnancy Complications in Indian Women: Study Protocol

Cited by 5 publications

References 0 publications

Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review

Effect of Exercises and Diet Intervention in Pregnancy on Postpartum Weight Retention and Obesity Markers: Findings in Indian Women

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