Changes in food choice during a successful weight loss trial in overweight and obese postpartum women

Abstract

Objective: To examine changes in intake across food groups during a weight loss trial that produced significant and sustainable weight loss in lactating women receiving dietary treatment. Methods: At 10-14 wk postpartum, 61 overweight and obese lactating Swedish women were randomized to a 12-wk dietary (D), exercise (E), combined (DE), or control (C) treatment. Food intake was assessed by 4-d weighed diet records which were used to examine changes in intake across seven food groups from baseline to 12 wk and 1 y after randomization. Differences in changes in food choice between women receiving dietary treatment (D1DE) and no dietary treatment (E1C) were examined using multivariate linear regression. Results: At baseline, sweets and salty snacks contributed to 21610 percent of total energy intake (E%). During the intervention period, women receiving dietary treatment reduced their E% from sweets and salty snacks and caloric drinks and increased their E% from vegetables more than did women not receiving dietary treatment (all P < 0.010). At 1 y, the increased E% from vegetables was maintained significantly higher among women receiving dietary treatment (P 5 0.002). Conclusions: Lactating women receiving dietary treatment achieved sustainable weight loss through changes in food choice in line with current dietary guidelines.

Breast-feeding and postpartum maternal weight trajectories

“…The postpartum period has been associated with an increase in food intake and a decrease in physical activity level (PAL) (7)(8)(9) . Breast-feeding also has been shown to be positively associated with improved dietary quality in overweight and obese women (10,11) . However, no differences in PAL have been observed between women who never initiated breast-feeding and those who practise exclusive breast-feeding (EBF) (12) .…”

Comparative effectiveness of electro-acupuncture plus lifestyle modification treatment for patients with simple obesity and overweight: study protocol for a randomized controlled trial

“…This diary is a valid instrument for estimating nutrition intake and a beneficial tool for self-monitoring of dietary intake. It has been proved and performed in numerous nutrition researches [ 32 – 34 ]. Moreover, minimization will be conducted as a random procedure in this trial, avoiding possible confounding factors such as different obesity levels, gender, and age.…”

“…The lifestyle modification treatment was designed by experienced nutritionists, and the treatment protocol was established before the study began. Firstly, each patient’s lifestyle, including daily nutrient intake and exercise habit, will be collected using a dietary questionnaire [ 33 , 34 ] and analyzed by a nutritionist at the beginning of the study. A face-to-face nutritional consultation will be subsequently arranged for each patient, in order to tailor an individualized lifestyle treatment.…”

Maternal behavioral factors influencing postpartum weight retention. Clinical and metabolic implications

“…25 This weight loss implied a caloric reduction as well as changes in the diet composition, with lower proportions of fat and sucrose intake and higher content of carbohydrates and fibers complexes. 28 Huseinovic et al 32 observed that reducing and/or replacing high-calorie food such as snacks and soft drinks for vegetable consumption significantly reduced postpartum weight. Increased protein intake has also been associated with postpartum weight loss.…”