OR21-07-23 Gestational Weight Gain and Its Effect on Short-and Long-Term Postpartum Weight Retention: An Updated Systematic Review and Meta-Analysis

Meyer, Dorothy; Gjika, Eralda; Hauner, Hans; Michel, Sophie; Raab, Roxana

doi:10.1016/j.cdnut.2023.100991

Cited by 2 publications

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“…For the odds of any (>0 kg) PPWR, women with excessive GWG had 2.05 times the odds of any PPWR at 0.5-2 years postpartum, compared to women with adequate GWG (n = 3 studies, 95% CI: 0.83, 5.04, 95% PI: 0.67 to 6.30, I 2 = 22%). 65…”

Section: Meta-analyses Of Results From Logistic Regression Modelsmentioning

confidence: 99%

“…Meta-analyses of differences in crude mean PPWR between women with excessive versus adequate GWG showed that at 0.5 years postpartum, women with excessive GWG had 2.98 kg higher PPWR (n = 4 studies, 95% CI: 0.59, 5.37 kg, 95% PI: À2.06 to 8.02 kg, I 2 = 91%), at >0.5 to 1 year postpartum, 1.89 kg higher PPWR (n = 5 studies, 95% CI: 0.90, 2.88 kg, 95% PI: 0.30 to 3.47 kg, I 2 = 61%) and at 2-4 years postpartum, 2.89 kg higher PPWR (n = 2 studies, 95% CI: 1.74, 4.04 kg, I 2 = 0%) compared to women with adequate GWG 65 (Figure 5A). Meta-analyses examining crude mean differences of PPWR in women with inadequate versus adequate GWG showed that women with inadequate GWG had 2.45 kg lower PPWR (n = 3 studies, 95% CI: À4.73, À0.18 kg, 95% PI: À6.38 to 1.47 kg, I 2 = 66%) at 0.5 years postpartum and 1.79 kg lower PPWR at >0.5 to 1 year postpartum (n = 4 studies, 95% CI: À2.71, À0.86 kg, 95% PI: À3.40 to À0.18 kg, I 2 = 55%) compared to women with adequate GWG (Figure 5B).…”

Section: Meta-analyses Of Mean Ppwr By Gwg Group (Excessive Vs Adequa...mentioning

confidence: 95%

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How does gestational weight gain influence short‐ and long‐term postpartum weight retention? An updated systematic review and meta‐analysis

Meyer,

Gjika,

Raab

et al. 2024

Obesity Reviews

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SummaryThis systematic review and meta‐analysis provide an update of an earlier meta‐analysis examining the impact of gestational weight gain (GWG) on postpartum weight retention (PPWR). Thirty‐four observational studies were included, and results from 18 studies were combined in meta‐analyses. We found that women with excessive GWG retained an additional 2.98 kg (95% CI: 0.59, 5.37 kg, I2 = 91%) at 0.5 years, 1.89 kg (95% CI: 0.90, 2.88 kg, I2 = 61%) at > 0.5–1 year and 2.89 kg (95% CI: 1.74, 4.04 kg, I 2 = 0%) at 2–4 years, compared to women who met the National Academy of Medicine GWG recommendations. Moreover, synthesis of confounder‐adjusted regression coefficients showed that each 1 kg increase of GWG corresponded to 0.62 kg (95% CI: 0.22, 1.02 kg, I2 = 96%) additional PPWR at 6–9 months, 0.48 kg (95% CI: 0.14, 0.81 kg, I2 = 93%) at 1–3 years, and 0.31 kg (95% CI: −0.24, 0.86 kg, I2 = 89%) at 5–7 years postpartum. Findings suggest that higher GWG contributes to increased maternal body weight in the short‐ and long‐term after childbirth, independent of prepregnancy body mass index. The heterogeneity of reported data and methodological differences across studies complicate the ability to synthesize data and interpret findings.

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Section: Meta-analyses Of Results From Logistic Regression Modelsmentioning

confidence: 99%

Section: Meta-analyses Of Mean Ppwr By Gwg Group (Excessive Vs Adequa...mentioning

confidence: 95%

How does gestational weight gain influence short‐ and long‐term postpartum weight retention? An updated systematic review and meta‐analysis

Meyer,

Gjika,

Raab

et al. 2024

Obesity Reviews

Self Cite

View full text Add to dashboard Cite

show abstract

“…Regardless of maternal prepregnancy BMI, these complications can negatively affect the short-and long-term health of mothers and their children. Mothers are at an increased risk for adverse pregnancy outcomes, postpartum weight retention, and metabolic disorders such as type 2 diabetes [5,[8][9][10]. Children are susceptible for macrosomia or being largefor-gestational-age at birth and developing obesity and its sequelae later in life [6,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

App-Supported Lifestyle Interventions in Pregnancy to Manage Gestational Weight Gain and Prevent Gestational Diabetes: Scoping Review

Raab,

Geyer,

Zagar

et al. 2023

J Med Internet Res

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Background Excessive gestational weight gain (GWG) and gestational diabetes mellitus (GDM) are common pregnancy complications that have been shown to be preventable through the use of lifestyle interventions. However, a significant gap exists between research on pregnancy lifestyle interventions and translation into clinical practice. App-supported interventions might aid in overcoming previous implementation barriers. The current status in this emerging research area is unknown. Objective This scoping review aims to provide a comprehensive overview of planned, ongoing, and completed studies on eHealth and mobile health (mHealth) app–supported lifestyle interventions in pregnancy to manage GWG and prevent GDM. The review assesses the scope of the literature in the field; describes the population, intervention, control, outcomes, and study design (PICOS) characteristics of included studies as well as the findings on GWG and GDM outcomes; and examines app functionalities. Methods The scoping review was conducted according to a preregistered protocol and followed established frameworks. Four electronic databases and 2 clinical trial registers were systematically searched. All randomized and quasi-randomized controlled trials (RCTs) of app-supported lifestyle interventions in pregnancy and related qualitative and quantitative research across the different study phases were considered for inclusion. Eligible studies and reports of studies were included until June 2022. Extracted data were compiled in descriptive analyses and reported in narrative, tabular, and graphical formats. Results This review included 97 reports from 43 lifestyle intervention studies. The number of published reports has steadily increased in recent years; of the 97 included reports, 38 (39%) were trial register entries. Of the 39 identified RCTs, 10 efficacy or effectiveness trials and 8 pilot trials had published results on GWG (18/39, 46%); of these 18 trials, 7 (39%) trials observed significant intervention effects on GWG outcomes. Of all 39 RCTs, 5 (13%) efficacy or effectiveness trials reported GDM results, but none observed significant intervention effects on GDM. The RCTs included in the review were heterogeneous in terms of their PICOS characteristics. Most of the RCTs were conducted in high-income countries, included women with overweight or obesity and from all BMI categories, delivered multicomponent interventions, delivered interventions during pregnancy only, and focused on diet and physical activity. The apps used in the studies were mostly mHealth apps that included features for self-monitoring, feedback, goal setting, prompts, and educational content. Self-monitoring was often supported by wearable activity monitors and Bluetooth-connected weight scales. Conclusions Research in this field is nascent, and the effectiveness and implementability of app-supported interventions have yet to be determined. The complexity and heterogeneity of intervention approaches pose challenges in identifying the most beneficial app features and intervention components and call for consistent and comprehensive intervention and outcome reporting.

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OR21-07-23 Gestational Weight Gain and Its Effect on Short-and Long-Term Postpartum Weight Retention: An Updated Systematic Review and Meta-Analysis

Cited by 2 publications

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How does gestational weight gain influence short‐ and long‐term postpartum weight retention? An updated systematic review and meta‐analysis

How does gestational weight gain influence short‐ and long‐term postpartum weight retention? An updated systematic review and meta‐analysis

App-Supported Lifestyle Interventions in Pregnancy to Manage Gestational Weight Gain and Prevent Gestational Diabetes: Scoping Review

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