Physical Activity and Nutritional Weight Loss Interventions in Obese, Low‐Income Women: An Integrative Review

Moredich, Cheryl; Kessler, Theresa A.

doi:10.1111/jmwh.12061

Cited by 30 publications

(33 citation statements)

References 24 publications

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“…Thus, further efforts are needed to promote healthier dietary habits in overweight and obese women before conception. One possibility is to provide information on healthy programs in reproductive clinics, such as the Mediterranean Diet or Dietary Approaches to Stop Hypertension (DASH) which encourage a high intake of fruit and vegetables, nuts, and legumes, and reduced intake of red and processed meats, as they have been shown to lead to weight loss and improved pregnancy outcomes (1, 26–28). Nutrition education for ethnically-diverse, low-income women also should include culturally appropriate and budget-friendly foods (28).…”

Section: Discussionmentioning

confidence: 99%

Nutritional and Weight Management Behaviors in Low-Income Women Trying to Conceive

Berenson

Pohlmeier

Laz

et al. 2014

Obstetrics &Amp; Gynecology

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Objective To evaluate the nutritional habits and weight management strategies of women trying to conceive as compared to women not trying to conceive. Methods This was a cross-sectional survey of health behaviors including nutritional habits and weight management strategies of women aged 16–40 years who were low-income, racially diverse, (n=1,711) and attending reproductive health clinics. Multivariable logistic regression analyses were performed to examine the association between pregnancy intention and various health behaviors after adjusting for demographic variables, gravidity, and obesity status. Results At total of 8.9% (n=153) of the participants stated they were trying to get pregnant. Women trying to conceive were more likely than those not trying to have participated in a number of unhealthy weight loss practices in the past year. These included taking diet pills, supplements or herbs (13.5% vs. 8.8%; adjusted odds ratio (aOR) 1.97, 95% confidence interval (CI) 1.11–3.49;), using laxatives or diuretics or inducing vomiting (7.7% vs. 3.0%; aOR 2.70, CI 1.23–5.91;), and fasting for 24 hours (10.7% vs. 5.5%; aOR 2.15, CI 1.03–4.51;). There were no significant differences between the two groups in amount of exercise, current smoking status or current alcohol consumption Further, fruit, green salad and other vegetables, and intake of soda and fast food were unrelated to pregnancy intention. Conclusion This study highlights that women trying to conceive are more likely to participate in unhealthy and potentially dangerous weight loss practices than women not trying to conceive.

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Section: Discussionmentioning

confidence: 99%

Nutritional and Weight Management Behaviors in Low-Income Women Trying to Conceive

Berenson

Pohlmeier

Laz

et al. 2014

Obstetrics &Amp; Gynecology

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“…set some nutritional goals. She is 1) instructed on Dietary Approaches to Stop Hypertension (DASH) diet, a heart‐healthy diet; 2) provided information about interventions that may be helpful to achieve weight loss; and 3) referred to a dietician. Y.T.…”

Section: Case 2: Medically Complicated Preconception Carementioning

confidence: 99%

“…Physical inactivity is a major risk factor for cardiovascular disease and other chronic health problems. Participation in consistent and frequent physical activity is strongly associated with better health and prevention of chronic diseases throughout the lifespan . Due to obesity, Y.T.…”

Section: Case 2: Medically Complicated Preconception Carementioning

confidence: 99%

Preconception Care: Improving the Health of Women and Families

Nypaver¹,

Arbour²,

Niederegger³

2016

J Midwife Womens Health

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Approximately 50% of the pregnancies in the United States are unintended. Most pregnancies are not diagnosed until after the period of organogenesis. Environmental exposures, chronic and acute illnesses, and ingestion of teratogens that can negatively affect the fetus may occur during these early weeks of pregnancy. Some chronic disease effects and lifestyle behaviors that affect the fetus can be adjusted prior to conception. Because of this, the health of a woman and her partner prior to pregnancy are of utmost importance. The Centers for Disease Control and Prevention and the Preconception Health and Health Care Initiative have established goals and evidence-based guidelines for preconception care. Preconception health care can be threaded into every visit with all women of reproductive age who are not pregnant. The guidelines focus on 3 main areas: screening, health promotion, and interventions. Screening is accomplished with women and couples via a thorough history and assessment of risks including a reproductive life plan; assessment of tobacco, alcohol and drug use; sexually transmitted infection (STI) testing and education; and assessment of environmental or teratogenic risk factors. Health promotion includes making sure the woman is current with regard to recommended vaccines, taking appropriate levels of folic acid, and maintaining a healthy weight and level of physical activity. The health care provider can intervene when indicated with management of chronic and acute illnesses, as well as provide assistance with tobacco, alcohol, and drug cessation as necessary. When a woman and her partner are healthy prior to pregnancy, unintended or planned, the woman and her fetus have a better chance at a healthy gestation and beyond. This article, via the use of case presentations, reviews how preconception health can be integrated into an office visit.

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“…Physical activity is a well-established health behavior for preventing heart attacks and strokes 1 ; managing hypertension, 2 diabetes, 3 hypercholesterolemia 4 and obesity 5 ; and reducing depressive symptoms. 6 Regular physical activity is a priority for African American women who, compared with White women, have a higher prevalence of hypertension (42.9% vs. 27.7%), diabetes (14.6% vs. 6.1%), obesity (57.5% vs. 32.5%) 7 and depressive symptoms (27.4% vs 22.4%).…”

Section: Introductionmentioning

confidence: 99%

The Cost of Increasing Physical Activity and Maintaining Weight for Midlife Sedentary African American Women

et al. 2016

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Objective To evaluate the marginal costs of increasing physical activity and maintaining weight for a lifestyle physical activity program targeting sedentary African American women. Methods Outcomes included change in minutes of total moderate to vigorous physical activity, leisure time moderate to vigorous physical activity and walking per week, and weight stability between baseline and maintenance at 48 weeks. Marginal cost effectiveness ratios (MCERs) were calculated for each outcome, and 95% confidence intervals were computed using a bootstrap method. The analysis was from the societal perspective and calculated in 2013 US dollars. Results For the 260 participants in the analysis, program costs were $165 ± 19, and participant costs were $164 ± 35, for a total cost of $329 ± 49. The MCER for change in walking was $1.50/min/wk (95% CI: 1.28, 1.87), $1.73/min/wk (95% CI: 1.41, 2.18) for change in moderate to vigorous physical activity, and $1.94/min/wk (95% CI: 1.58, 2.40) for leisure-time moderate to vigorous physical activity. The MCER for weight stability was $412 (95% CI: 399, 456). Discussion The Women's Lifestyle Physical Activity Program is a relatively low cost strategy for increasing physical activity. The marginal cost of increasing physical activity is lower than for weight stability. The participant costs related to time in the program were nearly half of the total costs, suggesting that practitioners and policy-makers should consider the participant cost when disseminating a lifestyle physical activity program into practice.

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Physical Activity and Nutritional Weight Loss Interventions in Obese, Low‐Income Women: An Integrative Review

Abstract: According to this synthesis of the best-available evidence, customized weight loss interventions are effective in obese, low-income women. By incorporating these evidence-based interventions, clinicians can be instrumental in decreasing the burden of obesity in obese, low-income women.

Cited by 30 publications

References 24 publications

Nutritional and Weight Management Behaviors in Low-Income Women Trying to Conceive

Nutritional and Weight Management Behaviors in Low-Income Women Trying to Conceive

Preconception Care: Improving the Health of Women and Families

The Cost of Increasing Physical Activity and Maintaining Weight for Midlife Sedentary African American Women

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