Postpartum weight retention and breastfeeding among obese women from the randomized controlled Lifestyle in Pregnancy (LiP) trial

Vinter, Christina Anne; Jensen, Dorte Møller; Ovesen, Per; Beck‐Nielsen, Henning; Tanvig, Mette; Lamont, Ronald F.; Jørgensen, Jan Stener

doi:10.1111/aogs.12429

Cited by 69 publications

(103 citation statements)

References 27 publications

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“…44 45 55 56 61–63 70–74 Three RCTs (intervention group, n=268; control group, n=261) could not be included in the meta-analysis (see online supplementary table 1). In the first, Vinter et al 76 reported similar maternal weight at 6 weeks postpartum in women who were randomised to a prenatal exercise + diet intervention (95 kg, 87.3–106.6 kg) and in those who were randomised to a control group (94.4 kg, 87–107.3 kg, P=0.878). The proportion of women meeting a postpartum weight loss goal of >0 kg and >5 kg was also similar in both groups 76.…”

Section: Resultsmentioning

confidence: 97%

“…In the first, Vinter et al 76 reported similar maternal weight at 6 weeks postpartum in women who were randomised to a prenatal exercise + diet intervention (95 kg, 87.3–106.6 kg) and in those who were randomised to a control group (94.4 kg, 87–107.3 kg, P=0.878). The proportion of women meeting a postpartum weight loss goal of >0 kg and >5 kg was also similar in both groups 76. Second, Ferrara et al 59 reported no effect of a prenatal exercise + co-intervention (diet and behavioural intervention) on the odds of meeting postpartum weight loss goals (goal based on pre-pregnancy BMI) at 6 weeks and 7 months postpartum.…”

Section: Resultsmentioning

confidence: 97%

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Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis

et al. 2018

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ObjectiveGestational weight gain (GWG) has been identified as a critical modifier of maternal and fetal health. This systematic review and meta-analysis aimed to examine the relationship between prenatal exercise, GWG and postpartum weight retention (PPWR).DesignSystematic review with random effects meta-analysis and meta-regression. Online databases were searched up to 6 January 2017.Study eligibility criteriaStudies of all designs in English, Spanish or French were eligible (except case studies and reviews) if they contained information on the population (pregnant women without contraindication to exercise), intervention (frequency, intensity, duration, volume or type of exercise, alone [“exercise-only”] or in combination with other intervention components [eg, dietary; “exercise + co-intervention”]), comparator (no exercise or different frequency, intensity, duration, volume or type of exercise) and outcomes (GWG, excessive GWG (EGWG), inadequate GWG (IGWG) or PPWR).ResultsEighty-four unique studies (n=21 530) were included. ‘Low’ to ‘moderate’ quality evidence from randomised controlled trials (RCTs) showed that exercise-only interventions decreased total GWG (n=5819; −0.9 kg, 95% CI −1.23 to –0.57 kg, I2=52%) and PPWR (n=420; −0.92 kg, 95% CI −1.84 to 0.00 kg, I2=0%) and reduced the odds of EGWG (n=3519; OR 0.68, 95% CI 0.57 to 0.80, I2=12%) compared with no exercise. ‘High’ quality evidence indicated higher odds of IGWG with prenatal exercise-only (n=1628; OR 1.32, 95% CI 1.04 to 1.67, I2=0%) compared with no exercise.ConclusionsPrenatal exercise reduced the odds of EGWG and PPWR but increased the risk of IGWG. However, the latter result should be interpreted with caution because it was based on a limited number of studies (five RCTs).

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 97%

Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis

et al. 2018

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“…Lactation is also associated with many positive long-term health outcomes, such as decreased risks of obesity and diabetes, and increased performance in intelligence tests during childhood and adolescence [1,3]. For mothers, the advantages of breastfeeding include reduced postpartum bleeding, faster return to pre-pregnancy weight, a lower risk of breast and ovarian cancer, as well as decreased risks of hip fractures and osteoporosis in later life [1,4,5]. …”

Section: Introductionmentioning

confidence: 99%

Why Do Mothers of Young Infants Choose to Formula Feed in China? Perceptions of Mothers and Hospital Staff

Zhang

Tang

Wang

et al. 2015

IJERPH

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In China the exclusive breastfeeding rate remains low and infant formula is widely used. This study aimed to elicit and compare mothers’ and hospital staff perceptions of the reasons that shaped mothers’ decision to formula feed. In-depth interviews with 50 mothers, and four focus group discussions with 33 hospital staff, were conducted in Hangzhou and Shenzhen in November 2014. Responses given by the mothers and hospital staff showed a number of commonalities. The perception of “insufficient breast milk” was cited by the majority of women (n = 37, 74%) as the reason for formula feeding. Mothers’ confidence in breastfeeding appears to be further reduced by maternal mothers or mothers-in-law’s and “confinement ladies” misconceptions about infant feeding. Inadequate breastfeeding facilities and limited flexibility at their workplace was another common reason given for switching to formula feeding. A substantial proportion of mothers (n = 27, 54%) lacked an understanding of the health benefits of breastfeeding. Antenatal education on breastfeeding benefits for expectant mothers and their families is recommended. Moreover, mothers should be provided with breastfeeding support while in hospital and be encouraged to seek professional assistance to deal with breastfeeding problems after discharge. Employers should also make work environments more breastfeeding-friendly.

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“…Our data will provide evidence as to whether an intervention delivered only during pregnancy has a long lasting effect on postpartum weight retention once the intervention stops at delivery (e-intervention group 1) or whether there is an additive effect of a postpartum component to a pregnancy intervention by adapting the strategies to their new life stage. Previous studies have examined pregnancy intervention effects on weight measures at 2 months[41,42], 6[43], and 12 months[44] postpartum, and two others with a 12 month follow-up are underway,[45,46] but very few have tested interventions for both the pregnancy and postpartum periods. Huang TT, et al[17] tested a lifestyle intervention using a three-arm design until 6 months postpartum with positive results, and Rauh et al[47] have an ongoing cluster randomized pregnancy and postpartum intervention implemented until 6–8 weeks.…”

Section: Discussionmentioning

confidence: 99%

eMoms: Electronically-mediated weight interventions for pregnant and postpartum women. Study design and baseline characteristics

Fernandez

Groth

Reschke

et al. 2015

Contemporary Clinical Trials

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Background The influence of childbearing in the development of obesity is situated within two different but related contexts: pregnancy-related weight gain and weight gain prevention and control in young adult women. Pregnancy related weight gain contributes to long-term weight retention in childbearing women. Objective To present the study design, data collection procedures, recruitment challenges, and the baseline characteristics for the eMoms of Rochester study, a randomized clinical trial testing the effect of electronically-mediated behavioral interventions to prevent excessive gestational weight gain (GWG) and postpartum weight retention among women aged 18–35 years of diverse income and racial/ethnic backgrounds in an urban setting. Design Randomized double blind clinical trial. A total of 1,722 women at or below 20 weeks gestation were recruited primarily from obstetrics practices and randomized to 3 treatment groups: control arm; intervention arm with access to intervention during pregnancy and control at postpartum (e-intervention 1); and intervention arm with access to intervention during pregnancy and postpartum (e-intervention 2). Enrollment and consent were completed via study staff or online. Data were collected via online surveys, medical charts, and measurement of postpartum weights. The primary endpoints are gaining more weight than recommended by the Institution of Medicine guidelines and weight retained at 12 months postpartum. Conclusion This study will provide evidence on the efficacy of behavioral interventions in the prevention of excessive GWG and postpartum weight retention with potential dissemination to obstetrics practices and/or health insurances.

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Postpartum weight retention and breastfeeding among obese women from the randomized controlled Lifestyle in Pregnancy (LiP) trial

Cited by 69 publications

References 27 publications

Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis

Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis

Why Do Mothers of Young Infants Choose to Formula Feed in China? Perceptions of Mothers and Hospital Staff

eMoms: Electronically-mediated weight interventions for pregnant and postpartum women. Study design and baseline characteristics

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