Pre-Pregnant Body Mass Index Adversely Effects Leptin and Insulin Levels in Low-Income Women

Krummel, Debra A.; Andrews, Mike; Ahire, S.; Gundamaraju, Anuradha; Speed, A.; Powell, Theresa L.

doi:10.1016/j.jada.2009.06.384

Cited by 1 publication

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“…Pre-pregnant weight was assessed as is currently done in WIC, i.e., self-reported. In our lab, self-reported weight was highly correlated with measured weight in the first trimester (13). Height was measured on a portable stadiometer to the nearest tenth of a centimeter.…”

Section: Description Of the Evaluationmentioning

confidence: 91%

Lessons Learned from the Mothers' Overweight Management Study in 4 West Virginia WIC Offices

Krummel

Semmens

MacBride

et al. 2010

Journal of Nutrition Education and Behavior

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INTRODUCTIONIn the United States, the greatest increase in the incidence of obesity in women occurs during the childbearing years; consequently, ~ 45% of women enter pregnancy with excess body fat (1,2). The hazards of being an obese pregnant woman impact both the mother and child by increasing the risk of future obesity, diabetes, and cardiovascular disease (3). Furthermore, women with pregravid obesity retain more weight in the postpartum period creating a vicious cycle before the next pregnancy (4,5).Women of low socioeconomic status (SES) represent a high-risk group that can be targeted for weight management. Compared to women with average SES, women with low SES are less attentive about body weight, more tolerant of weight gain, and engage in fewer healthy weight-control practices (6). Accordingly, we chose participants in the Special, Supplemental Nutrition Program for Women, Infants, and Children (WIC) for this pilot project. The Mother's Overweight Management Study (MOMS) was a multidisciplinary, weightmanagement project developed to address the problem of weight retention in the postpartum period. Because the project shares challenges faced by those providing WIC nutrition education and interventions for weight management in postpartum women, the project and evaluation will be described followed by lessons learned that are applicable to many nutrition audiences.© 2010 Society for Nutrition Education. Published by Elsevier Inc. All rights reserved. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. women were randomized to control (self-guided) or intervention (peer-guided group) by a random number process. The self-guided group had one counseling session with a MOMS dietitian and received monthly newsletters. Thereafter, for the year, they were left to manage their weight on their own. The peer group also received the newsletters and counseling session. In addition, they were enrolled in a facilitated discussion group (10 sessions) and received monthly personalized feedback on self-monitoring records for nutrition and physical activity behaviors. NIH Public Access Participants and RecruitmentThe study was approved by the West Virginia University, School of Medicine Institutional Review Board. Informed consent was completed by each subject as the first step in the enrollment process. Passive (WIC bulletin board, newspaper/cable/radio ads, flyers at local businesses, church bulletins, mailings), and active recruiting methods (physicians, WIC staff [breast-feeding counselors, nutritionists], and MOMs staff [education classes, clinic days in waiting rooms] were used. Th...

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Section: Description Of the Evaluationmentioning

confidence: 91%