Preventing excessive gestational weight gain: a systematic review of interventions

Skouteris, Helen; Hartley-Clark, Linda; McCabe, Marita P.; Milgrom, J; Kent, Bridie; Herring, Sharon J.; Gale, Janette

doi:10.1111/j.1467-789x.2010.00806.x

Cited by 178 publications

(177 citation statements)

References 57 publications

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“…[2][3][4][5][6] The results are mixed but generally indicate a positive effect on reduced risk. In their review, Gardner et al 2 called for the inclusion of more information on the design, content, and delivery of interventions as a way to explain variation in effectiveness.…”

Section: Introductionmentioning

confidence: 94%

The Theory, Development, and Implementation of an e-Intervention to Prevent Excessive Gestational Weight Gain: e-Moms Roc

Graham

Uesugi²,

Niederdeppe³

et al. 2014

Telemedicine and e-Health

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Background: Gaining more weight during pregnancy than is recommended by the Institute of Medicine is prevalent and contributes to the development of obesity in women. This article describes the development and use of e-Moms of Rochester (eMoms Roc), an electronic intervention (e-intervention), to address this health issue in a socioeconomically diverse sample of pregnant women. Materials and Methods: Formative research in the form of intercept interviews, in-depth interviews, and focus groups was conducted to inform the design of the e-intervention. The Web site continuously tracked each participant's use of e-intervention features. Results: An e-intervention, including Web site and mobile phone components, was developed and implemented in a randomized control trial. Formative research informed the design. Participants in all arms accessed blogs, local resources, articles, frequently asked questions, and events. Participants in the intervention arms also accessed the weight gain tracker and diet and physical activity goal-setting tools. Overall, 80% of women logged into the Web site and used a tool or feature at least twice. Among those in the intervention arm, 70% used the weight gain tracker, but only 40% used the diet and physical activity goal-setting tools. Conclusions: To maximize and sustain potential usage of e-Moms Roc over time, the e-intervention included customized reminders, tailored content, and community features such as blogs and resources. Usage was comparable to those in other weight studies with young adults and higher than reported in a published study with pregnant women. This e-intervention specifically designed for pregnant women was used by the majority of women.

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Section: Introductionmentioning

confidence: 94%

The Theory, Development, and Implementation of an e-Intervention to Prevent Excessive Gestational Weight Gain: e-Moms Roc

Graham

Uesugi²,

Niederdeppe³

et al. 2014

Telemedicine and e-Health

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“…Pregnancy is a period naturally associated with weight gain. Excessive gestational weight gain, however, often results in weight retention after birth, which in turn is associated with maternal overweight and increased risk of adverse health outcomes in later pregnancies (3)(4)(5)(6) . For this reason, reducing postpartum weight retention (PPWR) is important in order to manage the growing health problem of obesity.…”

mentioning

confidence: 99%

Breast-feeding in relation to weight retention up to 36 months postpartum in the Norwegian Mother and Child Cohort Study: modification by socio-economic status?

Brandhagen

Lissner

Brantsæter

et al. 2013

Public Health Nutr.

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Objective: We investigated the association between full breast-feeding up to 6 months as well as partial breast-feeding after 6 months and maternal weight retention at 6, 18 and 36 months after delivery in the Norwegian Mother and Child Cohort Study (MoBa), conducted by the Norwegian Institute of Public Health. Design: Cohort study. Information on exposure and outcome was collected by questionnaire. Setting: Norway. Subjects: Women at 6 months (n 49 676), 18 months (n 27 187) and 36 months (n 17 343) postpartum. Results: Longer duration of full breast-feeding as well as partial breast-feeding was significantly related to lower weight retention at 6 months. At 18 months full breast-feeding (0-6 months) and partial breast-feeding for 12-18 months were significantly related to lower weight retention. At 36 months only full breastfeeding (0-6 months) was significantly related to lower weight retention. For each additional month of full breast-feeding, maternal weight was lowered by 0?50 kg/month at 6 months, 0?10 kg/month at 18 months and 0?14 kg/month at 36 months (adjusted for pre-pregnant BMI, pregnancy weight gain, age and parity). Partial breast-feeding resulted in 0?25 kg/month lower maternal weight at 6 months. Interactions were found between household income and full breastfeeding in relation to weight retention at 6, 18 and 36 months, indicating most benefit among women with low income. Conclusions: The present study supports the hypothesis that full breast-feeding contributes to lower postpartum weight retention and shows that the effect is maintained for as long as 3 years postpartum.

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“…50 Moreover, a higher percentage (40%) was found in 10-to 12-year-old Greeks. 51,52 Taking into consideration that childhood and adolescence seem to be the most critical periods for the development of obesity, 53 as well as that obesity appears to occur as early as children enter kindergarten 54 and it is difficult to reverse in older children and adults, 55 its timely prevention is of great importance. The first step for the development of effective prevention and intervention programs is the estimation of current obesity levels and the understanding of its trends.…”

mentioning

confidence: 99%

Overweight and Obesity Prevalence in Young Children Living in Athens

Afthentopoulou¹,

Kaioglou²,

Venetsanou³

2017

Public Health Open J

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Background: The last decades, the epidemiological dimensions of childhood obesity are of major concern worldwide. Given its long-term health consequences, research findings regarding overweight and obesity prevalence in young children are valuable if policies against childhood obesity are to be planned and implemented. As Greece, is one of the countries facing the problem of obesity, the aim of the present study was to assess overweight and obesity status in young children living in the capital of Greece, Athens. Methods: Seven hundred and fifty-two children (320 boys; 432 girls), aged 4-8 years (6.37±1.17 years) volunteered to participate and were divided into four age groups (4-5, 5-6, 6-7 and 7-8-year-old). Children's body mass index (BMI) was calculated by dividing each participant's weight (kg) by the square of standing body height (m 2 ). Overweight and obesity definition was based on the International Obesity Task Force (IOTF) gender-and age-specific cut-off criteria. Results: The overall prevalence of overweight was 18.2% (18.1% boys; 18.3% girls) and of obesity 7.4% (5.6% boys; 8.8% girls). The χ 2 tests revealed that there were no significant differences in prevalence of overweight or obesity between boys and girls (χ 2 =2.76, p=.25). Regarding age groups, there was only one significant difference; that was between 6 and 7-year-old boys, with the 7-year-old surpassing the 6-year-old. Conclusions: The overweight/obesity is apparent among young Greek children at alarming levels. Carefully designed policy interventions are of great importance in order children's dietary and physical activity patterns to be improved.

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Preventing excessive gestational weight gain: a systematic review of interventions

Cited by 178 publications

References 57 publications

The Theory, Development, and Implementation of an e-Intervention to Prevent Excessive Gestational Weight Gain: e-Moms Roc

The Theory, Development, and Implementation of an e-Intervention to Prevent Excessive Gestational Weight Gain: e-Moms Roc

Breast-feeding in relation to weight retention up to 36 months postpartum in the Norwegian Mother and Child Cohort Study: modification by socio-economic status?

Overweight and Obesity Prevalence in Young Children Living in Athens

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