Web-Based Behavioral Intervention Increases Maternal Exercise but Does Not Prevent Excessive Gestational Weight Gain in Previously Sedentary Women

Smith, Katie; Lanningham-Foster, Lorraine; Welch, Adam C.; Campbell, Christina

doi:10.1123/jpah.2015-0219

Cited by 28 publications

(88 citation statements)

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“…67686970717273747576777879808182838485868788 A further 45 trials (9945 women)8990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133 were identified after the IPD acquisition timeline until February 2017.…”

Section: Resultsmentioning

confidence: 99%

Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials

2017

BMJ

244

184

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ObjectiveTo synthesise the evidence on the overall and differential effects of interventions based on diet and physical activity during pregnancy, primarily on gestational weight gain and maternal and offspring composite outcomes, according to women's body mass index, age, parity, ethnicity, and pre-existing medical condition; and secondarily on individual complications. DESIGNSystematic review and meta-analysis of individual participant data (IPD). DATA SOURCESMajor electronic databases from inception to February 2017 without language restrictions. ELIGIBILITY CRITERIA FOR SELECTING STUDIESRandomised trials on diet and physical activity based interventions in pregnancy. DATA SYNTHESISStatistical models accounted for clustering of participants within trials and heterogeneity across trials leading to summary mean differences or odds ratios with 95% confidence intervals for the effects overall, and in subgroups (interactions). RESULTS IPD CONCLUSIONDiet and physical activity based interventions during pregnancy reduce gestational weight gain and lower the odds of caesarean section. There is no evidence that effects differ across subgroups of women.

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Section: Resultsmentioning

confidence: 99%

Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials

2017

BMJ

244

184

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“…The intervention group participants were aged between 24 and 36 years, whereas the participants from the control groups were aged between 24 and 35 years. Several of the included studies [ 33 , 35 , 36 , 39 , 40 , 41 ] provided measures of prepregnancy body mass index (BMI) with values ranging from 26 to 30 kg/m 2 for the intervention groups and 25 to 30 kg/m 2 for the control groups. Participant ethnicity varied between the studies and study arms (white: intervention: 12.5%-100%; control: 13.3%-100%) [ 33 - 36 , 38 - 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…Several of the included studies [ 33 , 35 , 36 , 39 , 40 , 41 ] provided measures of prepregnancy body mass index (BMI) with values ranging from 26 to 30 kg/m 2 for the intervention groups and 25 to 30 kg/m 2 for the control groups. Participant ethnicity varied between the studies and study arms (white: intervention: 12.5%-100%; control: 13.3%-100%) [ 33 - 36 , 38 - 42 ]. Several studies reported on the level of education within their population ranging from 78% of the total sample having a secondary degree [ 36 ], to other studies reporting approximately 20% or above in the usual care and 21% or above in the intervention having a postsecondary education [ 34 , 37 , 38 , 40 , 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…Participant ethnicity varied between the studies and study arms (white: intervention: 12.5%-100%; control: 13.3%-100%) [ 33 - 36 , 38 - 42 ]. Several studies reported on the level of education within their population ranging from 78% of the total sample having a secondary degree [ 36 ], to other studies reporting approximately 20% or above in the usual care and 21% or above in the intervention having a postsecondary education [ 34 , 37 , 38 , 40 , 41 ]. Additional details on the characteristics of each of the included studies can be found in Multimedia Appendix 2 .…”

Section: Resultsmentioning

confidence: 99%

“…The website was used to monitor, adjust, and recommend insulin doses and goals. Smith et al [ 36 ] used a website that intervention arm participants would log on to review exercise and nutrition information. Specifically, this included recommendations, goal setting, problem-solving modules, a journal, a calendar, and a community forum for women to interact with other intervention arm participants.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Effectiveness of eHealth Technologies on Weight Management in Pregnant and Postpartum Women: Systematic Review and Meta-Analysis

Sherifali¹,

Nerenberg²,

Wilson³

et al. 2017

J Med Internet Res

100

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BackgroundThe emergence and utilization of electronic health (eHealth) technologies has increased in a variety of health interventions. Exploiting the real-time advantages offered by mobile technologies during and after pregnancy has the potential to empower women and encourage behaviors that may improve maternal and child health.ObjectiveThe objective of this study was to assess the effectiveness of eHealth technologies for weight management during pregnancy and the postpartum period and to review the efficacy of eHealth technologies on health behaviors, specifically nutrition and physical activity.MethodsA systematic search was conducted of the following databases: MEDLINE, EMBASE, Cochrane database of systematic reviews (CDSR), Cochrane central register of controlled trials (CENTRAL), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO. The search included studies published from 1990 to July 5, 2016. All relevant primary studies that involved randomized controlled trials (RCTs), non-RCTs, before-and-after studies, historically controlled studies, and pilot studies were included. The study population was adult women of childbearing age either during pregnancy or the postpartum period. eHealth weight management intervention studies targeting physical activity, nutrition, or both, over a minimum 3-month period were included. Titles and abstracts, as well as full-text screening were conducted. Study quality was assessed using Cochrane’s risk of bias tool. Data extraction was completed by a single reviewer, which was then verified by a second independent reviewer. Results were meta-analyzed to calculate pooled estimates of the effect, wherever possible.ResultsOverall, 1787 and 176 citations were reviewed at the abstract and full-text screening stages, respectively. A total of 10 studies met the inclusion criteria ranging from high to low risk of bias. Pooled estimates from studies of the effect for postpartum women resulted in a significant reduction in weight (−2.55 kg, 95% CI −3.81 to −1.28) after 3 to 12 months and six studies found a nonsignificant reduction in weight gain for pregnant women (−1.62 kg, 95% CI −3.57 to 0.33) at approximately 40 weeks.ConclusionsThis review found evidence for benefits of eHealth technologies on weight management in postpartum women only. Further research is still needed regarding the use of these technologies during and after pregnancy.

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Counseling and Behavioral Interventions for Healthy Weight and Weight Gain in Pregnancy

Cantor

Jungbauer

McDonagh

et al. 2021

JAMA

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IMPORTANCECounseling and active behavioral interventions to limit excess gestational weight gain (GWG) during pregnancy may improve health outcomes for women and infants. The 2009 National Academy of Medicine (NAM; formerly the Institute of Medicine) recommendations for healthy GWG vary according to prepregnancy weight category.OBJECTIVE To review and synthesize the evidence on benefits and harms of behavioral interventions to promote healthy weight gain during pregnancy to inform the US Preventive Services Task Force recommendation.

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Web-Based Behavioral Intervention Increases Maternal Exercise but Does Not Prevent Excessive Gestational Weight Gain in Previously Sedentary Women

Abstract: Sedentary pregnant women should increase PA but may need additional dietary counseling to prevent excessive GWG.

Cited by 28 publications

References 0 publications

Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials

Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials

The Effectiveness of eHealth Technologies on Weight Management in Pregnant and Postpartum Women: Systematic Review and Meta-Analysis

Counseling and Behavioral Interventions for Healthy Weight and Weight Gain in Pregnancy

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