期刊论文详细信息
International Journal of Behavioral Nutrition and Physical Activity
Limiting postpartum weight retention through early antenatal intervention: the HeLP-her randomised controlled trial
Helena J Teede2  Catherine B Lombard1  Cheryce L Harrison1 
[1] Monash Centre for Health Research and Implementation (MCHRI), School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia;Diabetes and Vascular Medicine Unit, Monash Health, Clayton, Victoria, Australia
关键词: Gestational diabetes;    Self-management;    Lifestyle intervention;    Pregnancy;    Gestational weight gain;    Postpartum weight retention;   
Others  :  1136134
DOI  :  10.1186/s12966-014-0134-8
 received in 2014-03-26, accepted in 2014-10-15,  发布年份 2014
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【 摘 要 】

Background

Pregnancy is a recognised high risk period for excessive weight gain, contributing to postpartum weight retention and obesity development long-term. We aimed to reduce postpartum weight retention following a low-intensity, self-management intervention integrated with routine antenatal care during pregnancy.

Methods

228 women at increased risk of gestational diabetes, <15 weeks gestation were randomised to intervention (4 self-management sessions) or control (generic health information). Outcomes, collected at baseline and 6 weeks postpartum, included anthropometrics (weight and height), physical activity (pedometer) and questionnaires (health behaviours).

Results

Mean age (32.3 ± 4.7 and 31.7 ± 4.4 years) and body mass index (30.4 ± 5.6 and 30.3 ± 5.9 kg/m2) were similar between intervention and control groups, respectively at baseline. By 6 weeks postpartum, weight change in the control group was significantly higher than the intervention group with a between group difference of 1.45 ± 5.1 kg (95% CI: −2.86,-0.02; p < 0.05) overall, with a greater difference in weight found in overweight, but not obese women. Intervention group allocation, higher baseline BMI, GDM diagnosis, country of birth and higher age were all independent predictors of lower weight retention at 6 weeks postpartum on multivariable linear regression. Other factors related to weight including physical activity, did not differ between groups.

Conclusions

A low intensity intervention, integrated with standard antenatal care is effective in limiting postpartum weight retention. Implementation research is now required for scale-up to optimise antenatal health care.

Trial registration

Australian New Zealand Clinical Trial Registry Number: ACTRN12608000233325 webcite. Registered 7/5/2008.

【 授权许可】

   
2014 Harrison et al.; licensee BioMed Central Ltd.

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