Personalized Health Planning with Integrative Health Coaching to Reduce Obesity Risk among Women Gaining Excess Weight during Pregnancy:

Global Advances in Health and Medicine

Nancy Y.Yang¹ 

关键词: Personalized health planning;    health risk assessments;    integrative health coaching;    postpartum weight retention;    obesity prevention;    pregnancy weight gain;    women's health;   

DOI  :  10.7453/gahmj.2013.033

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Health coaching is an emerging behavioral intervention to improve outcomes in chronic disease management and prevention; however, no studies have investigated its utility in postpartum women who have gained excess weight during pregnancy. A 32-year-old primigravida woman who was overweight at conception and gained 23 lbs more than Institute of Medicine recommendations for her pre-pregnancy body mass index participated in a 6-month personalized health planning with integrative health coaching (PHP-IHC) intervention. The intervention included a baseline health risk assessment review with a healthcare provider and eight biweekly, 30-minute telephonic health coaching sessions. The participant demonstrated improvement in physical activity, energy expenditure, knowledge, and confidence to engage in health-promoting behaviors. Although the participant did not reach the target weight by completion of the health coaching sessions, follow up 8 months later indicated she achieved the target goal (within 5% of pre-pregnancy weight). This case report suggests that PHP-IHC can support postpartum women in returning to pre-pregnancy weight after gaining excess gestational weight. Future research and clinical trials are needed to determine the best timing, length, and medium (online, in-person, telephonic) of PHP-IHC for postpartum women.

【 授权许可】

CC BY