Trial for reducing weight retention in new mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme

Wilkinson, S. A., van der Pligt, P., Gibbons, K. S. and McIntyre, H. D. (2013) Trial for reducing weight retention in new mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme. Journal of Human Nutrition and Dietetics, 28 s1: 15-28. doi:10.1111/jhn.12193

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Author Wilkinson, S. A.
van der Pligt, P.
Gibbons, K. S.
McIntyre, H. D.
Title Trial for reducing weight retention in new mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme
Journal name Journal of Human Nutrition and Dietetics   Check publisher's open access policy
ISSN 0952-3871
1365-277X
Publication date 2013-11-25
Year available 2013
Sub-type Article (original research)
DOI 10.1111/jhn.12193
Open Access Status Not yet assessed
Volume 28
Issue s1
Start page 15
End page 28
Total pages 14
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract BackgroundFailure to return to pregnancy weight by 6months postpartum is associated with long-term obesity, as well as adverse health outcomes. This research evaluated a postpartum weight management programme for women with a body mass index (BMI)>25kgm(-2) that combined behaviour change principles and a low-intensity delivery format with postpartum nutrition information.
Formatted abstract
Background Failure to return to pregnancy weight by 6 months postpartum is associated with long-term obesity, as well as adverse health outcomes. This research evaluated a postpartum weight management programme for women with a body mass index (BMI) > 25 kg m–2 that combined behaviour change principles and a low-intensity delivery format with postpartum nutrition information.

Methods Women were randomised at 24–28 weeks to control (supported care; SC) or intervention (enhanced care; EC) groups, stratified by BMI cohort. At 36 weeks of gestation, SC women received a ‘nutrition for breastfeeding’ resource and EC women received a nutrition assessment and goal-setting session about post-natal nutrition, plus a 6-month correspondence intervention requiring return of self-monitoring sheets. Weight change, anthropometry, diet, physical activity, breastfeeding, fasting glucose and insulin measures were assessed at 6 weeks and 6 months postpartum.

Results Seventy-seven percent (40 EC and 41 SC) of the 105 women approached were recruited; 36 EC and 35 SC women received a programme and 66.7% and 48.6% completed the study, respectively. No significant differences were observed between any outcomes. Median [interquartile range (IQR)] weight change was EC: −1.1 (9.5) kg versus SC: −1.1 (7.5) kg (6 weeks to 6 months) and EC: +1.0 (8.7) kg versus SC: +2.3 (9) kg (prepregnancy to 6 months). Intervention women breastfed for half a month longer than control women (180 versus 164 days; P = 0.10). An average of 2.3 out of six activity sheets per participant was returned.

Conclusions Despite low intervention engagement, the high retention rate suggests this remains an area of interest to women. Future strategies must facilitate women's engagement, be individually tailored, and include features that support behaviour change to decrease women's risk of chronic health issues.
Keyword Behaviour change
Health service delivery
Obesity
Overweight
Postpartum
Weight management
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Health Services Publications
Mater Research Institute-UQ (MRI-UQ)
Official 2014 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 28 Apr 2014, 23:34:29 EST by Dominique Rossouw on behalf of Mater Clinical School