Weight Control Program and Gestational Weight Gain in Disadvantaged Women with Overweight or Obesity: A Randomized Clinical Trial

Obesity
A G CahillSamuel Klein

Abstract

This study aimed to evaluate the efficacy of a home-based lifestyle intervention delivered through Parents as Teachers (PAT) to reduce excessive gestational weight gain (GWG). This was a single-blinded randomized controlled trial conducted as part of the LIFE-Moms consortium at a single university-based tertiary care institution from October 2012 to March 2016. There were 267 socioeconomically disadvantaged (SED) African American women with overweight or obesity (BMI 25.0-45.0 kg/m2 before pregnancy. Participants were randomized to therapy with standard PAT alone (n = 134) or PAT plus a lifestyle intervention program embedded within the standard PAT program (PAT+) (n = 133). Both interventions were delivered in 10 biweekly home visits during pregnancy. The primary outcome was the percentage of women whose GWG exceeded the Institute of Medicine guidelines, and secondary outcomes included both weekly and total GWG. Compared with the standard PAT group in the intent-to-treat analysis, the PAT + group gained less weekly (0.4 kg vs. 0.5 kg/wk; P = 0.04) and total (8.0 kg vs. 9.6 kg; P = 0.02) weight during gestation. Fewer participants in the PAT + group had excessive total GWG (36.1% vs. 45.9%), but the difference between groups wa...Continue Reading

References

May 15, 2003·Preventive Medicine·Debra Haire-JoshuWendy Auslander
Sep 30, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·D A DohertyJ P Newnham
Oct 2, 2007·Obstetrics and Gynecology·Deborah W KielTerry L Leet
Nov 23, 2010·Maternal and Child Health Journal·Esa M DavisRalph I Horwitz
Jan 25, 2012·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Sep 10, 2014·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·S K KumanyikaD Haire-Joshu
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Jul 19, 2015·Journal of Nutrition Education and Behavior·Cynthie K AndersonLeah D Whigham
Sep 7, 2016·Journal of Pregnancy·Jessica L ThomsonSarah E Olender

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Citations

Jun 19, 2018·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Adam K LewkowitzAlison G Cahill
Aug 2, 2019·The Journal of Clinical Investigation·Jasper MostLeanne M Redman
Jul 12, 2019·International Journal of Obesity : Journal of the International Association for the Study of Obesity·Suzanne PhelanUNKNOWN LIFE-Moms Research Group
Sep 19, 2019·The Cochrane Database of Systematic Reviews·Frankie J FairHora Soltani
Dec 4, 2019·Annals of the New York Academy of Sciences·Pamela L ThorntonCarol M Mangione
Oct 17, 2019·World Journal of Pediatrics : WJP·Joyce TienJianghong Liu
Nov 26, 2020·Diabetes Research and Clinical Practice·Leanne M RedmanUNKNOWN LIFE-Moms Research Group

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Software Mentioned

PAT

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