Randomized controlled trial to prevent excessive weight gain in pregnant women
BACKGROUND: The Institute of Medicine (IOM) recommends that normal-weight women (BMI (body mass index) of 19.8-26.0) gain 25-35 lb (11.4-15.9 kg) during pregnancy, and that overweight women (BMI of 26.1-29.0) gain 15-25 lbs (6.8-11.4 kg). A significant number of normal-weight women and an even great...
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| Veröffentlicht in: | International Journal of Obesity 2002-11, Vol.26 (11), p.1494-1502 |
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| creator | Polley, B.A Wing, R.R Sims, C.J |
| description | BACKGROUND: The Institute of Medicine (IOM) recommends that normal-weight women (BMI (body mass index) of 19.8-26.0) gain 25-35 lb (11.4-15.9 kg) during pregnancy, and that overweight women (BMI of 26.1-29.0) gain 15-25 lbs (6.8-11.4 kg). A significant number of normal-weight women and an even greater proportion of overweight women exceed these guidelines, which increases postpartum weight retention and may contribute to the development of obesity. OBJECTIVE: To determine whether a stepped care, behavioral intervention will decrease the percentage of women who gain more than the IOM recommendation. DESIGN: Randomized controlled trial comparing a stepped-care behavioral intervention with usual care. Women (n=120) who had a BMI>19.8, age>18 and |
| doi_str_mv | 10.1038/sj.ijo.0802130 |
| format | Article |
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A significant number of normal-weight women and an even greater proportion of overweight women exceed these guidelines, which increases postpartum weight retention and may contribute to the development of obesity. OBJECTIVE: To determine whether a stepped care, behavioral intervention will decrease the percentage of women who gain more than the IOM recommendation. DESIGN: Randomized controlled trial comparing a stepped-care behavioral intervention with usual care. Women (n=120) who had a BMI>19.8, age>18 and <20 weeks gestation were recruited from a hospital-based clinic serving low-income women and randomized by race and BMI category to the intervention or control group. The intervention group received education about weight gain, healthy eating, and exercise and individual graphs of their weight gain. Those exceeding weight gain goals were given more intensive intervention. Women were followed through pregnancy to their first postpartum clinic visit. The main outcome measure was weight gain during pregnancy categorized as above the IOM recommendations vs below or within the IOM recommendations. RESULTS: The intervention significantly decreased the percentage of normal-weight women who exceeded the IOM recommendations (33 vs 58%, P<0.05). There was a non-significant (P=0.09) effect in the opposite direction among overweight women (59% of intervention and 32% of control gained more than recommended). Postpartum weight retention was strongly related to weight gain during pregnancy (r=0.89). CONCLUSIONS: The intervention reduced excessive weight gain during pregnancy among normal weight women.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/sj.ijo.0802130</identifier><identifier>PMID: 12439652</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>Basingstoke: Nature Publishing Group</publisher><subject>Adult ; Behavior modification ; Biological and medical sciences ; Body mass index ; Clinical trials ; Eating behavior ; education ; Exercise ; Exercise Therapy - methods ; Female ; guidelines ; Health Behavior ; Health surveys ; healthy diet ; Humans ; Intervention ; Low income groups ; Medical sciences ; medicine ; Metabolic diseases ; Obesity ; Obesity - prevention & control ; Overweight ; Physical fitness ; Postnatal Care - methods ; Pregnancy ; Pregnancy complications ; Pregnancy Complications - prevention & control ; Pregnancy Outcome ; pregnant women ; Prenatal Care - methods ; randomized clinical trials ; Retention ; Weight Gain ; Womens health</subject><ispartof>International Journal of Obesity, 2002-11, Vol.26 (11), p.1494-1502</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Nov 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-6bb1c5a255e49d9db2baa52f59f3ae8b663af5a260616a73bb3d7c9c8020323</citedby><cites>FETCH-LOGICAL-c436t-6bb1c5a255e49d9db2baa52f59f3ae8b663af5a260616a73bb3d7c9c8020323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14394364$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12439652$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Polley, B.A</creatorcontrib><creatorcontrib>Wing, R.R</creatorcontrib><creatorcontrib>Sims, C.J</creatorcontrib><title>Randomized controlled trial to prevent excessive weight gain in pregnant women</title><title>International Journal of Obesity</title><addtitle>Int J Obes Relat Metab Disord</addtitle><description>BACKGROUND: The Institute of Medicine (IOM) recommends that normal-weight women (BMI (body mass index) of 19.8-26.0) gain 25-35 lb (11.4-15.9 kg) during pregnancy, and that overweight women (BMI of 26.1-29.0) gain 15-25 lbs (6.8-11.4 kg). A significant number of normal-weight women and an even greater proportion of overweight women exceed these guidelines, which increases postpartum weight retention and may contribute to the development of obesity. OBJECTIVE: To determine whether a stepped care, behavioral intervention will decrease the percentage of women who gain more than the IOM recommendation. DESIGN: Randomized controlled trial comparing a stepped-care behavioral intervention with usual care. Women (n=120) who had a BMI>19.8, age>18 and <20 weeks gestation were recruited from a hospital-based clinic serving low-income women and randomized by race and BMI category to the intervention or control group. The intervention group received education about weight gain, healthy eating, and exercise and individual graphs of their weight gain. Those exceeding weight gain goals were given more intensive intervention. Women were followed through pregnancy to their first postpartum clinic visit. The main outcome measure was weight gain during pregnancy categorized as above the IOM recommendations vs below or within the IOM recommendations. RESULTS: The intervention significantly decreased the percentage of normal-weight women who exceeded the IOM recommendations (33 vs 58%, P<0.05). There was a non-significant (P=0.09) effect in the opposite direction among overweight women (59% of intervention and 32% of control gained more than recommended). Postpartum weight retention was strongly related to weight gain during pregnancy (r=0.89). CONCLUSIONS: The intervention reduced excessive weight gain during pregnancy among normal weight women.</description><subject>Adult</subject><subject>Behavior modification</subject><subject>Biological and medical sciences</subject><subject>Body mass index</subject><subject>Clinical trials</subject><subject>Eating behavior</subject><subject>education</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>guidelines</subject><subject>Health Behavior</subject><subject>Health surveys</subject><subject>healthy diet</subject><subject>Humans</subject><subject>Intervention</subject><subject>Low income groups</subject><subject>Medical sciences</subject><subject>medicine</subject><subject>Metabolic diseases</subject><subject>Obesity</subject><subject>Obesity - prevention & control</subject><subject>Overweight</subject><subject>Physical fitness</subject><subject>Postnatal Care - methods</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnancy Complications - prevention & control</subject><subject>Pregnancy Outcome</subject><subject>pregnant women</subject><subject>Prenatal Care - methods</subject><subject>randomized clinical trials</subject><subject>Retention</subject><subject>Weight Gain</subject><subject>Womens health</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpF0UtLxDAQB_Agiq6Pq0ctgsfWSdKkm6MsvmBR8HEO0zRdW7rNmnTXx6c3sgUhkEB-mWH-IeSUQkaBT69CmzWty2AKjHLYIROaFzIVuSp2yQQ4FCkIKQ7IYQgtAAgBbJ8cUJZzJQWbkMdn7Cu3bH5slRjXD951XTwOvsEuGVyy8nZj-yGxX8aG0Gxs8mmbxfuQLLDpk7giWPQYxadb2v6Y7NXYBXsy7kfk5fbmdXafzp_uHmbX89TkXA6pLEtqBDIhbK4qVZWsRBSsFqrmaKellBzreC9BUokFL0teFUaZOCVwxo_IxbbqyruPtQ2Dbt3a97GhZlQxRQsJEWVbZLwLwdtar3yzRP-tKei_7HRodcxOj9nFB2dj1XW5tNU_H8OK4HIEGAx2tcfeNOHfRRany6M737oancaFj-bthQEV8QMKXijJfwE7fYGX</recordid><startdate>20021101</startdate><enddate>20021101</enddate><creator>Polley, B.A</creator><creator>Wing, R.R</creator><creator>Sims, C.J</creator><general>Nature Publishing Group</general><general>Nature Publishing</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20021101</creationdate><title>Randomized controlled trial to prevent excessive weight gain in pregnant women</title><author>Polley, B.A ; Wing, R.R ; Sims, C.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-6bb1c5a255e49d9db2baa52f59f3ae8b663af5a260616a73bb3d7c9c8020323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Behavior modification</topic><topic>Biological and medical sciences</topic><topic>Body mass index</topic><topic>Clinical trials</topic><topic>Eating behavior</topic><topic>education</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>guidelines</topic><topic>Health Behavior</topic><topic>Health surveys</topic><topic>healthy diet</topic><topic>Humans</topic><topic>Intervention</topic><topic>Low income groups</topic><topic>Medical sciences</topic><topic>medicine</topic><topic>Metabolic diseases</topic><topic>Obesity</topic><topic>Obesity - prevention & control</topic><topic>Overweight</topic><topic>Physical fitness</topic><topic>Postnatal Care - methods</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Pregnancy Complications - prevention & control</topic><topic>Pregnancy Outcome</topic><topic>pregnant women</topic><topic>Prenatal Care - methods</topic><topic>randomized clinical trials</topic><topic>Retention</topic><topic>Weight Gain</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Polley, B.A</creatorcontrib><creatorcontrib>Wing, R.R</creatorcontrib><creatorcontrib>Sims, C.J</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Polley, B.A</au><au>Wing, R.R</au><au>Sims, C.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Randomized controlled trial to prevent excessive weight gain in pregnant women</atitle><jtitle>International Journal of Obesity</jtitle><addtitle>Int J Obes Relat Metab Disord</addtitle><date>2002-11-01</date><risdate>2002</risdate><volume>26</volume><issue>11</issue><spage>1494</spage><epage>1502</epage><pages>1494-1502</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>BACKGROUND: The Institute of Medicine (IOM) recommends that normal-weight women (BMI (body mass index) of 19.8-26.0) gain 25-35 lb (11.4-15.9 kg) during pregnancy, and that overweight women (BMI of 26.1-29.0) gain 15-25 lbs (6.8-11.4 kg). A significant number of normal-weight women and an even greater proportion of overweight women exceed these guidelines, which increases postpartum weight retention and may contribute to the development of obesity. OBJECTIVE: To determine whether a stepped care, behavioral intervention will decrease the percentage of women who gain more than the IOM recommendation. DESIGN: Randomized controlled trial comparing a stepped-care behavioral intervention with usual care. Women (n=120) who had a BMI>19.8, age>18 and <20 weeks gestation were recruited from a hospital-based clinic serving low-income women and randomized by race and BMI category to the intervention or control group. The intervention group received education about weight gain, healthy eating, and exercise and individual graphs of their weight gain. Those exceeding weight gain goals were given more intensive intervention. Women were followed through pregnancy to their first postpartum clinic visit. The main outcome measure was weight gain during pregnancy categorized as above the IOM recommendations vs below or within the IOM recommendations. RESULTS: The intervention significantly decreased the percentage of normal-weight women who exceeded the IOM recommendations (33 vs 58%, P<0.05). There was a non-significant (P=0.09) effect in the opposite direction among overweight women (59% of intervention and 32% of control gained more than recommended). Postpartum weight retention was strongly related to weight gain during pregnancy (r=0.89). CONCLUSIONS: The intervention reduced excessive weight gain during pregnancy among normal weight women.</abstract><cop>Basingstoke</cop><pub>Nature Publishing Group</pub><pmid>12439652</pmid><doi>10.1038/sj.ijo.0802130</doi><tpages>9</tpages></addata></record> |
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| ispartof | International Journal of Obesity, 2002-11, Vol.26 (11), p.1494-1502 |
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| subjects | Adult Behavior modification Biological and medical sciences Body mass index Clinical trials Eating behavior education Exercise Exercise Therapy - methods Female guidelines Health Behavior Health surveys healthy diet Humans Intervention Low income groups Medical sciences medicine Metabolic diseases Obesity Obesity - prevention & control Overweight Physical fitness Postnatal Care - methods Pregnancy Pregnancy complications Pregnancy Complications - prevention & control Pregnancy Outcome pregnant women Prenatal Care - methods randomized clinical trials Retention Weight Gain Womens health |
| title | Randomized controlled trial to prevent excessive weight gain in pregnant women |
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