Effective strategies for weight loss in post‐partum women: a systematic review and meta‐analysis

Post‐partum weight loss is critical to preventing and managing obesity in women, but the results from lifestyle interventions are variable and the components associated with successful outcomes are not yet clearly identified. This study aimed to identify lifestyle intervention strategies associated...

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Veröffentlicht in:Obesity reviews 2015-11, Vol.16 (11), p.972-987
Hauptverfasser: Lim, S, O'Reilly, S, Behrens, H, Skinner, T, Ellis, I, Dunbar, J. A
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container_end_page 987
container_issue 11
container_start_page 972
container_title Obesity reviews
container_volume 16
creator Lim, S
O'Reilly, S
Behrens, H
Skinner, T
Ellis, I
Dunbar, J. A
description Post‐partum weight loss is critical to preventing and managing obesity in women, but the results from lifestyle interventions are variable and the components associated with successful outcomes are not yet clearly identified. This study aimed to identify lifestyle intervention strategies associated with weight loss in post‐partum women. MEDLINE, EMBASE, PubMed, CINAHL and four other databases were searched for lifestyle intervention studies (diet or exercise or both) in post‐partum women (within 12 months of delivery) published up to July 2014. The primary outcome was weight loss. Subgroup analyses were conducted for self‐monitoring, individual or group setting, intervention duration, intervention types, the use of technology as a support, and home‐ or centre‐based interventions. From 12,673 studies, 46 studies were included in systematic review and 32 randomized controlled trials were eligible for meta‐analysis (1,892 women, age 24–36 years). Studies with self‐monitoring had significantly greater weight lost than those without (−4.61 kg [−7.08, −2.15] vs. −1.34 kg [−1.66, −1.02], P = 0.01 for subgroup differences). Diet and physical activity when combined were significantly more effective on weight loss compared with physical activity alone (−3.24 kg [−4.59, −1.90] vs. −1.63 kg [−2.16, −1.10], P 
doi_str_mv 10.1111/obr.12312
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subjects Adult
diet
Diet, Reducing
Exercise
Female
Health Behavior
Humans
lifestyle
lifestyle interventions
meta-analysis
obesity
Obesity - etiology
Obesity - prevention & control
post-partum women
Postpartum Period
Pregnancy
Pregnancy Complications - prevention & control
randomized clinical trials
Randomized Controlled Trials as Topic
Risk Reduction Behavior
systematic review
Weight Gain
Weight Loss
women
title Effective strategies for weight loss in post‐partum women: a systematic review and meta‐analysis
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