Use of MyPyramid Menu Planner for Moms in a Weight-Loss Intervention during Lactation

Abstract The Internet offers a valuable resource for promotion of healthy eating and Web-based communication between the dietetics practitioner and client. In a 16-week intervention examining the effects of energy restriction (500 kcal/day) and exercise on body composition in overweight/obese lactat...

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Veröffentlicht in:Journal of the Academy of Nutrition and Dietetics 2012-04, Vol.112 (4), p.553-558
Hauptverfasser: Colleran, Heather L., PhD, RD, LDN, Lovelady, Cheryl A., PhD, MPH, RD, LDN, FADA
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container_title Journal of the Academy of Nutrition and Dietetics
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creator Colleran, Heather L., PhD, RD, LDN
Lovelady, Cheryl A., PhD, MPH, RD, LDN, FADA
description Abstract The Internet offers a valuable resource for promotion of healthy eating and Web-based communication between the dietetics practitioner and client. In a 16-week intervention examining the effects of energy restriction (500 kcal/day) and exercise on body composition in overweight/obese lactating women, MyPyramid Menu Planner for Moms was used to support dietary counseling. Random assignment occurred at 4 weeks postpartum to either an Intervention group (n=14) or Minimal Care group (n=13) from 2008 through 2010. Three 24-hour dietary recalls were obtained using the Nutrition Data System at 4 and 20 weeks postpartum. Individual MyPyramid Menu Planner accounts were created for the Intervention group and used in face-to-face dietary counseling. Repeated measures analysis of variance was used to test for differences between groups for change in dietary intake and weight. Changes in energy, saturated fat, and percent of energy from added sugars were significantly different between Intervention group and Minimal Care group (−613 [521] kcal vs −171 [435] kcal; P =0.03; −14.9 [14.0] g vs +0.9 [13.4] g; P
doi_str_mv 10.1016/j.jand.2011.12.004
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In a 16-week intervention examining the effects of energy restriction (500 kcal/day) and exercise on body composition in overweight/obese lactating women, MyPyramid Menu Planner for Moms was used to support dietary counseling. Random assignment occurred at 4 weeks postpartum to either an Intervention group (n=14) or Minimal Care group (n=13) from 2008 through 2010. Three 24-hour dietary recalls were obtained using the Nutrition Data System at 4 and 20 weeks postpartum. Individual MyPyramid Menu Planner accounts were created for the Intervention group and used in face-to-face dietary counseling. Repeated measures analysis of variance was used to test for differences between groups for change in dietary intake and weight. Changes in energy, saturated fat, and percent of energy from added sugars were significantly different between Intervention group and Minimal Care group (−613 [521] kcal vs −171 [435] kcal; P =0.03; −14.9 [14.0] g vs +0.9 [13.4] g; P &lt;0.01; and −3.5% [5.3%] vs +2.2% [4.8%]; P &lt;0.01, respectively). The Intervention group significantly increased their whole fruit servings and decreased their total grain and milk servings compared with the Minimal Care group ( P &lt;0.05). The Intervention group lost significantly more weight (−5.8 [3.5] kg) than the Minimal Care group (−1.6 [5.4] kg) ( P =0.03). Although participants must have access to an Internet-based computer and possess basic food knowledge, these results suggest MyPyramid Menu Planner might prove to be an effective dietary counseling support tool for improving dietary intake and promoting weight loss during lactation.</description><identifier>ISSN: 2212-2672</identifier><identifier>EISSN: 2212-2680</identifier><identifier>DOI: 10.1016/j.jand.2011.12.004</identifier><identifier>PMID: 22709705</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Analysis of Variance ; body composition ; Counseling - methods ; diet counseling ; diet recall ; dietetics ; Dietetics - methods ; energy ; exercise ; Female ; food intake ; Gastroenterology and Hepatology ; Health Knowledge, Attitudes, Practice ; healthy diet ; Humans ; Internal Medicine ; Internet ; Internet - utilization ; lactating women ; lactation ; Lactation - physiology ; Menu Planning ; milk ; Mothers - education ; MyPyramid ; Nutrition Policy ; Nutritional Requirements ; Obesity - diet therapy ; overweight ; Patient Participation ; Postpartum Period ; sugars ; Weight Loss</subject><ispartof>Journal of the Academy of Nutrition and Dietetics, 2012-04, Vol.112 (4), p.553-558</ispartof><rights>Academy of Nutrition and Dietetics</rights><rights>Copyright © 2012 Academy of Nutrition and Dietetics. 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In a 16-week intervention examining the effects of energy restriction (500 kcal/day) and exercise on body composition in overweight/obese lactating women, MyPyramid Menu Planner for Moms was used to support dietary counseling. Random assignment occurred at 4 weeks postpartum to either an Intervention group (n=14) or Minimal Care group (n=13) from 2008 through 2010. Three 24-hour dietary recalls were obtained using the Nutrition Data System at 4 and 20 weeks postpartum. Individual MyPyramid Menu Planner accounts were created for the Intervention group and used in face-to-face dietary counseling. Repeated measures analysis of variance was used to test for differences between groups for change in dietary intake and weight. Changes in energy, saturated fat, and percent of energy from added sugars were significantly different between Intervention group and Minimal Care group (−613 [521] kcal vs −171 [435] kcal; P =0.03; −14.9 [14.0] g vs +0.9 [13.4] g; P &lt;0.01; and −3.5% [5.3%] vs +2.2% [4.8%]; P &lt;0.01, respectively). The Intervention group significantly increased their whole fruit servings and decreased their total grain and milk servings compared with the Minimal Care group ( P &lt;0.05). The Intervention group lost significantly more weight (−5.8 [3.5] kg) than the Minimal Care group (−1.6 [5.4] kg) ( P =0.03). 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Lovelady, Cheryl A., PhD, MPH, RD, LDN, FADA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-7a9fc0a6eca28a55f0a3bc2010542eaf9edf2bcdba6a6a70cefc31ef4c6bcc203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>body composition</topic><topic>Counseling - methods</topic><topic>diet counseling</topic><topic>diet recall</topic><topic>dietetics</topic><topic>Dietetics - methods</topic><topic>energy</topic><topic>exercise</topic><topic>Female</topic><topic>food intake</topic><topic>Gastroenterology and Hepatology</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>healthy diet</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Internet</topic><topic>Internet - utilization</topic><topic>lactating women</topic><topic>lactation</topic><topic>Lactation - physiology</topic><topic>Menu Planning</topic><topic>milk</topic><topic>Mothers - education</topic><topic>MyPyramid</topic><topic>Nutrition Policy</topic><topic>Nutritional Requirements</topic><topic>Obesity - diet therapy</topic><topic>overweight</topic><topic>Patient Participation</topic><topic>Postpartum Period</topic><topic>sugars</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Colleran, Heather L., PhD, RD, LDN</creatorcontrib><creatorcontrib>Lovelady, Cheryl A., PhD, MPH, RD, LDN, FADA</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Journal of the Academy of Nutrition and Dietetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Colleran, Heather L., PhD, RD, LDN</au><au>Lovelady, Cheryl A., PhD, MPH, RD, LDN, FADA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of MyPyramid Menu Planner for Moms in a Weight-Loss Intervention during Lactation</atitle><jtitle>Journal of the Academy of Nutrition and Dietetics</jtitle><addtitle>J Acad Nutr Diet</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>112</volume><issue>4</issue><spage>553</spage><epage>558</epage><pages>553-558</pages><issn>2212-2672</issn><eissn>2212-2680</eissn><abstract>Abstract The Internet offers a valuable resource for promotion of healthy eating and Web-based communication between the dietetics practitioner and client. In a 16-week intervention examining the effects of energy restriction (500 kcal/day) and exercise on body composition in overweight/obese lactating women, MyPyramid Menu Planner for Moms was used to support dietary counseling. Random assignment occurred at 4 weeks postpartum to either an Intervention group (n=14) or Minimal Care group (n=13) from 2008 through 2010. Three 24-hour dietary recalls were obtained using the Nutrition Data System at 4 and 20 weeks postpartum. Individual MyPyramid Menu Planner accounts were created for the Intervention group and used in face-to-face dietary counseling. Repeated measures analysis of variance was used to test for differences between groups for change in dietary intake and weight. Changes in energy, saturated fat, and percent of energy from added sugars were significantly different between Intervention group and Minimal Care group (−613 [521] kcal vs −171 [435] kcal; P =0.03; −14.9 [14.0] g vs +0.9 [13.4] g; P &lt;0.01; and −3.5% [5.3%] vs +2.2% [4.8%]; P &lt;0.01, respectively). The Intervention group significantly increased their whole fruit servings and decreased their total grain and milk servings compared with the Minimal Care group ( P &lt;0.05). The Intervention group lost significantly more weight (−5.8 [3.5] kg) than the Minimal Care group (−1.6 [5.4] kg) ( P =0.03). Although participants must have access to an Internet-based computer and possess basic food knowledge, these results suggest MyPyramid Menu Planner might prove to be an effective dietary counseling support tool for improving dietary intake and promoting weight loss during lactation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22709705</pmid><doi>10.1016/j.jand.2011.12.004</doi><tpages>6</tpages></addata></record>
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subjects Adult
Analysis of Variance
body composition
Counseling - methods
diet counseling
diet recall
dietetics
Dietetics - methods
energy
exercise
Female
food intake
Gastroenterology and Hepatology
Health Knowledge, Attitudes, Practice
healthy diet
Humans
Internal Medicine
Internet
Internet - utilization
lactating women
lactation
Lactation - physiology
Menu Planning
milk
Mothers - education
MyPyramid
Nutrition Policy
Nutritional Requirements
Obesity - diet therapy
overweight
Patient Participation
Postpartum Period
sugars
Weight Loss
title Use of MyPyramid Menu Planner for Moms in a Weight-Loss Intervention during Lactation
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