Systematic review of the effect of individual and combined nutrition and exercise interventions on weight, adiposity and metabolic outcomes after delivery: evidence for developing behavioral guidelines for post-partum weight control
Post-partum weight retention contributes to the risk of chronic obesity and metabolic alterations. We conducted a systematic review of randomized controlled trials (RCTs) on the effect of post-partum nutrition and exercise interventions on weight loss and metabolic outcomes. Four electronic database...
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| Veröffentlicht in: | BMC pregnancy and childbirth 2014-09, Vol.14 (1), p.319-319, Article 319 |
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| creator | Berger, Alexander Arkin Peragallo-Urrutia, Rachel Nicholson, Wanda K |
| description | Post-partum weight retention contributes to the risk of chronic obesity and metabolic alterations. We conducted a systematic review of randomized controlled trials (RCTs) on the effect of post-partum nutrition and exercise interventions on weight loss and metabolic outcomes.
Four electronic databases were searched from inception to January, 2012. Two investigators reviewed titles and abstracts, performed data abstraction on full articles and assessed study quality.
We included RCTs comparing nutrition, exercise or combined nutrition and exercise interventions with a control condition. Thirteen studies met our inclusion criteria (N = 1,310 participants). Data were abstracted on study characteristics, intervention components, enrollment period, and length of follow-up. Outcomes of interest included weight, adiposity, cardio-metabolic measures (glucose, lipids) and obesity-related inflammatory markers.
Nine trials compared combined interventions to standard post-partum care; three trials assessed the effect of exercise interventions, one trial evaluated a nutrition-only intervention. Four good quality RCTs on combined interventions had inconsistent findings, with the larger RCT (N = 450) reporting no difference in weight between groups. Four fair-to good quality RCTs reported greater weight loss in the combined intervention group vs. standard care, ranging from 0.17 kg to 4.9 kg. Results from exercise only interventions were inconclusive. Evidence for nutrition only interventions was insufficient. There was insufficient evidence for the effect of post-partum interventions on metabolic risk factors and inflammatory biomarkers.
Combined nutrition and exercise interventions can achieve weight loss, but evidence is limited due to a small number of trials and limitations in study design. |
| doi_str_mv | 10.1186/1471-2393-14-319 |
| format | Article |
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Four electronic databases were searched from inception to January, 2012. Two investigators reviewed titles and abstracts, performed data abstraction on full articles and assessed study quality.
We included RCTs comparing nutrition, exercise or combined nutrition and exercise interventions with a control condition. Thirteen studies met our inclusion criteria (N = 1,310 participants). Data were abstracted on study characteristics, intervention components, enrollment period, and length of follow-up. Outcomes of interest included weight, adiposity, cardio-metabolic measures (glucose, lipids) and obesity-related inflammatory markers.
Nine trials compared combined interventions to standard post-partum care; three trials assessed the effect of exercise interventions, one trial evaluated a nutrition-only intervention. Four good quality RCTs on combined interventions had inconsistent findings, with the larger RCT (N = 450) reporting no difference in weight between groups. Four fair-to good quality RCTs reported greater weight loss in the combined intervention group vs. standard care, ranging from 0.17 kg to 4.9 kg. Results from exercise only interventions were inconclusive. Evidence for nutrition only interventions was insufficient. There was insufficient evidence for the effect of post-partum interventions on metabolic risk factors and inflammatory biomarkers.
Combined nutrition and exercise interventions can achieve weight loss, but evidence is limited due to a small number of trials and limitations in study design.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/1471-2393-14-319</identifier><identifier>PMID: 25208549</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Adiposity ; Biomarkers - blood ; Blood Glucose - analysis ; Body Weight ; Diet, Reducing ; Evidence-Based Medicine ; Exercise ; Guidelines as Topic ; Health Behavior ; Humans ; Inflammation - blood ; Lipids - blood ; Medical research ; Obesity ; Postnatal Care ; Randomized Controlled Trials as Topic ; Weight control ; Weight Reduction Programs ; Womens health</subject><ispartof>BMC pregnancy and childbirth, 2014-09, Vol.14 (1), p.319-319, Article 319</ispartof><rights>2014 Berger et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Berger et al.; licensee BioMed Central Ltd. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-465c14260e09d893743510504391603e2ed1d53f131931e9dcbf40f91a7836693</citedby><cites>FETCH-LOGICAL-c490t-465c14260e09d893743510504391603e2ed1d53f131931e9dcbf40f91a7836693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4176850/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4176850/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25208549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berger, Alexander Arkin</creatorcontrib><creatorcontrib>Peragallo-Urrutia, Rachel</creatorcontrib><creatorcontrib>Nicholson, Wanda K</creatorcontrib><title>Systematic review of the effect of individual and combined nutrition and exercise interventions on weight, adiposity and metabolic outcomes after delivery: evidence for developing behavioral guidelines for post-partum weight control</title><title>BMC pregnancy and childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>Post-partum weight retention contributes to the risk of chronic obesity and metabolic alterations. We conducted a systematic review of randomized controlled trials (RCTs) on the effect of post-partum nutrition and exercise interventions on weight loss and metabolic outcomes.
Four electronic databases were searched from inception to January, 2012. Two investigators reviewed titles and abstracts, performed data abstraction on full articles and assessed study quality.
We included RCTs comparing nutrition, exercise or combined nutrition and exercise interventions with a control condition. Thirteen studies met our inclusion criteria (N = 1,310 participants). Data were abstracted on study characteristics, intervention components, enrollment period, and length of follow-up. Outcomes of interest included weight, adiposity, cardio-metabolic measures (glucose, lipids) and obesity-related inflammatory markers.
Nine trials compared combined interventions to standard post-partum care; three trials assessed the effect of exercise interventions, one trial evaluated a nutrition-only intervention. Four good quality RCTs on combined interventions had inconsistent findings, with the larger RCT (N = 450) reporting no difference in weight between groups. Four fair-to good quality RCTs reported greater weight loss in the combined intervention group vs. standard care, ranging from 0.17 kg to 4.9 kg. Results from exercise only interventions were inconclusive. Evidence for nutrition only interventions was insufficient. There was insufficient evidence for the effect of post-partum interventions on metabolic risk factors and inflammatory biomarkers.
Combined nutrition and exercise interventions can achieve weight loss, but evidence is limited due to a small number of trials and limitations in study design.</description><subject>Adiposity</subject><subject>Biomarkers - blood</subject><subject>Blood Glucose - analysis</subject><subject>Body Weight</subject><subject>Diet, Reducing</subject><subject>Evidence-Based Medicine</subject><subject>Exercise</subject><subject>Guidelines as Topic</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Inflammation - blood</subject><subject>Lipids - blood</subject><subject>Medical research</subject><subject>Obesity</subject><subject>Postnatal Care</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Weight control</subject><subject>Weight Reduction Programs</subject><subject>Womens health</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkk2PFCEQhjtG466jd0-GxIsHW6H56MbDJmbjV7KJB_VMGKieYdMNI9C9zj_2Z0jPjpPVy56AqqdeipeqqucEvyGkE28Ja0ndUElrwmpK5IPq_BR6eGd_Vj1J6Rpj0nYcP67OGt7gjjN5Xv3-tk8ZRp2dQRFmBzco9ChvAUHfg8nLyXnrZmcnPSDtLTJhXDsPFvkpR5dd8Icw_IJoXIKCZ4gz-CWTUMnegNts82ukrduF5PL-wI-Q9ToM5d4w5aIJCem-VCILg5sh7t-h0o8FbwD1YQnPMISd8xu0hq2eXYiloc3kFt6X6gUq-rne6Zin8XhtadfnGIan1aNeDwmeHddV9ePjh--Xn-urr5--XL6_qg2TONdMcENYIzBgaTtJW0Y5wRwzKonAFBqwxHLak-I2JSCtWfcM95LotqNCSLqqLm51d9N6BGuKD6VPtYtu1HGvgnbq34x3W7UJs2KkFeV3isCro0AMPydIWY0uGRgG7SFMSZFOtrQrv9_ejwrKWkoJl_ejXHCOG8FEQV_-h16HKfpi2kIx1mF-eCe-pUwMKUXoT08kWC3DqZbpU8v0lZ1a7FpVL-5acyr4O430Dz7u5P4</recordid><startdate>20140910</startdate><enddate>20140910</enddate><creator>Berger, Alexander Arkin</creator><creator>Peragallo-Urrutia, Rachel</creator><creator>Nicholson, Wanda K</creator><general>BioMed Central</general><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>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>5PM</scope></search><sort><creationdate>20140910</creationdate><title>Systematic review of the effect of individual and combined nutrition and exercise interventions on weight, adiposity and metabolic outcomes after delivery: evidence for developing behavioral guidelines for post-partum weight control</title><author>Berger, Alexander Arkin ; 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We conducted a systematic review of randomized controlled trials (RCTs) on the effect of post-partum nutrition and exercise interventions on weight loss and metabolic outcomes.
Four electronic databases were searched from inception to January, 2012. Two investigators reviewed titles and abstracts, performed data abstraction on full articles and assessed study quality.
We included RCTs comparing nutrition, exercise or combined nutrition and exercise interventions with a control condition. Thirteen studies met our inclusion criteria (N = 1,310 participants). Data were abstracted on study characteristics, intervention components, enrollment period, and length of follow-up. Outcomes of interest included weight, adiposity, cardio-metabolic measures (glucose, lipids) and obesity-related inflammatory markers.
Nine trials compared combined interventions to standard post-partum care; three trials assessed the effect of exercise interventions, one trial evaluated a nutrition-only intervention. Four good quality RCTs on combined interventions had inconsistent findings, with the larger RCT (N = 450) reporting no difference in weight between groups. Four fair-to good quality RCTs reported greater weight loss in the combined intervention group vs. standard care, ranging from 0.17 kg to 4.9 kg. Results from exercise only interventions were inconclusive. Evidence for nutrition only interventions was insufficient. There was insufficient evidence for the effect of post-partum interventions on metabolic risk factors and inflammatory biomarkers.
Combined nutrition and exercise interventions can achieve weight loss, but evidence is limited due to a small number of trials and limitations in study design.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>25208549</pmid><doi>10.1186/1471-2393-14-319</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adiposity Biomarkers - blood Blood Glucose - analysis Body Weight Diet, Reducing Evidence-Based Medicine Exercise Guidelines as Topic Health Behavior Humans Inflammation - blood Lipids - blood Medical research Obesity Postnatal Care Randomized Controlled Trials as Topic Weight control Weight Reduction Programs Womens health |
| title | Systematic review of the effect of individual and combined nutrition and exercise interventions on weight, adiposity and metabolic outcomes after delivery: evidence for developing behavioral guidelines for post-partum weight control |
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