Preventing excessive gestational weight gain among African American women: A randomized clinical trial

Objective Evidence is lacking regarding effective weight control treatments in pregnancy for ethnic minority women with obesity. This study evaluated whether a technology‐based behavioral intervention could decrease the proportion of African American women with overweight or obesity who exceeded Ins...

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Veröffentlicht in:Obesity (Silver Spring, Md.) Md.), 2016-01, Vol.24 (1), p.30-36
Hauptverfasser: Herring, Sharon J., Cruice, Jane F., Bennett, Gary G., Rose, Marisa Z., Davey, Adam, Foster, Gary D.
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Sprache:eng
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Zusammenfassung:Objective Evidence is lacking regarding effective weight control treatments in pregnancy for ethnic minority women with obesity. This study evaluated whether a technology‐based behavioral intervention could decrease the proportion of African American women with overweight or obesity who exceeded Institute of Medicine (IOM) guidelines for gestational weight gain. Methods We conducted a two‐arm pilot randomized clinical trial. Participants were 66 socioeconomically disadvantaged African American pregnant women (12.5 ± 3.7 weeks' gestation; 36% overweight, 64% obesity) recruited from two outpatient obstetric practices at Temple University between 2013 and 2014. We randomized participants to usual care (n = 33) or a behavioral intervention (n = 33) that promoted weight control in pregnancy. The intervention included: (1) empirically supported behavior change goals; (2) interactive self‐monitoring text messages; (3) biweekly health coach calls; and (4) skills training and support through Facebook. Results The intervention reduced the proportion of women who exceeded IOM guidelines compared to usual care (37% vs. 66%, P = 0.033). Intervention participants gained less weight during pregnancy (8.7 vs. 12.3 kg, adjusted mean difference: −3.1 kg, 95% CI: −6.2 to −0.1). No group differences in neonatal or obstetric outcomes were found. Conclusions The intervention resulted in lower prevalence of excessive gestational weight gain.
ISSN:1930-7381
1930-739X
DOI:10.1002/oby.21240