Details:

Alternative Title:
Obstet Gynecol
Publisher's site:
http://dx.doi.org/10.1097/AOG.0000000000000420
Personal Author:
Nicklas, Jacinda M. ; Zera, Chloe A. ; England, Lucinda J. ; Rosner, Bernard A. ; Horton, Edward ; ... More +
Nicklas, Jacinda M. ; Zera, Chloe A. ; England, Lucinda J. ; Rosner, Bernard A. ; Horton, Edward ; Levkoff, Sue E. ; Seely, Ellen W. Less -
Description:
Objective

To test the feasibility and effectiveness of a web-based lifestyle intervention based on the Diabetes Prevention Program modified for women with recent gestational diabetes mellitus (GDM) to reduce postpartum weight retention.

Methods

We randomly allocated 75 women with recent GDM to either a web-based lifestyle program (Balance after Baby) delivered over the first postpartum year or to a control group. Primary outcomes were change in body weight at 12 months from 1) first postpartum measured weight, and 2) self-reported prepregnancy weight.

Results

There were no significant differences in baseline characteristics between groups including age, BMI, race and income status. Women assigned to the Balance after Baby program (n=36, 3 lost to follow-up) lost a mean of 2.8 kgs (95% CI −4.8 to −0.7) from 6 weeks to 12 months postpartum while the control group (n=39, 1 lost to follow-up) gained a mean of 0.5 kgs (−1.4 to +2.4) (p=0.022). Women in the intervention were closer to prepregnancy weight at 12 months postpartum (mean change −0.7 kgs; −3.5 to +2.2), compared to women in the control arm (+4.0 kgs; +1.3 to +6.8) (p=0.035).

Conclusion

A web-based lifestyle modification program for women with recent GDM decreased postpartum weight retention.


Subject:
[+]
Adult
Article
Behavior Therapy
Body Mass Index
Diabetes, Gestational
Female
Humans
Life Style
Obesity
Postpartum Period
Pregnancy
Preventive Health Services
Program Evaluation
Risk Reduction Behavior
Treatment Outcome
Weight Gain

Source:
Obstet Gynecol. 124(3):563-570.
Pubmed ID:
25162257
Pubmed Central ID:
PMC4401073
Document Type:
Journal Article
Funding:
1000746693/Intramural CDC HHS/United States ; 9K24HL096141/HL/NHLBI NIH HHS/United States ; K12 HD057022/HD/NICHD NIH HHS/United States ; K24 HL096141/HL/NHLBI NIH HHS/United States ; MM-1094-09/09/PHS HHS/United States ; ... More +
1000746693/Intramural CDC HHS/United States ; 9K24HL096141/HL/NHLBI NIH HHS/United States ; K12 HD057022/HD/NICHD NIH HHS/United States ; K24 HL096141/HL/NHLBI NIH HHS/United States ; MM-1094-09/09/PHS HHS/United States ; T32 AT000051/AT/NCCIH NIH HHS/United States ; T32AT000051/AT/NCCIH NIH HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:87942855e2db965b6e3f14516b3ce328c7fa87a415076520f8a23e8db5fe0b45
File Type:

Supporting Files

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