Weight-management interventions for pregnant or postpartum women.

Abstract:

BACKGROUND:A review of randomized controlled trials of weight-management interventions for pregnant or postpartum women was conducted to assess whether effective weight-management interventions exist for this population. METHODS:The MEDLINE, EMBASE, PsycINFO, Sociological Abstracts, and CINAHL databases were searched, as well as the reference lists of relevant publications. English-language articles published between January 1985 and August 2007 that used a randomized controlled trial study design and incorporated a weight-related outcome measure were reviewed. All potentially relevant articles were reviewed separately, and final selections were based on consensus reached through discussion. RESULTS:Three studies met the inclusion criteria, one conducted among pregnant women and two among postpartum women. The interventions addressed modifications in diet and exercise and included individual or group-counseling sessions combined with written and telephone correspondence or food and exercise diaries. In two studies, the weight-related outcome was significantly better in the intervention group than in the control group. The third study found a significant interaction between weight category and intervention group. In all studies, the refusal or attrition rates were high. CONCLUSIONS:While these studies indicate that interventions can help pregnant and postpartum women manage their weight, many questions remain unanswered. Several research gaps for weight-management interventions in this important population have been identified.

journal_name

Am J Prev Med

authors

Kuhlmann AK,Dietz PM,Galavotti C,England LJ

doi

10.1016/j.amepre.2008.02.010

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

523-8

issue

6

eissn

0749-3797

issn

1873-2607

pii

S0749-3797(08)00238-9

journal_volume

34

pub_type

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