Effects of a lifestyle intervention in routine care on prenatal physical activity - findings from the cluster-randomised GeliS trial.

Abstract:

BACKGROUND:Excessive gestational weight gain (GWG) is associated with an increased risk of pregnancy and obstetric complications. The "healthy living in pregnancy" (GeliS) study was performed in a routine care setting with the aim of limiting excessive GWG. The purpose of this secondary analysis is to evaluate the effect of the intervention on physical activity (PA) behaviour and to assess the impact of PA intensities on GWG. METHODS:The cluster-randomised, multicentre GeliS trial was performed in a routine care setting alongside scheduled prenatal visits. Pregnant women with a pre-pregnancy BMI between 18.5 and 40.0 kg/m2 were either assigned to the control group receiving usual care or to the intervention group. Participants in the intervention group attended three antenatal counselling sessions on diet and PA and one additional postpartum session. Data on PA behaviour were collected twice, before the end of the 12th (baseline) and after the 29th week of gestation using the Pregnancy Physical Activity Questionnaire. RESULTS:PA data were available for 1061 (93%) participants in the intervention and 1040 (93%) in the control group. Women in the intervention group reported significant improvements in the levels of total PA (p < 0.001), total PA of light intensity and above (p < 0.001), moderate-intensity (p = 0.024) and vigorous-intensity activities (p = 0.002) as well as sport activities (p < 0.001) in late pregnancy compared to the control group. The proportion of women meeting the international PA recommendations in late pregnancy was significantly higher in the intervention (64%) versus the control group (49%, p < 0.001). Activities of light-intensity and above (p = 0.006), light-intensity (p = 0.002) and vigorous-intensity (p = 0.014) in late pregnancy were inversely associated with total GWG. CONCLUSION:We found significant evidence of improvements in the PA pattern of pregnant women receiving lifestyle counselling within the framework of routine care. Most PA intensities were inversely associated with total GWG which indicates that PA across different intensities should be promoted. TRIAL REGISTRATION:NCT01958307, ClinicalTrials.gov, retrospectively registered 9 October, 2013.

authors

Hoffmann J,Günther J,Geyer K,Stecher L,Rauh K,Kunath J,Meyer D,Sitzberger C,Spies M,Rosenfeld E,Kick L,Oberhoffer R,Hauner H

doi

10.1186/s12884-019-2553-7

subject

Has Abstract

pub_date

2019-11-11 00:00:00

pages

414

issue

1

issn

1471-2393

pii

10.1186/s12884-019-2553-7

journal_volume

19

pub_type

杂志文章,多中心研究,随机对照试验
  • Epidemiological profile and obstetric outcomes of patients with peripartum congestive heart failure in Taiwan: a retrospective nationwide study.

    abstract:BACKGROUND:During pregnancy, the hyperdynamic physiology of circulation can exacerbate many cardiovascular disorders. Congestive heart failure (CHF) usually occurs during late pregnancy, which is significantly associated with a high level of maternal and neonatal morbidities and mortalities. The profile of women who de...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1486-2

    authors: Chang YJ,Ho CH,Chen JY,Wu MP,Yu CH,Wang JJ,Chen CM,Chu CC

    更新日期:2017-09-12 00:00:00

  • Effects of antenatal corticosteroids in twin neonates with late preterm birth (ACTWIN [Antenatal Corticosteroids in TWIN late preterm neonates] trial): study protocol for a randomized controlled trial.

    abstract:BACKGROUND:Antenatal corticosteroids have been proven to prevent adverse outcomes including respiratory morbidities in preterm neonates before 34 weeks of gestation. Recently, it has been suggested that antenatal corticosteroids may also be effective in singleton late preterm pregnancies, and guidelines recommend the u...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12884-019-2235-5

    authors: Hong S,Lee SM,Kwak DW,Lee J,Kim SY,Oh JW,Oh S,Park CW,Park JS,Chung JH,Jun JK

    更新日期:2019-04-03 00:00:00

  • Evaluation of the psychometric properties of the London Measure of Unplanned Pregnancy in Brazilian Portuguese.

    abstract:BACKGROUND:Estimates of unplanned pregnancy worldwide are of concern, especially in low and middle-income countries, including Brazil. Although the contraceptive prevalence rate is high in Brazil, almost half of all pregnancies are reported as unintended. The only source of nationally representative data about pregnanc...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1037-2

    authors: Borges AL,Barrett G,Dos Santos OA,Nascimento Nde C,Cavalhieri FB,Fujimori E

    更新日期:2016-08-24 00:00:00

  • Evaluation of an activity monitor for use in pregnancy to help reduce excessive gestational weight gain.

    abstract:BACKGROUND:Excessive weight gain during pregnancy increases the risk for negative effects on mother and child during pregnancy, delivery, and also postnatally. Excessive weight gain can be partially compensated by being sufficiently physically active, which can be measured using activity trackers. Modern activity track...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-1941-8

    authors: Lemmens PMC,Sartor F,Cox LGE,den Boer SV,Westerink JHDM

    更新日期:2018-07-31 00:00:00

  • "An unnecessary cut?" multilevel health systems analysis of drivers of caesarean sections rates in Italy: a systematic review.

    abstract:BACKGROUND:Improvements in medical technologies have seen over-medicalization of childbirth. Caesarean section (CS) is a lifesaving procedure proven effective in reducing maternal and perinatal mortality across the globe. However, as with any medical procedure, the CS intrinsically carries some risk to its beneficiarie...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03462-1

    authors: Laurita Longo V,Odjidja EN,Beia TK,Neri M,Kielmann K,Gittardi I,Di Rosa AI,Boldrini M,Melis GB,Scambia G,Lanzone A

    更新日期:2020-12-10 00:00:00

  • The role of male partner in utilization of maternal health care services in Ethiopia: a community-based couple study.

    abstract:BACKGROUND:Ethiopia has recorded substantial progress in maternal health recently. However, poor utilization of maternal health care services is challenging further improvement. Although male partners are decision-makers in households, the impact of their involvement on maternal health care services has not been well s...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2176-z

    authors: Mohammed BH,Johnston JM,Vackova D,Hassen SM,Yi H

    更新日期:2019-01-14 00:00:00

  • "Is it realistic?" the portrayal of pregnancy and childbirth in the media.

    abstract:BACKGROUND:Considerable debate surrounds the influence media have on first-time pregnant women. Much of the academic literature discusses the influence of (reality) television, which often portrays birth as risky, dramatic and painful and there is evidence that this has a negative effect on childbirth in society, throu...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-016-0827-x

    authors: Luce A,Cash M,Hundley V,Cheyne H,van Teijlingen E,Angell C

    更新日期:2016-02-29 00:00:00

  • Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality.

    abstract:BACKGROUND:Maternal morbidity is a complex entity and its presentation and severity are on a spectrum. This paper describes the conceptualization and development of a definition for maternal morbidity, and the framework for its measurement: the maternal morbidity matrix, which is the foundation for measuring maternal m...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0789-4

    authors: Chou D,Tunçalp Ö,Firoz T,Barreix M,Filippi V,von Dadelszen P,van den Broek N,Cecatti JG,Say L,Maternal Morbidity Working Group.

    更新日期:2016-03-02 00:00:00

  • The association of unwanted pregnancy and social support with depressive symptoms in pregnancy: evidence from rural Southwestern Ethiopia.

    abstract:BACKGROUND:Depression in pregnancy has adverse health outcomes for mothers and children. The magnitude and risk factors of maternal depression during pregnancy is less known in developing countries. This study examines the association between pregnancy intention, social support and depressive symptoms in pregnancy in E...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-135

    authors: Dibaba Y,Fantahun M,Hindin MJ

    更新日期:2013-06-24 00:00:00

  • Pregnancy complications and birth outcomes among women experiencing nausea only or nausea and vomiting during pregnancy in the Norwegian Mother and Child Cohort Study.

    abstract:BACKGROUND:To compare pregnancy complications and birth outcomes for women experiencing nausea and vomiting in pregnancy, or nausea only, with symptom-free women. METHODS:Pregnancies from the Norwegian Mother and Child Cohort Study (n = 51 675), a population-based prospective cohort study, were examined. Data on nause...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0580-6

    authors: Chortatos A,Haugen M,Iversen PO,Vikanes Å,Eberhard-Gran M,Bjelland EK,Magnus P,Veierød MB

    更新日期:2015-06-23 00:00:00

  • Are early first trimester weights valid proxies for preconception weight?

    abstract:BACKGROUND:An accurate estimate of preconception weight is necessary for providing a gestational weight gain range based on the Institute of Medicine's guidelines; however, an accurate and proximal preconception weight is not available for most women. We examined the validity of first trimester weights for estimating p...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1159-6

    authors: Krukowski RA,West DS,DiCarlo M,Shankar K,Cleves MA,Saylors ME,Andres A

    更新日期:2016-11-21 00:00:00

  • Psychosocial factors associated with early initiation and frequency of antenatal care (ANC) visits in a rural and urban setting in South Africa: a cross-sectional survey.

    abstract:BACKGROUND:Late booking and infrequent antenatal care (ANC) are common but avoidable patient-related risk factors for maternal deaths in South Africa. The aim of the study was to examine the association of psychosocial factors with early initiation of ANC and adequate frequency of attendance of ANC clinics among women ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0807-1

    authors: Muhwava LS,Morojele N,London L

    更新日期:2016-01-25 00:00:00

  • Systematic review to understand and improve care after stillbirth: a review of parents' and healthcare professionals' experiences.

    abstract:BACKGROUND:2.7 million babies were stillborn in 2015 worldwide; behind these statistics lie the experiences of bereaved parents. The first Lancet series on stillbirth in 2011 described stillbirth as one of the "most shamefully neglected" areas of public health, recommended improving interaction between families and fro...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-016-0806-2

    authors: Ellis A,Chebsey C,Storey C,Bradley S,Jackson S,Flenady V,Heazell A,Siassakos D

    更新日期:2016-01-25 00:00:00

  • Umbilical cord-care practices in low- and middle-income countries: a systematic review.

    abstract:BACKGROUND:Neonatal sepsis is the third leading cause of deaths for infants in their first month of life. The newly cut umbilical cord can be a pathway for bacteria that can cause newborn sepsis and death. Optimal umbilical cord care practices for newborns and during the first week of life, especially in settings with ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-017-1250-7

    authors: Coffey PS,Brown SC

    更新日期:2017-02-20 00:00:00

  • Antibiotic prophylaxis for caesarean section at a Ugandan hospital: a randomised clinical trial evaluating the effect of administration time on the incidence of postoperative infections.

    abstract:BACKGROUND:Prophylactic antibiotics are used to prevent postoperative infections after caesarean section. Studies have suggested that the timing of prophylaxis plays an important role. Over the years, the role of the anaesthesiologist in the administration of prophylactic antibiotics has become prominent. Therefore, th...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12884-015-0514-3

    authors: Dlamini LD,Sekikubo M,Tumukunde J,Kojjo C,Ocen D,Wabule A,Kwizera A

    更新日期:2015-04-12 00:00:00

  • Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda.

    abstract:BACKGROUND:Obstructed labour is still a major cause of maternal morbidity and mortality and of adverse outcome for newborns in low-income countries. The aim of this study was to investigate the role of individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Ug...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-73

    authors: Kabakyenga JK,Östergren PO,Turyakira E,Mukasa PK,Pettersson KO

    更新日期:2011-10-14 00:00:00

  • Serum screening with Down's syndrome markers to predict pre-eclampsia and small for gestational age: systematic review and meta-analysis.

    abstract:BACKGROUND:Reliable antenatal identification of pre-eclampsia and small for gestational age is crucial to judicious allocation of monitoring resources and use of preventative treatment with the prospect of improving maternal/perinatal outcome. The purpose of this systematic review was to determine the accuracy of five ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/1471-2393-8-33

    authors: Morris RK,Cnossen JS,Langejans M,Robson SC,Kleijnen J,Ter Riet G,Mol BW,van der Post JA,Khan KS

    更新日期:2008-08-04 00:00:00

  • Fetal heart rate monitoring of short term variation (STV): a methodological observational study.

    abstract:BACKGROUND:Cardiotocography (CTG) has high sensitivity, but less specificity in detection of fetal hypoxia. There is need for adjunctive methods easy to apply during labor. Low fetal heart rate short term variation (STV) is predictive for hypoxia during the antenatal period. The objectives of our study were to methodol...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0845-8

    authors: Wretler S,Holzmann M,Graner S,Lindqvist P,Falck S,Nordström L

    更新日期:2016-03-16 00:00:00

  • Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis.

    abstract:BACKGROUND:Amniotic fluid embolism (AFE) is a rare, life threatening obstetric complication, often associated with severe coagulopathy. Induced abortions are extremely safe procedures however complications including AFE can occur. CASE PRESENTATION:A 29-year-old previously healthy woman, gravida 1 para 0, presented fo...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2680-1

    authors: Crissman HP,Loder C,Pancaro C,Bell J

    更新日期:2020-01-03 00:00:00

  • Normal fertilisation rates and serum 25-OHD levels among couples undergoing in-vitro fertilisation: a prospective cohort study.

    abstract:BACKGROUND:The aim of this study was to explore the correlation between serum vitamin D levels in couples undergoing in-vitro fertilisation (IVF) and normal fertilisation process. METHODS:Between March 2016 and March 2017, we performed a prospective cohort study at an academic reproductive medicine centre to measure s...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-02959-z

    authors: Jiang L,Yang J,Song J,Hu Y,Qian K

    更新日期:2020-06-05 00:00:00

  • Antenatal health promotion via short message service at a Midwife Obstetrics Unit in South Africa: a mixed methods study.

    abstract:BACKGROUND:Adequate antenatal care is important to both the health of a pregnant woman and her unborn baby. Given South Africa's high rate of cellphone penetration, mobile health interventions have been touted as a potentially powerful means to disseminate health information. This study aimed to increase antenatal heal...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-284

    authors: Lau YK,Cassidy T,Hacking D,Brittain K,Haricharan HJ,Heap M

    更新日期:2014-08-21 00:00:00

  • Birthplace in New South Wales, Australia: an analysis of perinatal outcomes using routinely collected data.

    abstract:BACKGROUND:The outcomes for women who give birth in hospital compared with at home are the subject of ongoing debate. We aimed to determine whether a retrospective linked data study using routinely collected data was a viable means to compare perinatal and maternal outcomes and interventions in labour by planned place ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-206

    authors: Homer CS,Thornton C,Scarf VL,Ellwood DA,Oats JJ,Foureur MJ,Sibbritt D,McLachlan HL,Forster DA,Dahlen HG

    更新日期:2014-06-14 00:00:00

  • Adaptation and psychometric evaluation of the breastfeeding self-efficacy scale to assess exclusive breastfeeding.

    abstract:BACKGROUND:Increasing the prevalence of optimal breastfeeding practices, including exclusive breastfeeding for 6 months, could prevent an estimated 823,000 child deaths annually. Self-efficacy is an important determinant of breastfeeding behaviors. However, existing measures do not specifically assess exclusive breastf...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2217-7

    authors: Boateng GO,Martin SL,Tuthill EL,Collins SM,Dennis CL,Natamba BK,Young SL

    更新日期:2019-02-18 00:00:00

  • Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study.

    abstract:BACKGROUND:Research on antenatal depressive, anxiety and stress symptoms among women with gestational diabetes mellitus (GDM) is lacking in Malaysia. This study aimed to determine the prevalence and factors associated with antenatal depressive, anxiety and stress symptoms among Malaysian women with GDM. METHODS:This w...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12884-019-2519-9

    authors: Lee KW,Ching SM,Hoo FK,Ramachandran V,Chong SC,Tusimin M,Mohd Nordin N

    更新日期:2019-10-21 00:00:00

  • Obstetric interventions in two groups of hospitals in Catalonia: a cross-sectional study.

    abstract:BACKGROUND:Childbirth assistance in highly technological settings and existing variability in the interventions performed are cause for concern. In recent years, numerous recommendations have been made concerning the importance of the physiological process during birth. In Spain and Catalonia, work has been carried out...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2393-14-143

    authors: Escuriet R,Pueyo M,Biescas H,Colls C,Espiga I,White J,Espada X,Fusté J,Ortún V

    更新日期:2014-04-15 00:00:00

  • Geographical differences in perinatal health and child welfare in the Netherlands: rationale for the healthy pregnancy 4 all-2 program.

    abstract:BACKGROUND:Geographical inequalities in perinatal health and child welfare require attention. To improve the identification, and care, of mothers and young children at risk of adverse health outcomes, the HP4All-2 program was developed. The program consists of three studies, focusing on creating a continuum for risk se...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1425-2

    authors: Waelput AJM,Sijpkens MK,Lagendijk J,van Minde MRC,Raat H,Ernst-Smelt HE,de Kroon MLA,Rosman AN,Been JV,Bertens LCM,Steegers EAP

    更新日期:2017-08-01 00:00:00

  • Use of metabolomics for the identification and validation of clinical biomarkers for preterm birth: Preterm SAMBA.

    abstract:BACKGROUND:Spontaneous preterm birth is a complex syndrome with multiple pathways interactions determining its occurrence, including genetic, immunological, physiologic, biochemical and environmental factors. Despite great worldwide efforts in preterm birth prevention, there are no recent effective therapeutic strategi...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1006-9

    authors: Cecatti JG,Souza RT,Sulek K,Costa ML,Kenny LC,McCowan LM,Pacagnella RC,Villas-Boas SG,Mayrink J,Passini R Jr,Franchini KG,Baker PN,Preterm SAMBA and SCOPE study groups.

    更新日期:2016-08-08 00:00:00

  • Concurrent analysis of choice and control in childbirth.

    abstract:BACKGROUND:This paper reports original research on choice and control in childbirth. Eight women were interviewed as part of a wider investigation into locus of control in women with pre-labour rupture of membranes at term (PROM). METHODS:The following study uses concurrent analysis to sample and analyse narrative asp...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-40

    authors: Snowden A,Martin C,Jomeen J,Hollins Martin C

    更新日期:2011-06-01 00:00:00

  • A donor twin discordant with Peters anomaly in a twin-twin transfusion syndrome case: a case report.

    abstract:BACKGROUND:Peters anomaly is a rare form of anterior segment ocular dysgenesis, the antenatal image of Peters anomaly had not been reported. We herein showcased a discordant finding of Peters anomaly in a monozygotic twin complicated with twin-twin transfusion syndrome (TTTS) and exhibited its antenatal sonographic ima...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03269-0

    authors: Chang YL,Chao AS,Chou CY,Chang SD,Chiang MC,Lee YS

    更新日期:2020-09-23 00:00:00

  • Trends in newborn umbilical cord care practices in Sokoto and Bauchi States of Nigeria: the where, who, how, what and the ubiquitous role of traditional birth attendants: a lot quality assurance sampling survey.

    abstract:BACKGROUND:Neonatal infections caused by unsafe umbilical cord practices account for the majority of neonatal deaths in Nigeria. We examined the trends in umbilical cord care practices between 2012 and 2015 that coincided with the introduction of chlorhexidine digluconate 7.1% gel in Bauchi and Sokoto States. METHODS:...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1551-x

    authors: Abegunde D,Orobaton N,Beal K,Bassi A,Bamidele M,Akomolafe T,Ohanyido F,Umar-Farouk O,Danladi S

    更新日期:2017-11-09 00:00:00