Smarter Pregnancy coaching and maternal blood pressure.

Autor: Hojeij B; Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam 3015GD, The Netherlands., Schoenmakers S; Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam 3015GD, The Netherlands., Van Mullem I; Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam 3015GD, The Netherlands., Willemsen SP; Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam 3015GD, The Netherlands., Dinnyes A; BioTalentum Ltd., Godollo 2100, Hungary; Department of Physiology and Animal Health, Institute of Physiology and Animal Nutrition, Hungarian University of Agriculture and Life Sciences, Godollo 2100, Hungary; School of Biosciences, Sutton Bonnington Campus, University of Nottingham, Leicestershire LE12 6HD, UK., Sinclair KD; University of NottinghamThe institution will open in a new tab, Sutton Bonington Campus, Loughborough, United Kingdom., Rousian M; Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam 3015GD, The Netherlands., Steegers-Theunissen RP; Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam 3015GD, The Netherlands. Electronic address: r.steegers@erasmusmc.nl.
Jazyk: angličtina
Zdroj: American journal of preventive medicine [Am J Prev Med] 2024 Nov 29. Date of Electronic Publication: 2024 Nov 29.
DOI: 10.1016/j.amepre.2024.11.007
Abstrakt: Introduction: Maternal lifestyle behaviours can affect blood pressure with consequences for maternal and offspring health. The aim of this study was to investigate the effectiveness of the Smarter Pregnancy digital lifestyle coaching program on maternal blood pressure during the first trimester.
Methods: The study was conducted on data of the Rotterdam Periconception Cohort from 2010 to 2019 (analysis completed in 2024). The intervention group included 132 pregnant women using Smarter Pregnancy for 6 to 24 weeks, within 30 months before study entry. The control group included 1,091 pregnant women that did not use Smarter Pregnancy. Outcomes included changes in systolic, diastolic and mean arterial blood pressures between baseline and first trimester. Lifestyle behaviours were tracked in the intervention group at 12 and 24 weeks of the program, using lifestyle risk score for vegetables, fruits, smoking and alcohol.
Results: Using multivariable analysis, the intervention group showed reductions in systolic (β adj -2.34 mmHg, 95%CI -4.67 to -0.01), diastolic (β adj -2.00 mmHg, 95%CI -3.57 to -0.45) and mean arterial blood pressures (β adj -2.22 mmHg, 95%CI -3.81 to -0.52) compared with the control group. When stratifying for conception mode, reductions were observed in diastolic (β adj -2.38, 95%CI -4.20 to -0.56) and mean arterial blood pressures (β adj -2.63, 95%CI -4.61 to -0.56) only in women who underwent assisted reproduction (n=91). Smarter Pregnancy use was associated with a reduction in lifestyle risk score, indicating improved lifestyle behaviours, after 12 (β -0.84, 95%CI -1.19 to -0.49) and 24 weeks (β -1.07, 95%CI -1.44 to -0.69). The lifestyle risk score was also significantly reduced in ART and natural pregnancy subgroups.
Conclusions: The use of Smarter Pregnancy is associated with consistent but small reductions in maternal blood pressure during the first trimester, supporting further implementation in health care.
Competing Interests: Declaration of competing interest AD is founder and employee of BioTalentum Ltd and declares no conflict of interest. All other authors report no conflict of interest.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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