Adaptive, behavioral intervention impact on weight gain, physical activity, energy intake, and motivational determinants: results of a feasibility trial in pregnant women with overweight/obesity

Autor:	Krista S. Leonard, Daniel E. Rivera, Penghong Guo, Katherine M McNitt, Jennifer S. Savage, Abigail M. Pauley, Allen R. Kunselman, Emily E. Hohman, Danielle Symons Downs, Christy Stetter
Rok vydání:	2021
Předmět:	medicine.medical_specialty Psychological intervention Overweight Weight Gain Article law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Pregnancy law Intervention (counseling) medicine Humans Obesity 030212 general & internal medicine Exercise mHealth General Psychology 030505 public health business.industry medicine.disease Pregnancy Complications Psychiatry and Mental health Physical therapy Feasibility Studies Gestation Female Pregnant Women medicine.symptom Energy Intake 0305 other medical science business Weight gain
Zdroj:	J Behav Med
ISSN:	1573-3521 0160-7715
Popis:	Interventions have modest impact on reducing excessive gestational weight gain (GWG) in pregnant women with overweight/obesity. This two-arm feasibility randomized control trial tested delivery of and compliance with an intervention using adapted dosages to regulate GWG, and examined pre-post change in GWG and secondary outcomes (physical activity: PA, energy intake: EI, theories of planned behavior/self-regulation constructs) compared to a usual care group. Pregnant women with overweight/obesity (N = 31) were randomized to a usual care control group or usual care + intervention group from 8 to 2 weeks gestation and completed the intervention through 36 weeks gestation. Intervention women received weekly evidence-based education/counseling (e.g., GWG, PA, EI) delivered by a registered dietitian in a 60-min face-to-face session. GWG was monitored weekly; women within weight goals continued with education while women exceeding goals received more intensive dosages (e.g., additional hands-on EI/PA sessions). All participants used mHealth tools to complete daily measures of weight (Wi-Fi scale) and PA (activity monitor), weekly evaluation of diet quality (MyFitnessPal app), and weekly/monthly online surveys of motivational determinants/self-regulation. Daily EI was estimated with a validated back-calculation method as a function of maternal weight, PA, and resting metabolic rate. Sixty-five percent of eligible women were randomized; study completion was 87%; 10% partially completed the study and drop-out was 3%. Compliance with using the mHealth tools for intensive data collection ranged from 77 to 97%; intervention women attended > 90% education/counseling sessions, and 68–93% dosage step-up sessions. The intervention group (6.9 kg) had 21% lower GWG than controls (8.8 kg) although this difference was not significant. Exploratory analyses also showed the intervention group had significantly lower EI kcals at post-intervention than controls. A theoretical, adaptive intervention with varied dosages to regulate GWG is feasible to deliver to pregnant women with overweight/obesity.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b036f160fb563a6312e4aef5a9bdd0f6 https://doi.org/10.1007/s10865-021-00227-9 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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