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- Title
Preventing excessive gestational weight gain among African American women: A randomized clinical trial.
- Authors
Herring, Sharon J.; Cruice, Jane F.; Bennett, Gary G.; Rose, Marisa Z.; Davey, Adam; Foster, Gary D.
- Abstract
<bold>Objective: </bold>Evidence is lacking regarding effective weight control treatments in pregnancy for ethnic minority women with obesity. This study evaluated whether a technology-based behavioral intervention could decrease the proportion of African American women with overweight or obesity who exceeded Institute of Medicine (IOM) guidelines for gestational weight gain.<bold>Methods: </bold>We conducted a two-arm pilot randomized clinical trial. Participants were 66 socioeconomically disadvantaged African American pregnant women (12.5 ± 3.7 weeks' gestation; 36% overweight, 64% obesity) recruited from two outpatient obstetric practices at Temple University between 2013 and 2014. We randomized participants to usual care (n = 33) or a behavioral intervention (n = 33) that promoted weight control in pregnancy. The intervention included: (1) empirically supported behavior change goals; (2) interactive self-monitoring text messages; (3) biweekly health coach calls; and (4) skills training and support through Facebook.<bold>Results: </bold>The intervention reduced the proportion of women who exceeded IOM guidelines compared to usual care (37% vs. 66%, P = 0.033). Intervention participants gained less weight during pregnancy (8.7 vs. 12.3 kg, adjusted mean difference: -3.1 kg, 95% CI: -6.2 to -0.1). No group differences in neonatal or obstetric outcomes were found.<bold>Conclusions: </bold>The intervention resulted in lower prevalence of excessive gestational weight gain.
- Subjects
UNITED States; WEIGHT gain in pregnancy; AFRICAN American women; CLINICAL trials; POOR women; FACEBOOK (Web resource); WEIGHT loss; PREVENTION of obesity; PREVENTION of pregnancy complications; STATISTICS on Black people; BEHAVIOR therapy; BODY weight; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; OBESITY; PREGNANCY complications; RESEARCH; RESEARCH funding; STATISTICAL sampling; WEIGHT gain; PILOT projects; EVALUATION research; RANDOMIZED controlled trials; TREATMENT effectiveness; DISEASE prevalence
- Publication
Obesity (19307381), 2016, Vol 24, Issue 1, p30
- ISSN
1930-7381
- Publication type
journal article
- DOI
10.1002/oby.21240