Appropriate Gestational Weight Gain in Overweight/Obese Women
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Obesity Weight Loss, Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 45 |
| Updated: | 2/3/2019 |
| Start Date: | April 2014 |
| End Date: | February 2020 |
The goal of this trial is to investigate the efficacy of a lifestyle intervention of healthy
diet and physical activity for helping overweight/obese pregnant women to achieve appropriate
gestational weight gain (GWG) for their prepregnancy body mass index (BMI). The goal of the
intervention is to help women achieve the lower bound of the GWG range recommended by the
Institutes of Medicine (IOM) for a given prepregnancy BMI category (i.e., 11 lbs for obese
women and 15 lbs for overweight women). The lifestyle intervention will be delivered via 2
in-person counseling sessions and 11 telephone contacts with study dieticians trained in
motivational interviewing techniques. The lifestyle intervention will be compared to usual
medical care. Outcomes will be assessed by trained study personnel at approximately 10 weeks
and 32 weeks gestation, within several days of delivery and at 6 months and 12 months
postpartum.
diet and physical activity for helping overweight/obese pregnant women to achieve appropriate
gestational weight gain (GWG) for their prepregnancy body mass index (BMI). The goal of the
intervention is to help women achieve the lower bound of the GWG range recommended by the
Institutes of Medicine (IOM) for a given prepregnancy BMI category (i.e., 11 lbs for obese
women and 15 lbs for overweight women). The lifestyle intervention will be delivered via 2
in-person counseling sessions and 11 telephone contacts with study dieticians trained in
motivational interviewing techniques. The lifestyle intervention will be compared to usual
medical care. Outcomes will be assessed by trained study personnel at approximately 10 weeks
and 32 weeks gestation, within several days of delivery and at 6 months and 12 months
postpartum.
Inclusion Criteria:
- Pregnant
- Pregravid BMI 25 to <40 (as determined from a measured pregravid weight in electronic
medical record)
Exclusion Criteria:
- Diabetes
- Cardiovascular disease
- Gastrointestinal disease
- Bariatric surgery
- Lung disease
- Thyroid disease
- Eating disorder
- Cancer
- Bed rest or Gestational Diabetes in the current pregnancy
- Planning to get pregnant again or move within 1 year of delivery
- Substance abuse
- Serious mental health disorders
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