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Cited by 55Gestational Diabetes Research and ManagementObesity, Physical Activity, DietMaternal and Neonatal Healthcare

A Behavioral Lifestyle Intervention to Limit Gestational Weight Gain in Pregnant Women with Overweight and Obesity

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Liu, Jihong, Wilcox, Sara, Wingard, Ellen, Turner‐McGrievy, Gabrielle, Hutto, Brent, Burgis, Judith·2021·Obesity
DOI 10.1002/oby.23119PMC PMC9206885
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Abstract

Objective: This study aimed to evaluate the effects of an antenatal behavioral lifestyle intervention on total gestational weight gain (GWG) and perinatal outcomes. Methods: Pregnant women with overweight and obesity in South Carolina were recruited into a theory‐based randomized controlled trial (n = 112 intervention, n = 105 standard care), which was designed to target weight self‐monitoring, increased physical activity, and improved dietary practices. Results: Participants were racially/ethnically diverse (44% African American). Intervention and standard care participants had similar total GWG at delivery (12.9 ± 6.9 vs. 12.4 ± 8.3 kg, respectively), but intervention participants had a smaller standard deviation (P = 0.04) in total GWG. The treatment effects were moderated by race/ethnicity and prepregnancy BMI. Among African American participants with overweight, intervention participants gained 4.5 kg less, whereas, among African American women with obesity, intervention participants gained 4.1 kg more than standard care participants. Total GWG among White participants was similar regardless of weight status and group assignment. Fewer intervention participants than standard care participants had adverse pregnancy outcomes (P ≤ 0.01). Conclusions: The behavioral lifestyle intervention favorably impacted GWG in African American participants with overweight but not African American participants with obesity. The intervention’s overall favorable impact on perinatal outcomes suggests that the mechanisms beyond total GWG may drive these outcomes.

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Cited by

Sorted by citations

Authors
Liu, J., Wilcox, S., Wingard, E., Turner‐McGrievy, G., Hutto, B., & Burgis, J.
Affiliations
University of South Carolina (US)
Corresponding author
Liu, Jihong
ORCID
Venue
Obesity
Publisher
Wiley
Published
2021-02-22
Volume
29
Issue
4
Pages
672-680
ISSN
  • 1930-7381 (ISSN-L)
  • 1930-739X
DOI
10.1002/oby.23119
PMC
PMC9206885
OpenAlex
W3133344051
Cited by
55
References
1
Citations by year
2026: 5 · 2025: 14 · 2024: 10 · 2023: 18 · 2022: 7 · 2021: 1
FWCI
8.16
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Obesity (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD078407)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
gestational weight gain, maternal obesity, maternal overweight, lifestyle intervention, physical activity, dietary habits, perinatal outcomes, African American women, prepregnancy BMI, racial and ethnic differences, pregnancy
MeSH terms
Gestational Weight Gain, Adolescent, Adult, Behavior Therapy, Female, Humans, Life Style, Obesity, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Pregnant People, Pregnant Women, Overweight, Young Adult

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