Cited by 140Gestational Diabetes Research and ManagementMobile Health and mHealth ApplicationsObesity, Physical Activity, Diet

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A Web-Based Lifestyle Intervention for Women With Recent Gestational Diabetes Mellitus: A Randomized Controlled Trial

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Nicklas, Jacinda M., Zera, Chloe A., England, Lucinda J., Rosner, Bernard A., Horton, Edward, Levkoff, Sue E., Seely, Ellen W.·2014·Obstetrics & Gynecology

DOI 10.1097/aog.0000000000000420PMC PMC4401073

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Abstract

OBJECTIVE: To test the feasibility and effectiveness of a Web-based lifestyle intervention based on the Diabetes Prevention Program modified for women with recent gestational diabetes mellitus to reduce postpartum weight retention. METHODS: We randomly allocated 75 women with recent gestational diabetes mellitus to either a Web-based lifestyle program (Balance after Baby) delivered over the first postpartum year or to a control group. Primary outcomes were change in body weight at 12 months from 1) first postpartum measured weight; and 2) self-reported prepregnancy weight. RESULTS: There were no significant differences in baseline characteristics between groups including age, body mass index, race, and income status. Women assigned to the Balance after Baby program (n=36, three lost to follow-up) lost a mean of 2.8 kg (95% confidence interval -4.8 to -0.7) from 6 weeks to 12 months postpartum, whereas the control group (n=39, one lost to follow-up) gained a mean of 0.5 kg (-1.4 to +2.4) (P=.022). Women in the intervention were closer to prepregnancy weight at 12 months postpartum (mean change -0.7 kg; -3.5 to +2.2) compared with women in the control arm (+4.0 kg; +1.3 to +6.8) (P=.035). CONCLUSION: A Web-based lifestyle modification program for women with recent gestational diabetes mellitus decreased postpartum weight retention. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, www.clinicaltrials.gov, NCT01158131. LEVEL OF EVIDENCE: I.

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Authors: Nicklas, J. M., Zera, C. A., England, L. J., Rosner, B. A., Horton, E., Levkoff, S. E., & Seely, E. W.
Affiliations: Brigham and Women's Hospital (US)
ORCID: Nicklas, Jacinda M.
Zera, Chloe A.
England, Lucinda J.
Rosner, Bernard A.
Horton, Edward
Levkoff, Sue E.
Seely, Ellen W.
Venue: Obstetrics & Gynecology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-09
Volume: 124
Issue: 3
Pages: 563-570
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1097/aog.0000000000000420
PMC: PMC4401073
OpenAlex: W1981309817
Cited by: 140
References: 30
Citations by year: 2026: 10 · 2025: 9 · 2024: 17 · 2023: 14 · 2022: 12 · 2021: 9 · 2020: 13 · 2019: 10 · 2018: 17 · 2017: 9 · 2016: 7 · 2015: 12 · 2014: 1
FWCI: 10.26
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (CC999999)
U.S. Public Health Service (MM-1094-09/09)
National Heart, Lung, and Blood Institute (K24HL096141)
National Center for Complementary and Integrative Health (T32AT000051)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD057022)
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: gestational diabetes mellitus, postpartum weight retention, Diabetes Prevention Program, postpartum weight loss, pre-pregnancy weight, women
MeSH terms: Adult, Behavior Therapy, Female, Humans, Life Style, Obesity, Pregnancy, Preventive Health Services, Program Evaluation, Weight Gain, Body Mass Index, Diabetes, Gestational, Treatment Outcome, Risk Reduction Behavior, Postpartum Period

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A Web-Based Lifestyle Intervention for Women With Recent Gestational Diabetes Mellitus: A Randomized Controlled Trial

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