Mighty Mums – a lifestyle intervention at primary care level reduces gestational weight gain in women with obesity
Open accessAbstract
Obesity (BMI ≥30) during pregnancy is becoming an increasing public health issue and is associated with adverse maternal and perinatal outcomes. Excessive gestational weight gain (GWG) further increases the risks of adverse outcomes. However, lifestyle intervention can help pregnant women with obesity to limit their GWG. This study evaluated whether an antenatal lifestyle intervention programme for pregnant women with obesity, with emphasis on nutrition and physical activity, could influence GWG and maternal and perinatal outcomes. The intervention was performed in a city in Sweden 2011–2013. The study population was women with BMI ≥30 in early pregnancy who received standard antenatal care and were followed until postpartum check-up. The intervention group (n = 459) was provided with additional support for a healthier lifestyle, including motivational talks with the midwife, food advice, prescriptions of physical activity, walking poles, pedometers, and dietician consultation. The control group was recruited from the same (n = 105) and from a nearby antenatal organisation (n = 790). In the per-protocol population, the intervention group had significantly lower GWG compared with the control group (8.9 ± 6.0 kg vs 11.2 ± 6.9 kg; p = 0.031). The women managed to achieve GWG < 7 kg to a greater extent (37.1% vs. 23.0%; p = 0.036) and also had a significantly lower weight retention at the postpartum check-up (− 0.3 ± 6.0 kg vs. 1.6 ± 6.5 kg; p = 0.019) compared to the first visit. The most commonly used components of the intervention, apart from the extra midwife time, were support from the dietician and retrieval of pedometers. Overall compliance with study procedures, actual numbers of visits with logbook activity, and dietician contact correlated significantly with GWG. There was no statistically significant difference in GWG (10.3 ± 6.1 kg vs. 11.2 ± 6.9 kg) between the intervention and control groups in the intention-to-treat population. Pregnant women with obesity who follow a lifestyle intervention programme in primary health care can limit their weight gain during pregnancy and show less weight retention after pregnancy. This modest intervention can easily be implemented in a primary care setting. The study has been registered at ClinicalTrials.gov, Identifier: NCT03147079 . May 10 2017, retrospectively registered.
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Exposure to dietetic consultation appeared to be the main driver of success in Mighty Mums.
“Participants had lower GWG than controls and lower post‐partum weight retention. Exposure to dietetic consultation appeared to be the main driver of success.”
From Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review (2022) · cites this paper as [126]
The Conclusions report that dietician consultation correlated significantly with gestational weight gain, supporting a possible contribution. But the Discussion says the correlation was weak and that the study could not determine which intervention component was most effective. It does not establish dietetic consultation as the main driver of success. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMighty Mums intervention participants had lower GWG than controls.
“Participants had lower GWG than controls and lower post‐partum weight retention. Exposure to dietetic consultation appeared to be the main driver of success.”
From Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review (2022) · cites this paper as [126]
Mighty Mums intervention participants had lower post-partum weight retention.
“Participants had lower GWG than controls and lower post‐partum weight retention. Exposure to dietetic consultation appeared to be the main driver of success.”
From Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review (2022) · cites this paper as [126]
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Self-citation
- Authors
- Haby, K., Berg, M., Gyllensten, H., Hanas, R., & Premberg, Å.
- Affiliations
- Region Västra Götaland (SE)
- University of Gothenburg (SE)
- Corresponding author
- Haby, Karin
- Venue
- BMC Obesity
- Published
- 2018-06-04
- Volume
- 5
- Issue
- 1
- Pages
- 16-16
- ISSN
- 2052-9538 (ISSN-L)
- PMC
- PMC5985595
- OpenAlex
- W2806072601
- Cited by
- 25
- References
- 58
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 2
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- BMC Obesity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Göteborgs Universitet
- Forsknings- och utvecklingsstyrelsen för Göteborg och Södra Bohuslän
- Centrum fÖr Personcentrerad Vård
- 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, primary care, dietary recommendations, physical activity, pedometers, midwife support, postpartum weight retention, perinatal outcomes, intervention adherence, walking poles
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