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Lifestyle information and commercial weight management groups to support maternal postnatal weight management and positive lifestyle behaviour: the SWAN feasibility randomised controlled trial.
Bick, D; Taylor, C; Bhavnani, V; Healey, A; Seed, P; Roberts, S; Zasada, M; Avery, A; Craig, V; Khazaezadah, N; McMullen, S; O'Connor, S; Oki, B; Ntim, E O; Poston, L; Ussher, M.
Afiliación
  • Bick D; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
  • Taylor C; School of Health Sciences, University of Surrey, Guildford, UK.
  • Bhavnani V; NCT, London, UK.
  • Healey A; Kings Health Economics, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Seed P; Department of Women and Children's Health, King's College London, London, UK.
  • Roberts S; Kings Health Economics, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Zasada M; School of Health Sciences, University of Surrey, Guildford, UK.
  • Avery A; Faculty of Science, University of Nottingham, Nottingham, UK.
  • Craig V; Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Khazaezadah N; Public Health, London Borough of Lambeth, Lambeth, London, UK.
  • McMullen S; NCT, London, UK.
  • O'Connor S; Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Oki B; Public Health, London Borough of Lambeth, Lambeth, London, UK.
  • Ntim EO; Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Poston L; Department of Women and Children's Health, King's College London, London, UK.
  • Ussher M; Population Health Research Institute, St George's, University of London, London, UK.
BJOG ; 127(5): 636-645, 2020 04.
Article en En | MEDLINE | ID: mdl-31808248
OBJECTIVES: To assess feasibility of a future randomised controlled trial (RCT) of clinical and cost-effectiveness of lifestyle information and commercial weight management groups to support postnatal weight management to 12 months post-birth. DESIGN: Two-arm feasibility trial, with nested mixed-methods process evaluation. SETTING: Inner-city unit, south England. POPULATION: Women with body mass indices (BMIs) ≥25 kg/m2 at pregnancy booking or normal BMIs (18.5-24.9 kg/m2 ) identified with excessive gestational weight gain at 36 weeks of gestation. METHODS: Randomised to standard care plus commercial weight management sessions commencing 8-16 weeks postnatally or standard care only. MAIN OUTCOMES: Feasibility outcomes included assessment of recruitment, retention, acceptability and economic data collation. Primary and secondary end points included difference between groups in weight 12 months postnatally compared with booking (proposed primary outcome for a future trial), diet, physical activity, smoking, alcohol, mental health, infant feeding, NHS resource use. RESULTS: In all, 193 women were randomised: 98 intervention and 95 control; only four women had excessive gestational weight gain. A slightly greater weight change was found among intervention women at 12 months, with greatest benefit. Among women attending ten or more weight management sessions. There was >80% follow up to 12 months, low risk of contamination and no group differences in trial completion. CONCLUSION: It was feasible to recruit and retain women with BMIs ≥25 kg/m2 to an intervention to support postnatal weight management; identification of excessive gestational weight gain requires consideration. Economic modelling could inform out-of-trial costs and benefits in a future trial. A definitive trial is an important next step. TWEETABLE ABSTRACT: A feasibility RCT of postnatal weight support showed women with BMIs ≥25 kg/m2 can be recruited and followed to 12 months postnatally.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Periodo Posparto / Programas de Reducción de Peso / Ganancia de Peso Gestacional / Estilo de Vida Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: BJOG Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Periodo Posparto / Programas de Reducción de Peso / Ganancia de Peso Gestacional / Estilo de Vida Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: BJOG Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido