Universität zu Köln

Krebs, Franziska ORCID: 0000-0002-5998-3801, Lorenz, Laura ORCID: 0000-0003-2799-5784, Nawabi, Farah ORCID: 0000-0002-9433-1390, Alayli, Adrienne ORCID: 0000-0001-8859-4285 and Stock, Stephanie ORCID: 0000-0002-1726-9300 (2022). Effectiveness of a Brief Lifestyle Intervention in the Prenatal Care Setting to Prevent Excessive Gestational Weight Gain and Improve Maternal and Infant Health Outcomes. Int. J. Environ. Res. Public Health, 19 (10). BASEL: MDPI. ISSN 1660-4601

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Abstract

Research on perinatal programming shows that excessive gestational weight gain (GWG) increases the risk of overweight and obesity later in a child's life and contributes to maternal weight retention and elevated risks of obstetrical complications. This study examined the effectiveness of a brief lifestyle intervention in the prenatal care setting, compared to routine prenatal care, in preventing excessive GWG as well as adverse maternal and infant health outcomes. The GeMuKi study was designed as a cluster RCT using a hybrid effectiveness implementation design and was conducted in the prenatal care setting in Germany. A total of 1466 pregnant women were recruited. Pregnant women in intervention regions received up to six brief counseling sessions on lifestyle topics (e.g., physical activity, nutrition, drug use). Data on GWG and maternal and infant outcomes were entered into a digital data platform by the respective healthcare providers. The intervention resulted in a significant reduction in the proportion of women with excessive GWG (OR = 0.76, 95% CI (0.60 to 0.96), p = 0.024). Gestational weight gain in the intervention group was reduced by 1 kg (95% CI (-1.56 to -0.38), p < 0.001). No evidence of intervention effects on pregnancy, birth, or neonatal outcomes was found.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Krebs, Franziska UNSPECIFIED orcid.org/0000-0002-5998-3801 UNSPECIFIED Lorenz, Laura UNSPECIFIED orcid.org/0000-0003-2799-5784 UNSPECIFIED Nawabi, Farah UNSPECIFIED orcid.org/0000-0002-9433-1390 UNSPECIFIED Alayli, Adrienne UNSPECIFIED orcid.org/0000-0001-8859-4285 UNSPECIFIED Stock, Stephanie UNSPECIFIED orcid.org/0000-0002-1726-9300 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-656988
DOI:	10.3390/ijerph19105863
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	19
Number:	10
Date:	2022
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CHILDHOOD OVERWEIGHT; PREGNANT-WOMEN; ANTENATAL CARE; OBESITY; METAANALYSIS; GUIDELINES; SERVICES; IMPLEMENTATION; FACILITATORS; ASSOCIATION Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/65698