The Weigh to a Healthy Pregnancy: Evaluation of a Regional WeightManagement Programme for Obese Pregnant Women

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Abstract

AbstractBackground: Maternal obesity is associated with significant health risks and costs. Identifying effectiveinterventions for treatment and management of obese women in pregnancy is required to reduce these risks. Theaim of this project was to evaluate the feasibility of the ‘Weigh to a Healthy Pregnancy Programme’ (WTHP),designed to help limit gestational weight gain (GWG) in women with a body mass index (BMI) ≥ 40 kg/m2 throughhealthy lifestyle changes. Pregnant women in Northern Ireland with body mass index (BMI) ≥ 40 kg/m2 wererecruited to participate in this programme between April 2013-April 2014. Women received a structured supportprogramme including tailored advice and group sessions during pregnancy. Both quantitative and qualitative datawere collected at 9 time points during pregnancy and in early postnatal period.Results: Of 381 women invited to participate 306 (80%) agreed to take part of which 217 (71%) completed theprogramme. Women were approximately 118 kgs at recruitment (average 10.7 weeks gestation). Overall, womengained an average of 4.65 kgs from their booking appointment (
LanguageEnglish
Article numberVolume 8, Issue 7
Pages1-6
Number of pages6
JournalBiology and Medicine
Volume8
Issue number7
Early online date27 Oct 2016
DOIs
Publication statusE-pub ahead of print - 27 Oct 2016

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Pregnant Women
Pregnancy
Body Mass Index
Northern Ireland
Health Care Costs
Weight Gain
Life Style
Appointments and Schedules
Obesity
Mothers
Therapeutics

Keywords

  • Pregnant women
  • Obesity
  • Weight gain
  • Healthy lifestyle
  • programme

Cite this

@article{f33d52e4de2b408cbb0e6a617ae90ec7,
title = "The Weigh to a Healthy Pregnancy: Evaluation of a Regional WeightManagement Programme for Obese Pregnant Women",
abstract = "AbstractBackground: Maternal obesity is associated with significant health risks and costs. Identifying effectiveinterventions for treatment and management of obese women in pregnancy is required to reduce these risks. Theaim of this project was to evaluate the feasibility of the ‘Weigh to a Healthy Pregnancy Programme’ (WTHP),designed to help limit gestational weight gain (GWG) in women with a body mass index (BMI) ≥ 40 kg/m2 throughhealthy lifestyle changes. Pregnant women in Northern Ireland with body mass index (BMI) ≥ 40 kg/m2 wererecruited to participate in this programme between April 2013-April 2014. Women received a structured supportprogramme including tailored advice and group sessions during pregnancy. Both quantitative and qualitative datawere collected at 9 time points during pregnancy and in early postnatal period.Results: Of 381 women invited to participate 306 (80{\%}) agreed to take part of which 217 (71{\%}) completed theprogramme. Women were approximately 118 kgs at recruitment (average 10.7 weeks gestation). Overall, womengained an average of 4.65 kgs from their booking appointment (",
keywords = "Pregnant women, Obesity, Weight gain, Healthy lifestyle, programme",
author = "Marlene Sinclair and MH Murphy and Alyson Hill and Brendan Bunting",
note = "This is an Open Access Article, under CC Attribution licence; evidence uploaded to 'Other files'. Unsure if exception should be added Reference text: References 1. Heslehurst N, Rankin J, Wilkinson JR, Summerbell CD (2010) A nationally representative study of maternal obesity in England, UK: trends in incidence and demographic inequalities in 619 323 births, 1989–2007. Int J Obes (Lond) 34: 420-428. 2. Vasudevan C, Renfrew M, McGuire W (2011) Fetal and perinatal consequences of maternal obesity. Arch Dis Child Fetal Neonatal Ed 96: F378-82. 3. Catalano PM, McIntyre HD, Cruickshank JK, McCance DR, Dyer AR, et al. (2012) The hyperglycemia and adverse pregnancy outcome study: associations of GDM and obesity with pregnancy outcomes. Diabetes Care 35: 780-786. 4. Centre for Maternal and Child Enquiries (2011) Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer: 2006–08, CMACE, London. 5. Gunderson EP (2009) Childbearing and obesity in women: weight before, during, and after pregnancy. Obstet Gynecol Clin North Am 36: 317-332. 6. Gunderson EP, Abrams B (2000) Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiological Reviews 22: 261–274 7. Morgan KL, Rahman MA, Macey S, Atkinson MD, Hill RA (2014) Obesity in pregnancy: a retrospective prevalence-based study on health service utilisation and costs on the NHS. BMJ Open 4: e003983. 8. Thangaratinam S, Rogozinska E, Jolly K, Glinkowski S, Roseboom T, et al. (2012) Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ 344: e2088. 9. Institute of Medicine (2009) Weight Gain during Pregnancy: Reexamining the Guidelines. National Academy Press, Washington D.C. 10. National Obesity Observatory. Standard Evaluation Framework For Weight Management Interventions. UK: Association of Public Health Observatories, 2009. Web. 1 June 2016. 11. Craig P, Dieppe P, Macintyre S , Michie S, Nazareth I, et al. (2008) Developing and evaluating complex interventions: New guidelines 337: a1655. 12. Braun V, Clarke V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3: 77-101. 13. Teixeira P, Going S, Houtkooper L, Cussler E, Metcalfe L, et al. (2004) Pretreatment predictors of attrition and successful weight management in women. Int J Obes Relat Metab Disord 28: 1124-1133. 14. Honas JJ, Early JL, Frederickson DD, O'Brien MS (2003) Predictors of Attrition in a Large Clinic‐Based Weight‐Loss Program. Obesity research 11: 888-894. Citation: Sinclair M, Brown MJ, Bunting B, Murphy M, Hill A, et al. (2016) The Weigh to a Healthy Pregnancy: Evaluation of a Regional Weight Management Programme for Obese Pregnant Women. Biol Med (Aligarh) 8: 355. doi:10.4172/0974-8369.1000355 Page 5 of 6 Biol Med (Aligarh), an open access journal ISSN: 0974-8369 Volume 8 • Issue 7 • 1000355",
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AU - Sinclair, Marlene

AU - Murphy, MH

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N1 - This is an Open Access Article, under CC Attribution licence; evidence uploaded to 'Other files'. Unsure if exception should be added Reference text: References 1. Heslehurst N, Rankin J, Wilkinson JR, Summerbell CD (2010) A nationally representative study of maternal obesity in England, UK: trends in incidence and demographic inequalities in 619 323 births, 1989–2007. Int J Obes (Lond) 34: 420-428. 2. Vasudevan C, Renfrew M, McGuire W (2011) Fetal and perinatal consequences of maternal obesity. Arch Dis Child Fetal Neonatal Ed 96: F378-82. 3. Catalano PM, McIntyre HD, Cruickshank JK, McCance DR, Dyer AR, et al. (2012) The hyperglycemia and adverse pregnancy outcome study: associations of GDM and obesity with pregnancy outcomes. Diabetes Care 35: 780-786. 4. Centre for Maternal and Child Enquiries (2011) Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer: 2006–08, CMACE, London. 5. Gunderson EP (2009) Childbearing and obesity in women: weight before, during, and after pregnancy. Obstet Gynecol Clin North Am 36: 317-332. 6. Gunderson EP, Abrams B (2000) Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiological Reviews 22: 261–274 7. Morgan KL, Rahman MA, Macey S, Atkinson MD, Hill RA (2014) Obesity in pregnancy: a retrospective prevalence-based study on health service utilisation and costs on the NHS. BMJ Open 4: e003983. 8. Thangaratinam S, Rogozinska E, Jolly K, Glinkowski S, Roseboom T, et al. (2012) Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ 344: e2088. 9. Institute of Medicine (2009) Weight Gain during Pregnancy: Reexamining the Guidelines. National Academy Press, Washington D.C. 10. National Obesity Observatory. Standard Evaluation Framework For Weight Management Interventions. UK: Association of Public Health Observatories, 2009. Web. 1 June 2016. 11. Craig P, Dieppe P, Macintyre S , Michie S, Nazareth I, et al. (2008) Developing and evaluating complex interventions: New guidelines 337: a1655. 12. Braun V, Clarke V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3: 77-101. 13. Teixeira P, Going S, Houtkooper L, Cussler E, Metcalfe L, et al. (2004) Pretreatment predictors of attrition and successful weight management in women. Int J Obes Relat Metab Disord 28: 1124-1133. 14. Honas JJ, Early JL, Frederickson DD, O'Brien MS (2003) Predictors of Attrition in a Large Clinic‐Based Weight‐Loss Program. Obesity research 11: 888-894. Citation: Sinclair M, Brown MJ, Bunting B, Murphy M, Hill A, et al. (2016) The Weigh to a Healthy Pregnancy: Evaluation of a Regional Weight Management Programme for Obese Pregnant Women. Biol Med (Aligarh) 8: 355. doi:10.4172/0974-8369.1000355 Page 5 of 6 Biol Med (Aligarh), an open access journal ISSN: 0974-8369 Volume 8 • Issue 7 • 1000355

PY - 2016/10/27

Y1 - 2016/10/27

N2 - AbstractBackground: Maternal obesity is associated with significant health risks and costs. Identifying effectiveinterventions for treatment and management of obese women in pregnancy is required to reduce these risks. Theaim of this project was to evaluate the feasibility of the ‘Weigh to a Healthy Pregnancy Programme’ (WTHP),designed to help limit gestational weight gain (GWG) in women with a body mass index (BMI) ≥ 40 kg/m2 throughhealthy lifestyle changes. Pregnant women in Northern Ireland with body mass index (BMI) ≥ 40 kg/m2 wererecruited to participate in this programme between April 2013-April 2014. Women received a structured supportprogramme including tailored advice and group sessions during pregnancy. Both quantitative and qualitative datawere collected at 9 time points during pregnancy and in early postnatal period.Results: Of 381 women invited to participate 306 (80%) agreed to take part of which 217 (71%) completed theprogramme. Women were approximately 118 kgs at recruitment (average 10.7 weeks gestation). Overall, womengained an average of 4.65 kgs from their booking appointment (

AB - AbstractBackground: Maternal obesity is associated with significant health risks and costs. Identifying effectiveinterventions for treatment and management of obese women in pregnancy is required to reduce these risks. Theaim of this project was to evaluate the feasibility of the ‘Weigh to a Healthy Pregnancy Programme’ (WTHP),designed to help limit gestational weight gain (GWG) in women with a body mass index (BMI) ≥ 40 kg/m2 throughhealthy lifestyle changes. Pregnant women in Northern Ireland with body mass index (BMI) ≥ 40 kg/m2 wererecruited to participate in this programme between April 2013-April 2014. Women received a structured supportprogramme including tailored advice and group sessions during pregnancy. Both quantitative and qualitative datawere collected at 9 time points during pregnancy and in early postnatal period.Results: Of 381 women invited to participate 306 (80%) agreed to take part of which 217 (71%) completed theprogramme. Women were approximately 118 kgs at recruitment (average 10.7 weeks gestation). Overall, womengained an average of 4.65 kgs from their booking appointment (

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KW - Obesity

KW - Weight gain

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