Cargando…
The INTER-ACT E-Health Supported Lifestyle Intervention Improves Postpartum Food Intake and Eating Behavior, but Not Physical Activity and Sedentary Behavior—A Randomized Controlled Trial
Unhealthy postpartum lifestyle is related to long-term adverse psychological, metabolic and cardiovascular health outcomes as well as to complications in the next pregnancy. Especially women with preceding excessive gestational weight gain are at risk. This paper aims to evaluate the effect of the p...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070698/ https://www.ncbi.nlm.nih.gov/pubmed/33919758 http://dx.doi.org/10.3390/nu13041287 |
_version_ | 1783683531043504128 |
---|---|
author | Bijlholt, Margriet Ameye, Lieveke Van Uytsel, Hanne Devlieger, Roland Bogaerts, Annick |
author_facet | Bijlholt, Margriet Ameye, Lieveke Van Uytsel, Hanne Devlieger, Roland Bogaerts, Annick |
author_sort | Bijlholt, Margriet |
collection | PubMed |
description | Unhealthy postpartum lifestyle is related to long-term adverse psychological, metabolic and cardiovascular health outcomes as well as to complications in the next pregnancy. Especially women with preceding excessive gestational weight gain are at risk. This paper aims to evaluate the effect of the postpartum phase of the INTER-ACT randomized controlled trial (RCT) on food intake, eating behavior, physical activity and sedentary time at the end of the intervention (six months postpartum) and at six-months follow-up (12 months postpartum). The study population comprised women with excessive gestational weight gain in the preceding pregnancy. The lifestyle intervention combined a smartphone application with four face-to-face coaching sessions between six weeks and six months postpartum. After the intervention, restrained eating score was 1 point higher (95% CI 0.5, 1.5; p < 0.001), uncontrolled eating score was 1 point lower (95% CI −1.9, −0.2; p = 0.02) and energy intake was 69 kcal lower (95% CI −123, −15; p = 0.01) in the intervention group compared to the control group. The differences were no longer statistically significant at follow-up. No significant effects on emotional eating, physical activity and sedentary behavior were found. In conclusion, the postpartum phase of the INTER-ACT RCT was effective in improving nutrition-related outcomes, however, these improvements could not be sustained at follow-up. ClinicalTrials.gov identifier: NCT02989142. |
format | Online Article Text |
id | pubmed-8070698 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-80706982021-04-26 The INTER-ACT E-Health Supported Lifestyle Intervention Improves Postpartum Food Intake and Eating Behavior, but Not Physical Activity and Sedentary Behavior—A Randomized Controlled Trial Bijlholt, Margriet Ameye, Lieveke Van Uytsel, Hanne Devlieger, Roland Bogaerts, Annick Nutrients Article Unhealthy postpartum lifestyle is related to long-term adverse psychological, metabolic and cardiovascular health outcomes as well as to complications in the next pregnancy. Especially women with preceding excessive gestational weight gain are at risk. This paper aims to evaluate the effect of the postpartum phase of the INTER-ACT randomized controlled trial (RCT) on food intake, eating behavior, physical activity and sedentary time at the end of the intervention (six months postpartum) and at six-months follow-up (12 months postpartum). The study population comprised women with excessive gestational weight gain in the preceding pregnancy. The lifestyle intervention combined a smartphone application with four face-to-face coaching sessions between six weeks and six months postpartum. After the intervention, restrained eating score was 1 point higher (95% CI 0.5, 1.5; p < 0.001), uncontrolled eating score was 1 point lower (95% CI −1.9, −0.2; p = 0.02) and energy intake was 69 kcal lower (95% CI −123, −15; p = 0.01) in the intervention group compared to the control group. The differences were no longer statistically significant at follow-up. No significant effects on emotional eating, physical activity and sedentary behavior were found. In conclusion, the postpartum phase of the INTER-ACT RCT was effective in improving nutrition-related outcomes, however, these improvements could not be sustained at follow-up. ClinicalTrials.gov identifier: NCT02989142. MDPI 2021-04-14 /pmc/articles/PMC8070698/ /pubmed/33919758 http://dx.doi.org/10.3390/nu13041287 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bijlholt, Margriet Ameye, Lieveke Van Uytsel, Hanne Devlieger, Roland Bogaerts, Annick The INTER-ACT E-Health Supported Lifestyle Intervention Improves Postpartum Food Intake and Eating Behavior, but Not Physical Activity and Sedentary Behavior—A Randomized Controlled Trial |
title | The INTER-ACT E-Health Supported Lifestyle Intervention Improves Postpartum Food Intake and Eating Behavior, but Not Physical Activity and Sedentary Behavior—A Randomized Controlled Trial |
title_full | The INTER-ACT E-Health Supported Lifestyle Intervention Improves Postpartum Food Intake and Eating Behavior, but Not Physical Activity and Sedentary Behavior—A Randomized Controlled Trial |
title_fullStr | The INTER-ACT E-Health Supported Lifestyle Intervention Improves Postpartum Food Intake and Eating Behavior, but Not Physical Activity and Sedentary Behavior—A Randomized Controlled Trial |
title_full_unstemmed | The INTER-ACT E-Health Supported Lifestyle Intervention Improves Postpartum Food Intake and Eating Behavior, but Not Physical Activity and Sedentary Behavior—A Randomized Controlled Trial |
title_short | The INTER-ACT E-Health Supported Lifestyle Intervention Improves Postpartum Food Intake and Eating Behavior, but Not Physical Activity and Sedentary Behavior—A Randomized Controlled Trial |
title_sort | inter-act e-health supported lifestyle intervention improves postpartum food intake and eating behavior, but not physical activity and sedentary behavior—a randomized controlled trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070698/ https://www.ncbi.nlm.nih.gov/pubmed/33919758 http://dx.doi.org/10.3390/nu13041287 |
work_keys_str_mv | AT bijlholtmargriet theinteractehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT ameyelieveke theinteractehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT vanuytselhanne theinteractehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT devliegerroland theinteractehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT bogaertsannick theinteractehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT bijlholtmargriet interactehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT ameyelieveke interactehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT vanuytselhanne interactehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT devliegerroland interactehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial AT bogaertsannick interactehealthsupportedlifestyleinterventionimprovespostpartumfoodintakeandeatingbehaviorbutnotphysicalactivityandsedentarybehaviorarandomizedcontrolledtrial |