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An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries

OBJECTIVE: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active‐duty personnel and other T...

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Autores principales: Estevez Burns, Rosemary, Hare, Marion E., Andres, Aline, Klesges, Robert C., Talcott, Gerald Wayne, LeRoy, Karen, Little, Melissa A., Hyrshko‐Mullen, Ann, Waters, Teresa M., Harvey, Jean R., Bursac, Zoran, Krukowski, Rebecca A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804329/
https://www.ncbi.nlm.nih.gov/pubmed/36041980
http://dx.doi.org/10.1002/oby.23523
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author Estevez Burns, Rosemary
Hare, Marion E.
Andres, Aline
Klesges, Robert C.
Talcott, Gerald Wayne
LeRoy, Karen
Little, Melissa A.
Hyrshko‐Mullen, Ann
Waters, Teresa M.
Harvey, Jean R.
Bursac, Zoran
Krukowski, Rebecca A.
author_facet Estevez Burns, Rosemary
Hare, Marion E.
Andres, Aline
Klesges, Robert C.
Talcott, Gerald Wayne
LeRoy, Karen
Little, Melissa A.
Hyrshko‐Mullen, Ann
Waters, Teresa M.
Harvey, Jean R.
Bursac, Zoran
Krukowski, Rebecca A.
author_sort Estevez Burns, Rosemary
collection PubMed
description OBJECTIVE: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active‐duty personnel and other TRICARE beneficiaries who received a stepped‐care GWG intervention compared with those who did not receive a GWG intervention. METHOD: Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention. RESULTS: Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes. CONCLUSIONS: The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost‐effective, it may be sustainably integrated throughout the military prenatal care system.
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spelling pubmed-98043292023-01-03 An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries Estevez Burns, Rosemary Hare, Marion E. Andres, Aline Klesges, Robert C. Talcott, Gerald Wayne LeRoy, Karen Little, Melissa A. Hyrshko‐Mullen, Ann Waters, Teresa M. Harvey, Jean R. Bursac, Zoran Krukowski, Rebecca A. Obesity (Silver Spring) ORIGINAL ARTICLES OBJECTIVE: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active‐duty personnel and other TRICARE beneficiaries who received a stepped‐care GWG intervention compared with those who did not receive a GWG intervention. METHOD: Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention. RESULTS: Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes. CONCLUSIONS: The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost‐effective, it may be sustainably integrated throughout the military prenatal care system. John Wiley and Sons Inc. 2022-08-30 2022-10 /pmc/articles/PMC9804329/ /pubmed/36041980 http://dx.doi.org/10.1002/oby.23523 Text en © 2022 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society (TOS). https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle ORIGINAL ARTICLES
Estevez Burns, Rosemary
Hare, Marion E.
Andres, Aline
Klesges, Robert C.
Talcott, Gerald Wayne
LeRoy, Karen
Little, Melissa A.
Hyrshko‐Mullen, Ann
Waters, Teresa M.
Harvey, Jean R.
Bursac, Zoran
Krukowski, Rebecca A.
An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries
title An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries
title_full An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries
title_fullStr An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries
title_full_unstemmed An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries
title_short An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries
title_sort interim analysis of a gestational weight gain intervention in military personnel and other tricare beneficiaries
topic ORIGINAL ARTICLES
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804329/
https://www.ncbi.nlm.nih.gov/pubmed/36041980
http://dx.doi.org/10.1002/oby.23523
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