Abstract

Antenatal lifestyle interventions optimise gestational weight gain, yet longer-term efficacy on postpartum weight retention is unclear. Overall, 228 pregnant women <15weeks gestation were randomised to intervention (four behavioural self-management sessions) or control (generic health information). Median weight retention at 12months postpartum was significantly reduced in the intervention with a between group difference of -2.3 (-2.8 (-5.9 to 0.35) vs -0.5 (-2.6 to 2.1) kg, respectively P<0.05, (n=75)±6.3kg vs -0.5±4.7kg, respectively, P<0.05) and associated increased self-weighing behaviours, compared with the control group (regular weighing: 68% vs 43%, P<0.01). Results demonstrate the efficacy of a low-intensity, behavioural lifestyle intervention in limiting postpartum weight retention.

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