Electronic Monitoring of Mom's Schedule (eMOMS™): A Feasibility Randomized Controlled Trial Targeting Postpartum Weight Retention and Breastfeeding Duration Among Populations With Overweight/Obesity.

IF 2.1 4区 医学 Q2 NURSING
Lisette T Jacobson, Christie Befort, Hayrettin Okut, Rosey Zackula, Jolynn Dowling, Judy E Stern, David C Robbins, Michael D Wolfe, Patricia Kluding, David A Grainger
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引用次数: 0

Abstract

Background: Globally, rising trends in gestational diabetes and body mass index contribute to maternal and neonatal morbidity and mortality. Lifestyle modifications and breastfeeding may reverse this effect, although few studies combine these into one intervention.

Research aims: To measure postpartum weight retention, breastfeeding duration, hemoglobin A1C, and mean arterial blood pressure at 6 months postpartum among women with elevated pre-pregnancy body mass index.

Methods: The electronic Monitoring of Mom's Schedule study (eMOMS™) was a feasibility, three-arm, randomized controlled trial modeled after a Diabetes Prevention Program and breastfeeding support. A health coach delivered a 12-month virtual intervention. Study arm results were compared using Wilcoxon signed-ranks exact test reporting from a two-sided test and bootstrapped samples with 95% confidence intervals.

Results: Between September 2019 and May 2021, 100 individuals were screened, and 35 were randomized: nine to Group 1, 14 to Group 2, and 12 to Group 3. At baseline, participants averaged 13.0 (SD = 2.5) weeks gestation, with a mean pre-pregnancy body mass index of 29.7 (SD = 3.0). With 5,000 bootstrapped samples, mean weight retention from baseline to 6 months postpartum was: 4.0 kg, 95% CI [1.6, 6.2] for Group 1; 3.7 kg, CI [-1.8, 9.8] for Group 2; and 7.5 kg, CI [4.1, 11.6] for Group 3. Mean (exclusive) breastfeeding duration was 9.3 weeks, 95% CI [0.43, 26.1]; 9.6 weeks, CI [4.4, 15.7]; and 15.1 weeks, CI [6.5, 23.3] for each group, respectively.

Conclusion: Our intervention was positively associated with postpartum weight retention and breastfeeding duration. Future research is needed to assess intervention components.

妈妈日程电子监控 (eMOMS™):针对超重/肥胖人群产后体重保持和母乳喂养持续时间的可行性随机对照试验。
背景:在全球范围内,妊娠糖尿病和体重指数的上升趋势导致了孕产妇和新生儿的发病率和死亡率。改变生活方式和母乳喂养可能会扭转这种影响,但很少有研究将这些措施结合到一项干预措施中:研究目的:测量孕前体重指数升高的妇女产后 6 个月的体重保持率、母乳喂养持续时间、血红蛋白 A1C 和平均动脉血压:电子监测妈妈日程表研究(eMOMS™)是一项以糖尿病预防计划和母乳喂养支持为模型的可行性三臂随机对照试验。健康指导员提供为期 12 个月的虚拟干预。研究臂的结果使用 Wilcoxon 符号-秩精确检验报告双侧检验和 95% 置信区间的引导样本进行比较:在 2019 年 9 月至 2021 年 5 月期间,共有 100 人接受了筛查,35 人被随机分组:9 人进入第一组,14 人进入第二组,12 人进入第三组。基线时,参与者平均妊娠 13.0 周(SD = 2.5),平均孕前体重指数为 29.7(SD = 3.0)。在 5000 个引导样本中,从基线到产后 6 个月的平均体重保持率为第一组为 4.0 千克,95% CI [1.6, 6.2];第二组为 3.7 千克,CI [-1.8, 9.8];第三组为 7.5 千克,CI [4.1, 11.6]。各组的平均(纯)母乳喂养时间分别为 9.3 周,95% CI [0.43, 26.1];9.6 周,CI [4.4, 15.7];15.1 周,CI [6.5, 23.3]:我们的干预措施与产后体重保持和母乳喂养持续时间呈正相关。未来的研究需要对干预措施的内容进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Human Lactation
Journal of Human Lactation 医学-妇产科学
CiteScore
5.00
自引率
11.50%
发文量
100
审稿时长
6-12 weeks
期刊介绍: Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.
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