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Effects of a lifestyle intervention in routine care on prenatal physical activity - findings from the cluster-randomised GeliS trial.
Hoffmann, Julia; Günther, Julia; Geyer, Kristina; Stecher, Lynne; Rauh, Kathrin; Kunath, Julia; Meyer, Dorothy; Sitzberger, Christina; Spies, Monika; Rosenfeld, Eva; Kick, Luzia; Oberhoffer, Renate; Hauner, Hans.
Affiliation
  • Hoffmann J; Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Günther J; Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Geyer K; Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Stecher L; Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Rauh K; Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Kunath J; Competence Centre for Nutrition (KErn), Am Gereuth 4, 85354, Freising, Germany.
  • Meyer D; Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Sitzberger C; Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Spies M; Institute of Preventive Pediatrics, Technical University Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Rosenfeld E; Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
  • Kick L; Competence Centre for Nutrition (KErn), Am Gereuth 4, 85354, Freising, Germany.
  • Oberhoffer R; Competence Centre for Nutrition (KErn), Am Gereuth 4, 85354, Freising, Germany.
  • Hauner H; Institute of Preventive Pediatrics, Technical University Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
BMC Pregnancy Childbirth ; 19(1): 414, 2019 Nov 11.
Article in En | MEDLINE | ID: mdl-31711430
ABSTRACT

BACKGROUND:

Excessive gestational weight gain (GWG) is associated with an increased risk of pregnancy and obstetric complications. The "healthy living in pregnancy" (GeliS) study was performed in a routine care setting with the aim of limiting excessive GWG. The purpose of this secondary analysis is to evaluate the effect of the intervention on physical activity (PA) behaviour and to assess the impact of PA intensities on GWG.

METHODS:

The cluster-randomised, multicentre GeliS trial was performed in a routine care setting alongside scheduled prenatal visits. Pregnant women with a pre-pregnancy BMI between 18.5 and 40.0 kg/m2 were either assigned to the control group receiving usual care or to the intervention group. Participants in the intervention group attended three antenatal counselling sessions on diet and PA and one additional postpartum session. Data on PA behaviour were collected twice, before the end of the 12th (baseline) and after the 29th week of gestation using the Pregnancy Physical Activity Questionnaire.

RESULTS:

PA data were available for 1061 (93%) participants in the intervention and 1040 (93%) in the control group. Women in the intervention group reported significant improvements in the levels of total PA (p < 0.001), total PA of light intensity and above (p < 0.001), moderate-intensity (p = 0.024) and vigorous-intensity activities (p = 0.002) as well as sport activities (p < 0.001) in late pregnancy compared to the control group. The proportion of women meeting the international PA recommendations in late pregnancy was significantly higher in the intervention (64%) versus the control group (49%, p < 0.001). Activities of light-intensity and above (p = 0.006), light-intensity (p = 0.002) and vigorous-intensity (p = 0.014) in late pregnancy were inversely associated with total GWG.

CONCLUSION:

We found significant evidence of improvements in the PA pattern of pregnant women receiving lifestyle counselling within the framework of routine care. Most PA intensities were inversely associated with total GWG which indicates that PA across different intensities should be promoted. TRIAL REGISTRATION NCT01958307, ClinicalTrials.gov, retrospectively registered 9 October, 2013.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pregnancy Complications / Prenatal Care / Behavior Therapy / Exercise / Weight Gain / Counseling / Life Style Type of study: Clinical_trials / Diagnostic_studies / Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Female / Humans / Pregnancy Language: En Journal: BMC Pregnancy Childbirth Journal subject: OBSTETRICIA Year: 2019 Type: Article Affiliation country: Germany

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pregnancy Complications / Prenatal Care / Behavior Therapy / Exercise / Weight Gain / Counseling / Life Style Type of study: Clinical_trials / Diagnostic_studies / Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Female / Humans / Pregnancy Language: En Journal: BMC Pregnancy Childbirth Journal subject: OBSTETRICIA Year: 2019 Type: Article Affiliation country: Germany