Page 70 - Pro-active Management of Women’s Health after Cardiometabolic Complicated Pregnancies

68 | Part 3 Lifestyle intervention
RESULTS
Study Selection
After removal of duplicates, the searches in PubMed, Embase, Web of Science, PsychInfo, and Cinahl resulted in a total of 2590 articles. Of these, 33 full texts were examined. The manual search provided an additional 2 full texts. From the 35 full texts screened, 21 articles were suitable for inclusion in this review (Figure 3.1.1).
Data Extraction
Table 3.1.1 gives an overview of the effectiveness of the included intervention studies. Details on the effects and characteristics of interventions aimed at weight loss are given in Table 3.1.2, and those aimed at smoking cessation or smoking relapse prevention in Table 3.1.3.
Postpartum Lifestyle Interventions
Weight Loss
Tables 3.1.1 and 3.1.2 give an overview of 10 articles describing the effect of 8 lifestyle interventions on postpartum weight loss152-161. Of these interventions, 6 were diet and exercise interventions153-155 157-159 161, of which 5 described statistically significant effects on weight loss153-155 157 159 161. In these latter studies, mean weight loss ranged from 1.9 kg157 to 7.8 kg154. One study reported no significant effect on weight loss158; however, a positive relation was found between the number of visits attended and weight loss (P = 0.01).
Of the 2 other studies, 1 described the effect of an exercise intervention