Page 81 - Pro-active Management of Women’s Health after Cardiometabolic Complicated Pregnancies

Intervention Description
received a pedometer and a sport stroller. Control: biweekly newsletter with general tips for pp mothers.
Diet: individualized from baseline measurement by a dietician to a deficit of at least 350 kcal/d. Exercise: individualized physical activity prescriptions from baseline measurement by an exercise physiologist to increase energy expenditure by at least 150 kcal/day. Kept daily food and activity diaries and met for group educational sessions dealing with nutrition and physical activity strategies. Group sessions: weekly for the first 12 wk, biweekly for the following 2 mo, monthly thereafter until 1 yr pp.
Self-directed intervention: met individually with a dietician and exercise physiologist for a single 1-h educational session about diet and physical activity. Received copies of the American Dietetic Association Brochure Nutrition and Health for women189, and the Food Guide Pyramid188. Also received copies of the ACOG brochure Exercise and Fitness: A Guide for Women190.
Mean baseline Weight in kg (SD)
I: 78.6 (1.6) C: 85.4 (3.5)
Weight Loss
After 12 wk of intervention, women on the I group had lost 5.6 kg, and women on the C group had lost 0.6 kg (p<0.05).
After 1 yr pp, women in the I group had lost 7.3 kg, while women in the C group had lost 1.3 kg (p<0.05).
3.1 Effect of Postpartum Lifestyle Interventions| 79