A randomized controlled trial to prevent excessive gestational weight gain and promote postpartum weight loss in overweight and obese women: Health In Pregnancy and Postpartum (HIPP)

Sara Wilcox; Jihong Liu; Cheryl L Addy; Gabrielle Turner-McGrievy; Judith T Burgis; Ellen Wingard; Alicia A Dahl; Kara M Whitaker; Lara Schneider; Alycia K Boutté

doi:10.1016/j.cct.2018.01.008

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A randomized controlled trial to prevent excessive gestational weight gain and promote postpartum weight loss in overweight and obese women: Health In Pregnancy and Postpartum (HIPP)

Journal article

Peer reviewed

A randomized controlled trial to prevent excessive gestational weight gain and promote postpartum weight loss in overweight and obese women: Health In Pregnancy and Postpartum (HIPP)

Sara Wilcox, Jihong Liu, Cheryl L Addy, Gabrielle Turner-McGrievy, Judith T Burgis, Ellen Wingard, Alicia A Dahl, Kara M Whitaker, Lara Schneider and Alycia K Boutté

Contemporary clinical trials, Vol.66, pp.51-63

03/2018

DOI: 10.1016/j.cct.2018.01.008

PMCID: PMC5841597

PMID: 29371061

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https://www.ncbi.nlm.nih.gov/pmc/articles/5841597View

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Abstract

Interventions to prevent excessive gestational weight gain and promote postpartum weight loss have yielded modest results, particularly in overweight and obese women. To examine the impact of a theory-based lifestyle intervention on gestational weight gain, postpartum weight loss, and related maternal and child outcomes and to examine race differences in these outcomes. A randomized controlled trial (target N=400; 200 intervention, 200 standard care; 200 African American, 200 white). Overweight and obese African American and white women ≤16weeks gestation are recruited from obstetrics and gynecology clinics in South Carolina. Intervention participants receive two in-depth counseling sessions (early pregnancy and postpartum), telephone counseling, behavioral podcasts, and social media support that target weight self-monitoring and increasing physical activity and healthy dietary behavior practices, guided by Social Cognitive Theory. Standard care participants receive monthly mailings and a matched number of podcasts on non-weight related topics. All intervention activities last from ≤18weeks gestation to 6months after delivery. Gestational weight gain is the primary outcome. Secondary outcomes are meeting gestational weight gain guidelines (inadequate, adequate, excessive), weekly rate of gestational weight gain, postpartum weight retention, physical activity and dietary behaviors, health-related quality of life, and offspring adiposity. Participants are assessed at baseline (≤16weeks gestation), 32weeks gestation, and 6 and 12months postpartum, and offspring are assessed at 6 and 12months. HIPP is an innovative study that addresses significant gaps in the literature. Primary outcome results are expected in 2019.

Obesity

Physical activity

Diet

Maternal health

Pregnancy outcome

Weight loss

Details

Title: Subtitle: A randomized controlled trial to prevent excessive gestational weight gain and promote postpartum weight loss in overweight and obese women: Health In Pregnancy and Postpartum (HIPP)
Creators: Sara Wilcox - Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
Jihong Liu - Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
Cheryl L Addy - Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
Gabrielle Turner-McGrievy - Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
Judith T Burgis - Department of Obstetrics and Gynecology, University of South Carolina, Columbia, SC, United States
Ellen Wingard - Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
Alicia A Dahl - Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
Kara M Whitaker - Department of Health and Human Physiology, University of Iowa, Iowa City, IA, United States
Lara Schneider - Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
Alycia K Boutté - Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
Resource Type: Journal article
Publication Details: Contemporary clinical trials, Vol.66, pp.51-63
DOI: 10.1016/j.cct.2018.01.008
PMID: 29371061
PMCID: PMC5841597
NLM abbreviation: Contemp Clin Trials
ISSN: 1551-7144
eISSN: 1559-2030
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100000002, name: National Institutes of Health, award: R01HD078407
Language: English
Date published: 03/2018
Academic Unit: Epidemiology; Health, Sport, and Human Physiology
Record Identifier: 9984002347402771

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