eMoms: Electronically-mediated weight interventions for pregnant and postpartum women. Study design and baseline characteristics.
eMoms: Electronically-mediated weight interventions for pregnant and postpartum women. Study design and baseline characteristics.
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DOI：
10.1016/j.cct.2015.04.013
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发表时间：
2015-07
影响因子：
2.2
通讯作者：
Olson CM
中科院分区：
文献类型：
--
作者：
Fernandez ID;Groth SW;Reschke JE;Graham ML;Strawderman M;Olson CM
生育对肥胖发展的影响存在于两个不同但相关的背景下：与怀孕相关的体重增加和年轻成年女性体重增加的预防和控制。与怀孕相关的体重增加有助于育龄妇女的长期体重保持。为了介绍罗彻斯特 eMoms 研究的研究设计、数据收集程序、招募挑战和基线特征，这项随机临床试验测试了电子介导的行为干预措施对预防城市环境中不同收入和种族/民族背景的 18-35 岁女性妊娠期体重过度增加 (GWG) 和产后体重保留的效果。随机双盲临床试验。主要从产科实践中招募了总共 1,722 名妊娠 20 周或以下的女性，并随机分为 3 个治疗组：对照组；对照组；对照组。干预组可以在怀孕期间进行干预并在产后进行控制（电子干预1）；干预组可在怀孕期间和产后获得干预（电子干预 2）。登记和同意是通过研究人员或在线完成的。通过在线调查、医疗图表和产后体重测量收集数据。主要终点是增加的体重超过医学会指南建议的体重以及产后 12 个月保持的体重。这项研究将为行为干预措施在预防 GWG 过多和产后体重滞留方面的有效性提供证据，并有可能传播到产科实践和/或健康保险。
The influence of childbearing in the development of obesity is situated within two different but related contexts: pregnancy-related weight gain and weight gain prevention and control in young adult women. Pregnancy related weight gain contributes to long-term weight retention in childbearing women. To present the study design, data collection procedures, recruitment challenges, and the baseline characteristics for the eMoms of Rochester study, a randomized clinical trial testing the effect of electronically-mediated behavioral interventions to prevent excessive gestational weight gain (GWG) and postpartum weight retention among women aged 18–35 years of diverse income and racial/ethnic backgrounds in an urban setting. Randomized double blind clinical trial. A total of 1,722 women at or below 20 weeks gestation were recruited primarily from obstetrics practices and randomized to 3 treatment groups: control arm; intervention arm with access to intervention during pregnancy and control at postpartum (e-intervention 1); and intervention arm with access to intervention during pregnancy and postpartum (e-intervention 2). Enrollment and consent were completed via study staff or online. Data were collected via online surveys, medical charts, and measurement of postpartum weights. The primary endpoints are gaining more weight than recommended by the Institution of Medicine guidelines and weight retained at 12 months postpartum. This study will provide evidence on the efficacy of behavioral interventions in the prevention of excessive GWG and postpartum weight retention with potential dissemination to obstetrics practices and/or health insurances.