Expecting Success: Personalized management of body weight during pregnancy

怀孕期间体重增加过多会导致母亲出现显著的长期代谢病， 他们的后代。在美国，超过50%的育龄妇女在怀孕期间体重增加超过指导方针。 根据医学研究所的建议怀孕。针对健康的生活方式改变计划 饮食和有规律的体育活动可以成功地控制体重增加和预防肥胖 其他高危人群的相关合并症。然而，很少有生活方式干预研究 在孕妇中进行，以管理妊娠期体重增加，没有一个成功地帮助 妇女遵守这些准则。尽管孕妇被认为是一个积极性很高的群体， 为了接受行为改变，他们面临着传统的亲自诊所体重管理的几个障碍 程序.我们已经成功地实施了体重管理的生活方式干预， 远程医疗技术（智能手机），烤箱/veight和肥胖的个人，这些都很容易适应 给孕妇。因此，将远程保健技术应用于孕妇可能会取得成功， 解决这些障碍，并促进怀孕期间适当的体重增加。本研究的目的 “期待成功：怀孕期间的个性化体重管理”是实施个性化的 妊娠期体重管理计划，以烤箱/veight和肥胖的孕妇，重点是健康 饮食和达到国家体力活动建议。300例经产超重和肥胖 妇女将被随机分配接受常规护理或个性化的体重生活方式计划 管理亲自或通过智能手机远程交付。生活方式计划包括每周 从怀孕第13周到分娩期间与顾问联系。将获得临床评估 在整个怀孕期间以及产后第一年的母亲和后代中。本研究 重要的是，它旨在防止怀孕期间体重过度增加，这是一个主要的健康问题， 孕妇及其子女。如果成功，我们的智能手机方法将提供一种新颖，有效的 和可扩展的干预措施，用于孕妇的体重管理。

Excess weight gain during pregnancy leads to significant long-term metabolic morbidities in mothers and their offspring. More than 50% of reproductive age women in the US exceed weight gain guidelines during pregnancy as recommended by the Institute of Medicine. Lifestyle modification programs targeting healthy eating and regular physical activity are successful in controlling weight gain as well as preventing obesity related comorbidities in other at risk populations. However few lifestyle intervention studies have been conducted in pregnant women to manage gestational weight gain and none were successful in helping women adhere to the guidelines. Although pregnant women are believed to be a highly motivated population for accepting behavior change, they face several barriers to traditional in-person clinic weight management programs. We have successfully implemented lifestyle interventions for weight management through Telehealth technologies (Smartphone) to oven/veight and obese individuals and these are readily adaptable to pregnant women. Application of telehealth technologies to pregnant women may therefore successfully address these barriers and facilitate appropriate weight gain during pregnancy. The objective of this study "Expecting Success: Personalized weight management during pregnancy" is to implement a personalized gestational weight management program to oven/veight and obese pregnant women that focuses on healthy eating and achieving National physical activity recommendations. 300 primiparous overweight and obese women will be randomly assigned to receive either usual care or a personalized lifestyle program for weight management delivered in-person or remotely via a Smartphone. The lifestyle program involves weekly contact with counselors from week 13 of gestation until delivery. Clinical assessments will be obtained throughout pregnancy and in the mother and offspring during the first year postpartum. This study is significant because it seeks to prevent excess weight gain during pregnancy, a major health problem for pregnant women and their offspring. If successful, our Smartphone approach will provide a novel, efficacious and scalable intervention for weight management in pregnant women.