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Diet quality and weight change among overweight and obese postpartum women enrolled in a behavioral intervention program.

Publication ,  Journal Article
Wiltheiss, GA; Lovelady, CA; West, DG; Brouwer, RJN; Krause, KM; Østbye, T
Published in: J Acad Nutr Diet
January 2013

BACKGROUND: Postpartum weight retention is a risk factor for long-term weight gain. Encouraging new mothers to consume a healthy diet may result in weight loss. OBJECTIVE: To assess predictors of diet quality during the early postpartum period; to determine whether diet quality, energy intake, and lactation status predicted weight change from 5 to 15 months postpartum; and to determine whether an intervention improved diet quality, reduced energy intake, and achieved greater weight loss compared with usual care. DESIGN: Randomized clinical trial (KAN-DO: Kids and Adults Now-Defeat Obesity), a family- and home-based, 10-month, behavioral intervention to prevent childhood obesity, with secondary aims to improve diet and physical activity habits of mothers to promote postpartum weight loss. PARTICIPANTS: Overweight/obese, postpartum women (n=400), recruited from 14 counties in the Piedmont region of North Carolina. INTERVENTION: Eight education kits, each mailed monthly; motivational counseling; and one group class. METHODS: Anthropometric measurements and 24-hour dietary recalls collected at baseline (approximately 5 months postpartum) and follow-up (approximately 10 months later). Diet quality was determined using the Healthy Eating Index-2005 (HEI-2005). STATISTICAL ANALYSES: Descriptive statistics, χ(2), analysis of variance, bi- and multivariate analyses were used. RESULTS: At baseline, mothers consumed a low-quality diet (HEI-2005 score=64.4 ± 11.4). Breastfeeding and income were positive, significant predictors of diet quality, whereas body mass index was a negative predictor. Diet quality did not predict weight change. However, total energy intake, not working outside of the home, and breastfeeding duration/intensity were negative predictors of weight loss. There were no significant differences in changes in diet quality, decreases in energy intake, or weight loss between the intervention (2.3 ± 5.4 kg) and control (1.5 ± 4.7 kg) arms. CONCLUSIONS: The family-based intervention did not promote postpartum weight loss. Reducing energy intake, rather than improving diet quality, should be the focus of weight-loss interventions for overweight/obese postpartum women.

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Published In

J Acad Nutr Diet

DOI

ISSN

2212-2672

Publication Date

January 2013

Volume

113

Issue

1

Start / End Page

54 / 62

Location

United States

Related Subject Headings

  • Weight Loss
  • Weight Gain
  • Socioeconomic Factors
  • Risk Factors
  • Program Evaluation
  • Postpartum Period
  • Overweight
  • Obesity
  • North Carolina
  • Mothers
 

Citation

APA
Chicago
ICMJE
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Wiltheiss, G. A., Lovelady, C. A., West, D. G., Brouwer, R. J. N., Krause, K. M., & Østbye, T. (2013). Diet quality and weight change among overweight and obese postpartum women enrolled in a behavioral intervention program. J Acad Nutr Diet, 113(1), 54–62. https://doi.org/10.1016/j.jand.2012.08.012
Wiltheiss, Gina A., Cheryl A. Lovelady, Deborah G. West, Rebecca J. N. Brouwer, Katrina M. Krause, and Truls Østbye. “Diet quality and weight change among overweight and obese postpartum women enrolled in a behavioral intervention program.J Acad Nutr Diet 113, no. 1 (January 2013): 54–62. https://doi.org/10.1016/j.jand.2012.08.012.
Wiltheiss GA, Lovelady CA, West DG, Brouwer RJN, Krause KM, Østbye T. Diet quality and weight change among overweight and obese postpartum women enrolled in a behavioral intervention program. J Acad Nutr Diet. 2013 Jan;113(1):54–62.
Wiltheiss, Gina A., et al. “Diet quality and weight change among overweight and obese postpartum women enrolled in a behavioral intervention program.J Acad Nutr Diet, vol. 113, no. 1, Jan. 2013, pp. 54–62. Pubmed, doi:10.1016/j.jand.2012.08.012.
Wiltheiss GA, Lovelady CA, West DG, Brouwer RJN, Krause KM, Østbye T. Diet quality and weight change among overweight and obese postpartum women enrolled in a behavioral intervention program. J Acad Nutr Diet. 2013 Jan;113(1):54–62.
Journal cover image

Published In

J Acad Nutr Diet

DOI

ISSN

2212-2672

Publication Date

January 2013

Volume

113

Issue

1

Start / End Page

54 / 62

Location

United States

Related Subject Headings

  • Weight Loss
  • Weight Gain
  • Socioeconomic Factors
  • Risk Factors
  • Program Evaluation
  • Postpartum Period
  • Overweight
  • Obesity
  • North Carolina
  • Mothers