The effect of a counselling intervention on weight changes during and after pregnancy: a randomised trial
Article first published online: 2 NOV 2012
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 120, Issue 1, pages 92–99, January 2013
How to Cite
Althuizen, E., van der Wijden, C., van Mechelen, W., Seidell, J. and van Poppel, M. (2013), The effect of a counselling intervention on weight changes during and after pregnancy: a randomised trial. BJOG: An International Journal of Obstetrics & Gynaecology, 120: 92–99. doi: 10.1111/1471-0528.12014
- Issue published online: 12 DEC 2012
- Article first published online: 2 NOV 2012
- Accepted 28 August 2012. Published Online 23 October 2012.
- Gestational weight gain;
- lifestyle counselling;
- weight retention
Objectives To evaluate the effects of a counselling intervention on excessive weight gain during pregnancy and postpartum weight retention.
Design The New Life(style) study was a randomised trial with a control group (n = 113) and an intervention group (n = 106).
Setting Midwife practices in the Netherlands.
Population Women with a healthy pregnancy, expecting their first baby.
Methods The intervention consisted of four face-to-face counselling sessions about weight, physical activity and diet during pregnancy, and one session by telephone after delivery.
Main outcome measures Weight was objectively assessed at 15, 25 and 35 weeks of gestation, and again at 8, 26 and 52 weeks postpartum. In regression models, the intervention effect on gestational weight gain and postpartum weight retention was assessed.
Results Women gained on average 11.3 kg (SD 3.7 kg) from early to late pregnancy. Women were 1.0 kg (SD 5.3 kg) lighter at 52 weeks postpartum compared with early pregnancy. The intervention had no effect on gestational weight gain (B = −0.05; 95% CI −1.10 to 1.00) or postpartum weight (B = 0.94; 95% CI −2.41 to 0.53) in the total study group. In a subgroup of overweight and obese women (n = 47), a favourable trend on all outcomes was observed, but none of the differences were statistically significant.
Conclusion The lifestyle counselling intervention evaluated in this study did not have an effect on excessive weight gain or postpartum weight retention. Our findings for overweight and obese women need to be confirmed in a larger, well-designed randomised trial.