Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2006

Open Access 01-12-2006 | Study protocol

Design of the New Life(style) study: a randomised controlled trial to optimise maternal weight development during pregnancy. [ISRCTN85313483]

Authors: Ellen Althuizen, Mireille NM van Poppel, Jacob C Seidell, Carla van der Wijden, Willem van Mechelen

Published in: BMC Public Health | Issue 1/2006

Login to get access

Abstract

Background

Preventing excessive weight gain during pregnancy is potentially important in the prevention of overweight and obesity among women of childbearing age. However, few intervention studies aiming at weight management during pregnancy have been performed and most of these interventions were not as successful as expected. In this paper the design of the New Life(style) study is described as well as the content of the individually tailored intervention program, which focuses on controlling weight development during pregnancy.

Methods

The effectiveness of the New Life(style) intervention program versus usual care by midwives is evaluated in a randomised controlled trial. Women who expect their first child and visit one of the participating midwifery practices are included. The intervention is standardised in a protocol and executed by trained counsellors with the women who are randomised in the intervention group. During 5 sessions – at 18, 22, 30 and 36 weeks of pregnancy and at 8 weeks postpartum – individual weight gain is discussed in relation to weight gain guidelines for pregnant women of the American Institute of Medicine. Counsellors coach the women to maintain or optimise a healthy lifestyle, in a period of drastic physical and mental changes. Data is collected at 15, 25, 35 weeks of pregnancy and at 6, 26, and 52 weeks after delivery. Primary outcome measures are body weight, BMI, and skinfold thickness. Secondary outcome measures include physical activity, nutrition and blood levels of factors that are associated with energy homeostasis.

Discussion

Results of the current RCT will improve the knowledge of determinants of weight gain during pregnancy, weight retention after childbirth and of the effectiveness of the intervention program that is described. Caregivers and researchers in the field of health promotion are offered more insight in specific elements of the New Life(style) intervention program.
Appendix
Available only for authorised users
Literature
1.
2.
Kopelman PG: Obesity as a medical problem. Nature. 2000, 404: 635-643.PubMed
3.
Caterson ID, Gill TP: Obesity: epidemiology and possible prevention. Best Pract Res Clin Endocrinol Metab. 2002, 16: 595-610. 10.1053/beem.2002.0228.CrossRefPubMed
4.
Lawlor DA, Chaturvedi N: Treatment and prevention of obesity--are there critical periods for intervention?. Int J Epidemiol. 2006, 35: 3-9. 10.1093/ije/dyi309.CrossRefPubMed
5.
Keppel KG, Taffel SM: Pregnancy-related weight gain and retention: implications of the 1990 Institute of Medicine guidelines. Am J Public Health. 1993, 83: 1100-1103.CrossRefPubMedPubMedCentral
6.
Scholl TO, Hediger ML, Schall JI, Ances IG, Smith WK: Gestational weight gain, pregnancy outcome, and postpartum weight retention. Obstet Gynecol. 1995, 86: 423-427. 10.1016/0029-7844(95)00190-3.CrossRefPubMed
7.
Crowell DT: Weight change in the postpartum period. A review of the literature. J Nurse Midwifery. 1995, 40: 418-423. 10.1016/0091-2182(95)00049-P.CrossRefPubMed
8.
Linne Y, Rossner S: Interrelationships between weight development and weight retention in subsequent pregnancies: the SPAWN study. Acta Obstet Gynecol Scand. 2003, 82: 318-325. 10.1034/j.1600-0412.2003.00150.x.CrossRefPubMed
9.
Medicine I, Board F: . Nutrition during pregnancy. Part 1: weight gain. 1990, -.
10.
11.
Gunderson EP, Abrams B, Selvin S: The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy. Int J Obes Relat Metab Disord. 2000, 24: 1660-1668. 10.1038/sj.ijo.0801456.CrossRefPubMed
12.
Rooney BL, Schauberger CW: Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol. 2002, 100: 245-252. 10.1016/S0029-7844(02)02125-7.PubMed
13.
Ohlin A, Rossner S: Maternal body weight development after pregnancy. Int J Obes. 1990, 14: 159-173.PubMed
14.
Polley BA, Wing RR, Sims CJ: Randomized controlled trial to prevent excessive weight gain in pregnant women. Int J Obes. 2002, 26: 1494-1502. 10.1038/sj.ijo.0802130.CrossRef
15.
Gray-Donald K, Robinson E, Collier A, David K, Renaud L, Rodrigues S: Intervening to reduce weight gain in pregnancy and gestational diabetes mellitus in Cree communities: an evaluation. CMAJ. 2000, 163: 1247-1251.PubMedPubMedCentral
16.
Olson CM, Strawderman MS, Reed RG: Efficacy of an intervention to prevent excessive gestational weight gain. Am J Obstet Gynecol. 2004, 191: 530-536. 10.1016/j.ajog.2004.01.027.CrossRefPubMed
17.
Godlee F: Publishing study protocols: making them visible will improve registration, reporting and recruitment. BMC News and Views. 2001, 2: 4-
18.
Vries RD: A pleasing birth: midwives and maternity care in the Netherlands. 2004, Philadelphia PA : Temple University Press
19.
Wiegers TA, van der ZJ, Keirse MJ: Maternity care in The Netherlands: the changing home birth rate. Birth. 1998, 25: 190-197. 10.1046/j.1523-536X.1998.00190.x.CrossRefPubMed
20.
Mynors-Wallis L: Problem-solving treatment: evidence for effectiveness and feasibility in primary care. Int J Psychiatry Med. 1996, 26: 249-262. 10.2190/0HVY-CD2F-0KC7-FVTB.CrossRefPubMed
21.
Mynors-Wallis L: Problem-solving treatment for anxiety and depression, a practical guide. 2005, Oxford University Press
22.
Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003, 35: 1381-1395. 10.1249/01.MSS.0000078924.61453.FB.CrossRefPubMed
23.
24.
Davies GA, Wolfe LA, Mottola MF, MacKinnon C, Arsenault MY, Bartellas E, Cargill Y, Gleason T, Iglesias S, Klein M, Martel MJ, Roggensack A, Wilson K, Gardiner P, Graham T, Haennel R, Hughson R, MacDougall D, McDermott J, Ross R, Tiidus P, Trudeau F: Exercise in pregnancy and the postpartum period. J Obstet Gynaecol Can. 2003, 25: 516-529.CrossRefPubMed
25.
Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC, .: Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995, 273: 402-407. 10.1001/jama.273.5.402.CrossRefPubMed
26.
Feig DS, Naylor CD: Eating for two: are guidelines for weight gain during pregnancy too liberal?. Lancet. 1998, 351: 1054-1055. 10.1016/S0140-6736(97)06261-2.CrossRefPubMed
27.
J.S. W, J.A. L: Human biology : a guide to field methods. 1969, Blackwell, Oxford
28.
Wendel-Vos GC, Schuit AJ, Saris WH, Kromhout D: Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol. 2003, 56: 1163-1169. 10.1016/S0895-4356(03)00220-8.CrossRefPubMed
29.
Van Strien T, Frijters JER, Bergers GPA, Defares PB: The Dutch eating behavior questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders. 1986, 5: 295 -315.CrossRef
Metadata
Title
Design of the New Life(style) study: a randomised controlled trial to optimise maternal weight development during pregnancy. [ISRCTN85313483]
Authors
Ellen Althuizen
Mireille NM van Poppel
Jacob C Seidell
Carla van der Wijden
Willem van Mechelen
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2006
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-6-168

Other articles of this Issue 1/2006

BMC Public Health 1/2006 Go to the issue

Research article

Consultations in primary care for symptoms attributed to electromagnetic fields – a survey among general practitioners

Research article

Risk-adjusted cesarean section rates for the assessment of physician performance in Taiwan: a population-based study

Study protocol

HIV in East London: ethnicity, gender and risk. Design and methods

Research article

Factors associated with intentions to adhere to colorectal cancer screening follow-up exams

Research article

Patients in long-term maintenance therapy for drug use in Italy: analysis of some parameters of social integration and serological status for infectious diseases in a cohort of 1091 patients

Research article

Physical activity and medicine use: evidence from a population-based study