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What are the most effective behavioural strategies in changing postpartum women's physical activity and healthy eating behaviours? A systematic review and meta-analysis

Lim, Siew, Hill, Briony, Pirotta, Stephanie, O'Reilly, Sharleen and Moran, Lisa 2020, What are the most effective behavioural strategies in changing postpartum women's physical activity and healthy eating behaviours? A systematic review and meta-analysis, Journal of clinical medicine, vol. 9, no. 1, pp. 1-15, doi: 10.3390/jcm9010237.

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Title What are the most effective behavioural strategies in changing postpartum women's physical activity and healthy eating behaviours? A systematic review and meta-analysis
Author(s) Lim, Siew
Hill, BrionyORCID iD for Hill, Briony orcid.org/0000-0003-4993-3963
Pirotta, Stephanie
O'Reilly, SharleenORCID iD for O'Reilly, Sharleen orcid.org/0000-0003-3547-6634
Moran, Lisa
Journal name Journal of clinical medicine
Volume number 9
Issue number 1
Article ID 237
Start page 1
End page 15
Total pages 15
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2020-01
ISSN 2077-0383
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
postpartum women
lifestyle
weight management
systematic review
behaviour strategies
GESTATIONAL DIABETES-MELLITUS
RANDOMIZED CONTROLLED-TRIAL
LIFE-STYLE INTERVENTION
WEIGHT CHANGE
EXERCISE
MOTHERS
ASSOCIATION
OVERWEIGHT
RETENTION
PREGNANCY
Summary Successful implementation of postpartum lifestyle interventions first requires the identification of effective core components, such as strategies for behavioural change. This systematic review and meta-analysis aimed to describe the associations between behavioural strategies and changes in weight, diet, and physical activity in postpartum women. Databases MEDLINE, CINAHL, EMBASE, and PsycINFO were searched for randomised controlled trials of lifestyle interventions in postpartum women (within 2 years post-delivery). Strategies were categorised according to the Behaviour Change Technique Taxonomy (v1). Forty-six articles were included (n = 3905 women, age 23–36 years). Meta-analysis showed that postpartum lifestyle interventions significantly improved weight (mean difference −2.46 kg, 95%CI −3.65 to −1.27) and physical activity (standardised mean difference 0.61, 95%CI 0.20 to 1.02) but not in energy intake. No individual strategy was significantly associated with weight or physical activity outcomes. On meta-regression, strategies such as problem solving (β = −1.74, P = 0.045), goal setting of outcome (β = −1.91, P = 0.046), reviewing outcome goal (β = −3.94, P = 0.007), feedback on behaviour (β = −2.81, P = 0.002), self-monitoring of behaviour (β = −3.20, P = 0.003), behavioural substitution (β = −3.20, P = 0.003), and credible source (β = −1.72, P = 0.033) were associated with greater reduction in energy intake. Behavioural strategies relating to self-regulation are associated with greater reduction in energy intake.
Language eng
DOI 10.3390/jcm9010237
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30134199

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.