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The role of health literacy in postpartum weight, diet, and physical activity

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journal contribution
posted on 2020-08-01, 00:00 authored by Rhonda Garad, Crystal Mcphee, Tze Lin Chai, Lisa Moran, Sharleen O'ReillySharleen O'Reilly, Siew Lim
Background: Postpartum weight retention is a significant contributor to obesity in women, adverse perinatal events in subsequent pregnancies, and chronic disease risk. Health literacy is known to impact health behaviors. The study aimed to identify the health literacy domains utilized in postpartum weight management interventions and to determine their impact on weight, diet and physical activity in postpartum women. Methods: We searched MEDLINE, CINAHL, EMBASE, PSYCINFO, and EBM databases. We included random control trials of lifestyle intervention in postpartum women (within two years post-delivery) published up to 3 May 2019. Subgroup analyses were performed to determine the effect of health literacy domains on outcomes. Results: Out of 5000 studies, 33 studies (n = 3905) were included in the systematic review and meta-analysis. The health literacy domain self-care (skills and knowledge) was associated with a significant reduction in body weight (mean difference (MD) −2.46 kg; 95% confidence interval (CI) from −3.65 to −1.27) and increase in physical activity (standardized mean difference (SMD) 0.61; 95% CI 0.20 to 1.02). No other health literacy domain was associated with significant outcomes in weight, energy intake, or physical activity. Conclusions: Health literacy skills such as knowledge of self-care are effective in improving weight and in increasing physical activity in postpartum women. The efficacy of other health domains was not supported.

History

Journal

Journal of Clinical Medicine

Volume

9

Issue

8

Publisher

M D P I AG

Location

Basel, Switzerland

ISSN

2077-0383

eISSN

2077-0383

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2020, The Authors