Effective strategies for weight loss in post-partum women: a systematic review and meta-analysis

Lim, S., O'Reilly, S., Behrens, H., Skinner, T., Ellis, I. and Dunbar, J. A. 2015, Effective strategies for weight loss in post-partum women: a systematic review and meta-analysis, Obesity reviews, vol. 16, no. 11, pp. 972-987, doi: 10.1111/obr.12312.

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Title Effective strategies for weight loss in post-partum women: a systematic review and meta-analysis
Author(s) Lim, S.ORCID iD for Lim, S. orcid.org/0000-0002-5333-6451
O'Reilly, S.ORCID iD for O'Reilly, S. orcid.org/0000-0003-3547-6634
Behrens, H.
Skinner, T.
Ellis, I.
Dunbar, J. A.ORCID iD for Dunbar, J. A. orcid.org/0000-0003-0866-4365
Journal name Obesity reviews
Volume number 16
Issue number 11
Start page 972
End page 987
Total pages 16
Publisher Wiley
Place of publication London, Eng
Publication date 2015-11
ISSN 1467-789X
Keyword(s) lifestyle interventions
post-partum women
weight gain
weight loss
Summary Post-partum weight loss is critical to preventing and managing obesity in women, but the results from lifestyle interventions are variable and the components associated with successful outcomes are not yet clearly identified. This study aimed to identify lifestyle intervention strategies associated with weight loss in post-partum women. MEDLINE, EMBASE, PubMed, CINAHL and four other databases were searched for lifestyle intervention studies (diet or exercise or both) in post-partum women (within 12 months of delivery) published up to July 2014. The primary outcome was weight loss. Subgroup analyses were conducted for self-monitoring, individual or group setting, intervention duration, intervention types, the use of technology as a support, and home- or centre-based interventions. From 12,673 studies, 46 studies were included in systematic review and 32 randomized controlled trials were eligible for meta-analysis (1,892 women, age 24-36 years). Studies with self-monitoring had significantly greater weight lost than those without (-4.61 kg [-7.08, -2.15] vs. -1.34 kg [-1.66, -1.02], P = 0.01 for subgroup differences). Diet and physical activity when combined were significantly more effective on weight loss compared with physical activity alone (-3.24 kg [-4.59, -1.90] vs. -1.63 kg [-2.16, -1.10], P < 0.001 for subgroup differences). Lifestyle interventions that use self-monitoring and take a combined diet-and-exercise approach have significantly greater weight loss in post-partum women.
Language eng
DOI 10.1111/obr.12312
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920507 Women's Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30078007

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