Reducing postpartum weight retention a pilot trial in primary health care

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dc.contributor.author Kinnunen, Tarja I -
dc.contributor.author Pasanen, Matti -
dc.contributor.author Aittasalo, Minna -
dc.contributor.author Fogelholm, Mikael -
dc.contributor.author Weiderpass, Elisabete -
dc.contributor.author Luoto, Riitta -
dc.date.accessioned 2012-06-17T20:14:00Z
dc.date.available 2012-06-15 06:57:28 -
dc.date.available 2012-06-17T20:14:00Z
dc.date.issued 2007 -
dc.identifier.issn 1475-2891 -
dc.identifier.uri http://tampub.uta.fi/handle/10024/65836
dc.description BioMed Central Open access -
dc.description.abstract Background Postpartum weight retention may contribute to the development of obesity. We studied whether individual counselling on diet and physical activity from 2 to 10 months postpartum has positive effects on diet and leisure time physical activity and increases the proportion of primiparas returning to their pre-pregnancy weight. Methods A controlled trial including ninety-two postpartum primiparas was conducted in three intervention and three control child health clinics in primary health care in Finland. The intervention included individual counselling on diet and physical activity during five routine visits to a public health nurse; the controls received the usual care. Results In total, 50% of the intervention group and 30% of the control group returned to their pre-pregnancy weight (weight retention ≤ 0 kg) by 10 months postpartum (p = 0.06). The confounder-adjusted odds ratio for returning to pre-pregnancy weight was 3.89 (95% CI 1.16–13.04, p = 0.028) for the intervention group compared with the controls. The mean proportion of high-fibre bread (of total weekly amount of bread) increased by 16.1% (95% CI 4.3–27.9) by 10 months postpartum in the intervention group compared with the controls when adjusted for confounders (p = 0.008). No significant differences were observed in changes in leisure time physical activity between the groups. Conclusion The intervention increased the proportion of primiparas returning to pre-pregnancy weight and the proportion of high-fibre bread in their diet. Larger randomized controlled trials are needed to show whether counselling can improve dietary and leisure time physical activity habits in postpartum women and also to confirm the results concerning the effect on reducing postpartum weight retention. -
dc.language.iso en -
dc.title Reducing postpartum weight retention a pilot trial in primary health care -
dc.type fi=Artikkeli aikakauslehdessä | en=Journal article| -
dc.identifier.urn urn:nbn:uta-3-599 -
dc.identifier.doi 10.1186/1475-2891-6-21 -
dc.type.version fi=Kustantajan versio | en=Publisher's version| -
dc.subject.okm fi=Terveystiede | en=Health care science| -
dc.journal.title Nutrition Journal -
dc.journal.volume 6 -
dc.journal.number 21 -
dc.journal.volumepagerange 1-9 -
dc.oldstats 49 -

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