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Lifestyle information and commercial weight management groups to support maternal postnatal weight management and positive lifestyle behaviour : the SWAN feasibility randomised controlled trial
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Bick, Debra, Taylor, Cath, Bhavnani, Vanita, Healey, Andy, Seed, Paul, Roberts, Sarah, Zasada, Magdelena, Avery, Amanda, Craig, Victoria, Khazaezadah, Nina, McMullen, Sarah, O’Connor, Sheila, Oki, Bimpi, Oteng Ntim, Eugene, Poston, Lucilla and Ussher, Michael (2020) Lifestyle information and commercial weight management groups to support maternal postnatal weight management and positive lifestyle behaviour : the SWAN feasibility randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 127 (5). pp. 636-645. doi:10.1111/1471-0528.16043 ISSN 1470-0328.
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Official URL: http://dx.doi.org/10.1111/1471-0528.16043
Abstract
Objectives:
To assess feasibility of a future randomised controlled trial (RCT) of clinical and cost‐effectiveness of lifestyle information and commercial weight‐management groups to support postnatal weight management to 12 months post‐birth.
Design:
Two‐arm feasibility trial, with nested mixed‐methods process evaluation.
Setting:
Inner‐city unit, South England.
Population:
Women with BMIs ≥25kg/m2 at pregnancy booking or normal BMIs (18.5kg/m2‐24.9kg/m2) identified with excessive gestational weight gain at 36 weeks gestation.
Methods:
Randomised to standard care plus commercial weight‐management sessions commencing 8‐16 weeks postnatally or standard care only.
Main outcomes:
Feasibility outcomes included assessment of recruitment, retention, acceptability, and economic data collation. Primary and secondary endpoints included difference between groups in weight 12 months postnatally compared with booking (proposed primary outcome for a future trial), diet, physical activity, smoking, alcohol, mental health, infant feeding, NHS resource use.
Results:
193 women were randomised; 98 intervention and 95 control; only four women had excessive gestational weight gain. A slightly greater weight change was found among intervention women at 12 months, with greatest benefit. among women attending 10+ weight management sessions. There was >80% follow‐up to 12 months, low risk of contamination and no group differences in trial completion.
Conclusion:
It was feasible to recruit and retain women with BMIs≥25kg/m2 to an intervention to support postnatal weight management; identification of excessive gestational weight gain requires consideration. Economic modelling could inform out‐of‐trial costs and benefits in a future trial.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RJ Pediatrics | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Postnatal care, Weight loss, Mothers -- Health and hygiene -- Great Britain, Health promotion -- Great Britain, Postnatal care -- Nutritional aspects -- Great Britain, Postnatal exercise -- Great Britain | ||||||||
Journal or Publication Title: | BJOG: An International Journal of Obstetrics & Gynaecology | ||||||||
Publisher: | Wiley-Blackwell Publishing, Inc | ||||||||
ISSN: | 1470-0328 | ||||||||
Official Date: | April 2020 | ||||||||
Dates: |
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Volume: | 127 | ||||||||
Number: | 5 | ||||||||
Page Range: | pp. 636-645 | ||||||||
DOI: | 10.1111/1471-0528.16043 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Reuse Statement (publisher, data, author rights): | This is the peer reviewed version of the following article: Bick, D., Taylor, C., Bhavnani, V., Healey, A., Seed, P., Roberts, S., Zasada, M., Avery, A., Craig, V., Khazaezadah, N., McMullen, S., O’Connor, S., Oki, B., Oteng Ntim, E., Poston, L. and Ussher, M. (2019), Lifestyle information and commercial weight management groups to support maternal postnatal weight management and positive lifestyle behaviour: the SWAN feasibility randomised controlled trial. BJOG: Int J Obstet Gy. Accepted Author Manuscript. doi:10.1111/1471-0528.16043, which has been published in final form at http://dx.doi.org/10.1111/1471-0528.16043. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 19 December 2019 | ||||||||
Date of first compliant Open Access: | 5 December 2020 | ||||||||
RIOXX Funder/Project Grant: |
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