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| ID | Type | Description | Link |
|---|---|---|---|
| R01HD078407 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
| Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) | NIH |
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The purpose of this study is to examine the impact of a lifestyle intervention on gestational weight gain, postpartum weight loss, and other secondary outcomes relative to a usual care control group.
Our study will address the following specific aims: (1) examine the impact of a lifestyle intervention on gestational weight gain and postpartum weight loss in overweight and obese women, (2) examine the impact of the intervention on physical activity (PA), dietary intake, and quality of life (QOL), (3) examine race differences in total gestational weight gain, PA, dietary intake, and QOL; and (4) examine the impact of the intervention on offspring adiposity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lifestyle Intervention | Experimental | The intervention will focus on women gaining the recommended amount of weight, increasing physical activity to 150 minutes per week, and meeting healthy eating guidelines. |
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| Standard Care | Other | Women in the standard care group will attend their regularly scheduled obstetric (OB) visits with their prenatal care providers and will receive monthly mailings and matched number of podcasts. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lifestyle Intervention | Behavioral | During pregnancy, participants complete one face-to-face counseling session, receive 10 behavioral podcasts, and receive weekly phone calls until delivery. Participants will be asked to attend one group session on breastfeeding. Participants will have the opportunity to participate in a private Facebook group during pregnancy and postpartum. During postpartum, participants complete one face-to-face counseling session, receive 16 behavioral podcasts, receive brief weekly check-in telephone calls for six weeks, and receive up to 8 telephone counseling calls through 6 months after delivery. |
| Measure | Description | Time Frame |
|---|---|---|
| Gestational weight gain in pounds | Defined as delivery room weight minus pre-pregnancy weight | Delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Gestational weight gain category | Based on delivery room weight minus pre-pregnancy weight and categorized as Inadequate, adequate, excessive | Delivery |
| Postpartum weight retention | Defined as weight during 6 month postpartum visit minus pre-pregnancy weight |
| Measure | Description | Time Frame |
|---|---|---|
| Self-efficacy for diet and physical activity | Self-report measure | 32 weeks gestation |
| Self-efficacy for diet and physical activity | Self-report measure |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sara Wilcox, PhD | University of South Carolina | Principal Investigator |
| Jihong Liu, Sc.D | University of South Carolina | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of South Carolina Prevention Research Center | Columbia | South Carolina | 29208 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39627794 | Derived | Wilcox S, Liu J, Sevoyan M, Parker-Brown J, Turner-McGrievy GM. Effects of a behavioral intervention on physical activity, diet, and health-related quality of life in postpartum women with elevated weight: results of the HIPP randomized controlled trial. BMC Pregnancy Childbirth. 2024 Dec 3;24(1):808. doi: 10.1186/s12884-024-07007-8. | |
| 36494702 | Derived | Wilcox S, Liu J, Turner-McGrievy GM, Boutte AK, Wingard E. Effects of a behavioral intervention on physical activity, diet, and health-related quality of life in pregnant women with elevated weight: results of the HIPP randomized controlled trial. Int J Behav Nutr Phys Act. 2022 Dec 9;19(1):145. doi: 10.1186/s12966-022-01387-w. |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D000078064 | Gestational Weight Gain |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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| Standard Care | Behavioral | Women will receive standard nutrition counseling provided by physicians, nurses, nutritionists, and counselors from the Women, Infants, and Children (WIC) program (if applicable). They will receive a monthly study mailing that is educational in nature as well as podcasts related to a healthy pregnancy. During pregnancy, the mailings will focus on tips for a healthy pregnancy and on fetal development. During postpartum the mailings will focus on infant development and parenting. We will select a matched number of podcasts from Pea in the Podcast, commercially available podcasts. All mailings and podcasts will avoid discussion of weight, PA, or diet (except for foods to avoid in pregnancy for safety reasons). |
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| Weight retained at the 6 month postpartum visit |
| Postpartum weight retention | Defined as weight during 12 month postpartum visit minus pre-pregnancy weight | Weight retained at the 12 month postpartum visit |
| Physical Activity | Sense Wear Armband and self-report measure will assess physical activity | 32 weeks gestation |
| Physical Activity | Sense Wear Armband and self-report measure will assess physical activity | 6 months postpartum |
| Physical Activity | Sense Wear Armband and self-report measure will assess physical activity | 12 months postpartum |
| Dietary intake | Two 24-hour dietary recalls using the National Cancer Institute's Automated Self-Administered 24-hour Dietary Recall (ASA-24) will assess dietary intake. | 32 weeks gestation |
| Dietary intake | Two 24-hour dietary recalls using the National Cancer Institute's Automated Self-Administered 24-hour Dietary Recall (ASA-24) will assess dietary intake. | 6 months postpartum |
| Dietary intake | Two 24-hour dietary recalls using the National Cancer Institute's Automated Self-Administered 24-hour Dietary Recall (ASA-24) will assess dietary intake. | 12 months postpartum |
| Depressive Symptoms | Depressive symptoms will be assessed with the Edinburgh Prenatal/Postnatal Depression Scale. | 32 weeks gestation |
| Depressive Symptoms | Depressive symptoms will be assessed with the Edinburgh Prenatal/Postnatal Depression Scale. | 6 months postpartum |
| Depressive Symptoms | Depressive symptoms will be assessed with the Edinburgh Prenatal/Postnatal Depression Scale. | 12 months postpartum |
| Health-Related Quality of Life | The Short Form-12 (SF-12) questionnaire will be used to assess quality of life. | 32 weeks gestation |
| Health-Related Quality of Life | The Short Form-12 (SF-12) questionnaire will be used to assess quality of life. | 6 months postpartum |
| Health-Related Quality of Life | The Short Form-12 (SF-12) questionnaire will be used to assess quality of life. | 12 months postpartum |
| Child Adiposity | Z-scores and skinfolds will be used to measure child adiposity. | 6 months postpartum |
| Child Adiposity | Z-scores and skinfolds will be used to measure child adiposity. | 12 months postpartum |
| 6 months postpartum |
| Self-efficacy for diet and physical activity | Self-report measure | 12 months postpartum |
| Social support for diet and physical activity | Self-report measure | 32 weeks gestation |
| Social support for diet and physical activity | Self-report measure | 6 months postpartum |
| Social support for diet and physical activity | Self-report measure | 12 months postpartum |
| Decisional balance for diet and physical activity | Self-report measure | 32 weeks gestation |
| Decisional balance for diet and physical activity | Self-report measure | 6 months postpartum |
| Decisional balance for diet and physical activity | Self-report measure | 12 months postpartum |
| Self-regulation for diet and physical activity | Self-report measure | 32 weeks gestation |
| Self-regulation for diet and physical activity | Self-report measure | 6 months postpartum |
| Self-regulation for diet and physical activity | Self-report measure | 12 months postpartum |
| 36289464 | Derived | Wilcox S, Dahl AA, Boutte AK, Liu J, Day K, Turner-McGrievy G, Wingard E. Process evaluation methods and results from the Health in Pregnancy and Postpartum (HIPP) randomized controlled trial. BMC Pregnancy Childbirth. 2022 Oct 26;22(1):794. doi: 10.1186/s12884-022-05107-x. |
| 36173829 | Derived | Wirth MD, Liu J, Wallace MK, McLain AC, Turner-McGrievy GM, Davis JE, Ryan N, Hebert JR. Dietary Inflammatory Index and sleep quality and duration among pregnant women with overweight or obesity. Sleep. 2022 Dec 12;45(12):zsac241. doi: 10.1093/sleep/zsac241. |
| 35722816 | Derived | Liu J, Wilcox S, Hutto B, Turner-McGrievy G, Wingard E. Effects of a lifestyle intervention on postpartum weight retention among women with elevated weight. Obesity (Silver Spring). 2022 Jul;30(7):1370-1379. doi: 10.1002/oby.23449. Epub 2022 Jun 20. |
| 33786522 | Derived | Liu J, Wilcox S, Wingard E, Burgis J, Schneider L, Dahl A. Strategies and Challenges in Recruiting Pregnant Women with Elevated Body Mass Index for a Behavioral Lifestyle Intervention. Womens Health Rep (New Rochelle). 2020 Dec 7;1(1):556-565. doi: 10.1089/whr.2020.0089. eCollection 2020. |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D015430 | Weight Gain |
| D001836 | Body Weight Changes |
| D001519 | Behavior |