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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

Bick, Debra Bick, Taylor, Cath, Bhavnani, Vanita, Healey, Andy, Seed, Paul, Roberts, Sarah, Zasada, Magdalena, Avery, Amanda, Craig, Victoria, Khazaezadah, Nina , McMullen, Sarah, O’Connor, Sheila, Oki, Bimpi, Ntim, Eugene Oteng, Poston, Lucilla and Ussher, Michael (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: An International Journal of Obstetrics and Gynaecology, 127 (5). pp. 636-645.

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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 body mass indices (BMIs) ≥25 kg/m2 at pregnancy booking or normal BMIs (18.5–24.9 kg/m2) identified with excessive gestational weight gain at 36 weeks of 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 end points 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

In all, 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 ten or more 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 ≥25 kg/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. A definitive trial is an important next step.

Tweetable abstract

A feasibility RCT of postnatal weight support showed women with BMIs ≥25 kg/m2 can be recruited and followed to 12 months postnatally.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Bick, Debra Bick
Taylor, Cathcath.taylor@surrey.ac.uk
Bhavnani, Vanita
Healey, Andy
Seed, Paul
Roberts, Sarah
Zasada, Magdalenam.zasada@surrey.ac.uk
Avery, Amanda
Craig, Victoria
Khazaezadah, Nina
McMullen, Sarah
O’Connor, Sheila
Oki, Bimpi
Ntim, Eugene Oteng
Poston, Lucilla
Ussher, Michael
Date : 5 December 2019
Funders : National Institute for Health Research (NIHR)
DOI : 10.1111/1471-0528.16043
Grant Title : Public Health Research Programme
Copyright Disclaimer : © 2019 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords : Postnatal; Weight management; Randomised controlled trial; Feasibility
Related URLs :
Depositing User : Clive Harris
Date Deposited : 05 Dec 2019 16:29
Last Modified : 27 Apr 2020 10:47
URI: http://epubs.surrey.ac.uk/id/eprint/853236

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