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

Lim, S., O'Reilly, Sharleen, Behrens, H., Skinner, Timothy C., Skinner, Isabelle and Dunbar, James A. (2015). Effective strategies for weight loss in post-partum women: A systematic review and meta-analysis. Obesity Reviews,16(11):972-987.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 64
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IRMA ID 81144320xPUB141
Title Effective strategies for weight loss in post-partum women: A systematic review and meta-analysis
Author Lim, S.
O'Reilly, Sharleen
Behrens, H.
Skinner, Timothy C.
Skinner, Isabelle
Dunbar, James A.
Journal Name Obesity Reviews
Publication Date 2015
Volume Number 16
Issue Number 11
ISSN 1467-7881   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84945478449
Start Page 972
End Page 987
Total Pages 16
Place of Publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
Field of Research MEDICAL AND HEALTH SCIENCES
HERDC Category C1 - Journal Article (DIISR)
Abstract 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.
DOI http://dx.doi.org/10.1111/obr.12312   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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