An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries
Objective Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active‐duty personnel and other TR...
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Published in | Obesity (Silver Spring, Md.) Vol. 30; no. 10; pp. 1951 - 1962 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Blackwell Publishing Ltd
01.10.2022
John Wiley and Sons Inc |
Subjects | |
Online Access | Get full text |
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Summary: | Objective
Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active‐duty personnel and other TRICARE beneficiaries who received a stepped‐care GWG intervention compared with those who did not receive a GWG intervention.
Method
Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention.
Results
Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes.
Conclusions
The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost‐effective, it may be sustainably integrated throughout the military prenatal care system. |
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Bibliography: | Funding information National Institute of Diabetes and Digestive and Kidney Diseases, Grant/Award Number: R01 DK104872 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 Funding information National Institute of Diabetes and Digestive and Kidney Diseases, Grant/Award Number: R01 DK104872 |
ISSN: | 1930-7381 1930-739X 1930-739X |
DOI: | 10.1002/oby.23523 |