Determinants of successful lifestyle change during a 6-month preconception lifestyle intervention in women with obesity and infertility

Published on Aug 3, 2018in European Journal of Nutrition4.45
· DOI :10.1007/s00394-018-1798-7
M. D. A. Karsten3
Estimated H-index: 3
(UG: University of Groningen),
Anne M. van Oers3
Estimated H-index: 3
(UG: University of Groningen)
+ 27 AuthorsJ.P. de Bruin13
Estimated H-index: 13
Purpose: To identify demographic, (bio)physical, behavioral, and psychological determinants of successful lifestyle change and program completion by performing a secondary analysis of the intervention arm of a randomized-controlled trial, investigating a preconception lifestyle intervention. Methods: The 6-month lifestyle intervention consisted of dietary counseling, physical activity, and behavioral modification, and was aimed at 5–10% weight loss. We operationalized successful lifestyle change as successful weight loss (≥ 5% weight/BMI ≤ 29 kg/m 2 ), weight loss in kilograms, a reduction in energy intake, and an increase in physical activity during the intervention program. We performed logistic and mixed-effect regression analyses to identify baseline factors that were associated with successful change or program completion. Results: Women with higher external eating behavior scores had higher odds of successful weight loss (OR 1.10, 95% CI 1.05–1.16). Women with the previous dietetic support lost 0.94 kg less during the intervention period (95% CI 0.01–1.87 kg). Women with higher self-efficacy reduced energy intake more than women with lower self-efficacy (p
  • References (68)
  • Citations (3)
Published on Sep 1, 2018in Nutrition & Dietetics1.34
Adina Bachar1
Estimated H-index: 1
(TAU: Tel Aviv University),
Gregory Livshits32
Estimated H-index: 32
(TAU: Tel Aviv University),
Ruth Birk12
Estimated H-index: 12
(Ariel University)
In overweight/obese individuals, modest 5% weight loss and its maintenance promotes health; however, it is challenging and typically unachievable, especially in community settings. Established predictors of weight loss outcome in a community setting are lacking, hindering the development of practical interventions and prevention tools. Our aim was to identify predictors associated with 5% weight reduction (initial 6 months) and maintenance (1 year) in overweight and obese adults undergoing weigh...
Seungmin Jeong3
Estimated H-index: 3
(SNU: Seoul National University),
Sung-Il Cho42
Estimated H-index: 42
(SNU: Seoul National University)
Published on Mar 1, 2017in Progress in Cardiovascular Diseases6.16
Gregory L. Stonerock5
Estimated H-index: 5
(Duke University),
James A. Blumenthal93
Estimated H-index: 93
(Duke University)
Abstract Although healthy lifestyles (HL) offer a number of health benefits, nonadherence to recommended lifestyle changes remains a frequent and difficult obstacle to realizing these benefits. Behavioral counseling can improve adherence to an HL. However, individuals' motivation for change and resistance to altering unhealthy habits must be considered when developing an effective approach to counseling. In the present article, we review psychological, behavioral, and environmental factors that ...
Published on Feb 8, 2017in BMJ27.60
Patrick M. Catalano63
Estimated H-index: 63
(Case Western Reserve University),
Kartik Shankar36
Estimated H-index: 36
(University of Arkansas for Medical Sciences)
Obesity is the most common medical condition in women of reproductive age. Obesity during pregnancy has short term and long term adverse consequences for both mother and child. Obesity causes problems with infertility, and in early gestation it causes spontaneous pregnancy loss and congenital anomalies. Metabolically, obese women have increased insulin resistance in early pregnancy, which becomes manifest clinically in late gestation as glucose intolerance and fetal overgrowth. At term, the risk...
Published on Jun 7, 2016in JAMA51.27
Katherine M. Flegal83
Estimated H-index: 83
(CDC: Centers for Disease Control and Prevention),
Deanna Kruszon-Moran33
Estimated H-index: 33
(CDC: Centers for Disease Control and Prevention)
+ 2 AuthorsCynthia L. Ogden55
Estimated H-index: 55
(CDC: Centers for Disease Control and Prevention)
Importance Between 1980 and 2000, the prevalence of obesity increased significantly among adult men and women in the United States; further significant increases were observed through 2003-2004 for men but not women. Subsequent comparisons of data from 2003-2004 with data through 2011-2012 showed no significant increases for men or women. Objective To examine obesity prevalence for 2013-2014 and trends over the decade from 2005 through 2014 adjusting for sex, age, race/Hispanic origin, smoking s...
Published on Feb 1, 2016in European Journal of Clinical Nutrition3.11
Marijka Batterham31
Estimated H-index: 31
Linda C Tapsell35
Estimated H-index: 35
Karen E Charlton45
Estimated H-index: 45
Baseline characteristics associated with different BMI trajectories in weight loss trials: a case for better targeting of interventions
Published on Jan 1, 2016in Journal of Pregnancy
Judith G. M. Jelsma8
Estimated H-index: 8
(VU: VU University Amsterdam),
Karen M. van Leeuwen7
Estimated H-index: 7
(VU: VU University Amsterdam)
+ 25 AuthorsJürgen Harreiter9
Estimated H-index: 9
(Medical University of Vienna)
Introduction. We explored beliefs, perceived barriers, and preferences regarding lifestyle changes among overweight European pregnant women to help inform the development of future lifestyle interventions in the prevention of gestational diabetes mellitus. Methods. An explorative mixed methods, two-staged study was conducted to gather information from pregnant European women (BMI 25 kg/m2). In three European countries 21 interviews were conducted, followed by 71 questionnaires in six other Europ...
Published on Dec 1, 2015in BMC Obesity
Nighat Faruqi5
Estimated H-index: 5
(UNSW: University of New South Wales),
Catherine Spooner12
Estimated H-index: 12
(UNSW: University of New South Wales)
+ 5 AuthorsMark Harris44
Estimated H-index: 44
(UNSW: University of New South Wales)
Background: Enhancing individual’s health literacy for weight loss is important in addressing the increasing burden of chronic disease due to overweight and obesity. We conducted a systematic review and narrative synthesis to determine the effectiveness of lifestyle interventions aimed at improving adults’ knowledge and skills for weight loss in primary health care. The literature search included English-language papers published between 1990 and 30 June 2013 reporting research conducted within ...
Published on Dec 1, 2015in BMC Medicine8.29
Pedro J. Teixeira42
Estimated H-index: 42
(University of Lisbon),
Eliana V. Carraça12
Estimated H-index: 12
(University of Lisbon)
+ 5 AuthorsH Johannes Brug67
Estimated H-index: 67
(VUmc: VU University Medical Center)
Background: Relapse is high in lifestyle obesity interventions involving behavior and weight change. Identifying mediators of successful outcomes in these interventions is critical to improve effectiveness and to guide approaches to obesity treatment, including resource allocation. This article reviews the most consistent self-regulation mediators of medium- and long-term weight control, physical activity, and dietary intake in clinical and community behavior change interventions targeting overw...
Published on Nov 10, 2015in JMIR Research Protocols
Teun Aalbers4
Estimated H-index: 4
M.A.E. Baars4
Estimated H-index: 4
+ 3 AuthorsMarcel G. M. Olde Rikkert43
Estimated H-index: 43
Background: Internet-delivered intervention programs are an effective way of changing health behavior in an aging population. The same population has an increasing number of people with cognitive decline or cognitive impairments. Modifiable lifestyle risk factors such as physical activity, nutrition, smoking, alcohol consumption, sleep, and stress all influence the probability of developing neurodegenerative diseases such as Alzheimer’s disease. Objective: This study aims to answer two questions...
Cited By3
T. M. van Elten (PHRI: Public Health Research Institute), M. D. A. Karsten3
Estimated H-index: 3
+ 5 AuthorsTessa J. Roseboom44
Estimated H-index: 44
(PHRI: Public Health Research Institute)
Background: The preconceptional period may be an optimal window of opportunity to improve lifestyle. We previously showed that a 6 month preconception lifestyle intervention among women with obesity and infertility was successful in decreasing the intake of high caloric snacks and beverages, increasing physical activity and in reducing weight in the short term. We now report the effects of the preconception lifestyle intervention on diet, physical activity and body mass index (BMI) at 5.5 years ...
Published on May 1, 2019in Appetite3.50
Mei-Wei Chang9
Estimated H-index: 9
Mei-Wei Chang2
Estimated H-index: 2
(OSU: Ohio State University)
+ 1 AuthorsDuane T. Wegener35
Estimated H-index: 35
Abstract Purpose Using baseline data from a prevention of weight gain intervention study, we investigated whether self-efficacy mediated the relations between social support and dietary intake of saturated fat, fast food, fruit and vegetable in low-income postpartum women who were overweight or obese. Methods Participants (N = 740) completed validated measures of self-reported social support, self-efficacy, and dietary intake of saturated fat, fast food, fruit and vegetable. We performed composi...
Published on Nov 7, 2018in PLOS ONE2.78
Tessa M. van Elten1
Estimated H-index: 1
M. D. A. Karsten3
Estimated H-index: 3
+ 8 AuthorsTessa J. Roseboom44
Estimated H-index: 44
Background Lifestyle changes are notoriously difficult. Since women who intend to become pregnant are more susceptible to lifestyle advice, interventions during this time window might be more effective than interventions during any other period in life. We here report the effects of the first large preconception lifestyle intervention RCT on diet and physical activity in obese infertile women. Methods In total, 577 women were randomized between a six-month lifestyle intervention program (interve...
View next paperMediators of lifestyle behaviour changes in obese pregnant women. Secondary analyses from the DALI lifestyle randomised controlled trial