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

Published on Sep 1, 2019in European Journal of Nutrition4.449
· DOI :10.1007/s00394-018-1798-7
Matty D. A. Karsten2
Estimated H-index: 2
(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
Abstract
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
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  • Citations (3)
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References68
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#1Adina Bachar (TAU: Tel Aviv University)H-Index: 1
#2Gregory Livshits (TAU: Tel Aviv University)H-Index: 32
Last. Ruth Birk (Ariel University)H-Index: 12
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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...
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#1Seungmin Jeong (SNU: Seoul National University)H-Index: 4
#2Sung-Il Cho (SNU: Seoul National University)H-Index: 43
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#1Gregory L. Stonerock (Duke University)H-Index: 5
#2James A. Blumenthal (Duke University)H-Index: 95
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 ...
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#1Patrick M. Catalano (Case Western Reserve University)H-Index: 60
#2Kartik Shankar (University of Arkansas for Medical Sciences)H-Index: 37
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...
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Baseline characteristics associated with different BMI trajectories in weight loss trials: a case for better targeting of interventions
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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...
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The purpose of this study was to assess the association between childhood abuse and adult obesity.We performed a comprehensive meta-analysis, which included studies that reported odds ratio (OR) estimates with 95% confidence intervals (CI). Summary estimates of association were obtained using a random-effects model. Heterogeneity among studies was evaluated using Cochran Q and I2 statistics.A total of 22 cohort studies (3 prospective, 19 retrospective) were included in this meta-analysis. The po...
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Polycystic ovary syndrome (PCOS) a long-known endocrinopathy and one of the most common endocrine-reproductive-metabolic disorders in women, which can lead to infertility. Although the precise etiology remains unclear, PCOS is considered as a complex genetic trait, with a high degree of heterogeneity. Besides, hormones and immune cells, including both innate and adaptive immune cells, are reportedly a cross talk in PCOS. Chronic low-grade inflammation increases autoimmune disease risk. This proi...
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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...
Source
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 ...
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Last. Annemieke Hoek (UMCG: University Medical Center Groningen)H-Index: 33
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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...
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