Adherence
Enhanced care interventions (physician letter, personalized chart, and registered dietitian counseling) do not significantly improve gestational weight gain outcomes compared to usual care in the aggregate population of women with pregestational obesity.
For pregnant women with obesity, adding intensive lifestyle interventions (dietitian visits, personalized charts, physician letters) to standard care does not significantly improve overall gestational weight gain outcomes compared to standard care alone. However, this lack of benefit is driven by Class I and II obesity patients who do well with standard care; Class III obesity patients specifically benefit from the enhanced intervention.
There were no differences in GWG observed between groups when analyzing participants in aggregate.
Why this rating
Randomized controlled trial with adequate power (n=214), though limited to a specific demographic (obese gravida) and setting.
Source
Encouraging appropriate gestational weight gain in high‐risk gravida: A randomized controlled trial
A. Dhanya Mackeen et al. · Obesity Science & Practice · 2021
DOI 10.1002/osp4.565
More from this paper
- Women with Class III obesity (BMI ≥40.0 kg/m2) are significantly more likely to achieve appropriate gestational weight gain when receiving enhanced care (physician letter, chart, RDN counseling) compared to usual care.Good
- Women with Class I or Class II obesity achieve better gestational weight gain outcomes with usual care compared to enhanced care interventions.Good
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