Adherence
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.
For pregnant women with Class III obesity (BMI ≥40), standard care is often insufficient. They benefit significantly from enhanced interventions including personalized physician letters, access to weight gain charts, and regular registered dietitian counseling. This structured support helps them achieve healthy weight gain goals more effectively than standard care alone.
Participants with class III obesity randomized to EC arm were more likely to gain within IOM guidelines as compared to participants randomized to UC arm (29.0% vs. 6.7%, adjusted p = 0.02).
Why this rating
RCT subgroup analysis with statistical significance (p=0.02), though sample size for Class III is smaller (n=61).
Source
Encouraging appropriate gestational weight gain in high‐risk gravida: A randomized controlled trial
A. Dhanya Mackeen et al. · Obesity Science & Practice · 2021
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →