Energy balance
Postpartum weight loss interventions combining diet and exercise, or diet alone, significantly reduce body weight compared to usual care, whereas exercise alone does not produce significant weight loss.
For postpartum weight loss, combining diet with exercise or using diet alone is effective, but exercise alone is not. Focus on creating an energy deficit through dietary changes, as exercise alone did not result in significant weight loss in the reviewed trials. These interventions do not appear to negatively impact breastfeeding or infant growth.
Women who took part in a diet (one trial; n = 45; MD -1.70 kg; 95% CI -2.08 to -1.32), or diet plus exercise programme (seven trials; n = 573; MD -1.93 kg; 95% CI -2.96 to -0.89; random-effects, T2 = 1.09, I2 = 71%), lost significantly more weight than women in the usual care group. Women who exercised did not lose significantly more weight than women in the usual care group (two trials; n = 53; MD -0.10 kg; 95% confidence interval (CI) -1.90 to 1.71).
Why this rating
Based on a Cochrane systematic review of 14 RCTs, though heterogeneity was noted in the diet+exercise group.
Source
Diet or exercise, or both, for weight reduction in women after childbirth
Amanda Rodrigues Amorim Adegboye et al. · Cochrane Database of Systematic Reviews · 2013
DOI 10.1002/14651858.cd005627.pub3
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