TY - JOUR
T1 - An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries
AU - Estevez Burns, Rosemary
AU - Hare, Marion E.
AU - Andres, Aline
AU - Klesges, Robert C.
AU - Talcott, Gerald Wayne
AU - LeRoy, Karen
AU - Little, Melissa A.
AU - Hyrshko-Mullen, Ann
AU - Waters, Teresa M.
AU - Harvey, Jean R.
AU - Bursac, Zoran
AU - Krukowski, Rebecca A.
N1 - Publisher Copyright:
© 2022 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society (TOS).
PY - 2022/10
Y1 - 2022/10
N2 - Objective: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active-duty personnel and other TRICARE beneficiaries who received a stepped-care GWG intervention compared with those who did not receive a GWG intervention. Method: Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention. Results: Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes. Conclusions: The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost-effective, it may be sustainably integrated throughout the military prenatal care system.
AB - Objective: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active-duty personnel and other TRICARE beneficiaries who received a stepped-care GWG intervention compared with those who did not receive a GWG intervention. Method: Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention. Results: Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes. Conclusions: The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost-effective, it may be sustainably integrated throughout the military prenatal care system.
UR - http://www.scopus.com/inward/record.url?scp=85137062335&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85137062335&partnerID=8YFLogxK
U2 - 10.1002/oby.23523
DO - 10.1002/oby.23523
M3 - Article
C2 - 36041980
AN - SCOPUS:85137062335
SN - 1930-7381
VL - 30
SP - 1951
EP - 1962
JO - Obesity
JF - Obesity
IS - 10
ER -