The effect of antenatal dietary and lifestyle advice for women who are overweight or obese on emotional well-being

The LIMIT randomized trial

Jodie M Dodd, Angela Newman, Lisa J. Moran, Andrea R. Deussen, Rosalie M. Grivell, Lisa N. Yelland, Caroline A. Crowther, Andrew J. McPhee, Gary Wittert, Julie A Owens, Deborah A Turnbull, Jeffrey S Robinson, For the LIMIT Randomised Trial Group

Research output: Contribution to journalArticleResearchpeer-review

13 Citations (Scopus)

Abstract

Introduction Our aim was to evaluate the effect of dietary and lifestyle advice given to women who were overweight or obese during pregnancy on maternal quality of life, anxiety and risk of depression, and satisfaction with care. Material and methods We conducted a randomized trial, involving pregnant women with body mass index ≥25 kg/m2, recruited from maternity units in South Australia. Women were randomized to Lifestyle Advice or Standard Care, and completed questionnaires assessing risk of depression (Edinburgh Postnatal Depression Scale), anxiety (Spielberger State-Trait Anxiety Inventory), and quality of life (SF-36) at trial entry, 28 and 36 weeks' gestation, and 4 months postpartum. Secondary trial outcomes assessed for this analysis were risk of depression, anxiety, maternal quality of life, and satisfaction with care. Results One or more questionnaires were completed by 976 of 1108 (90.8%) women receiving Lifestyle Advice and 957 of 1104 (89.7%) women receiving Standard Care. The risk of depression [adjusted risk ratio 1.01; 95% confidence interval (CI) 0.82-1.24; p = 0.95], anxiety (adjusted risk ratio 1.09; 95% CI 0.93-1.27; p = 0.31), and health-related quality of life were similar between the two groups. Women receiving Lifestyle Advice reported improved healthy food choice [Lifestyle Advice 404 (68.9%) vs. Standard Care 323 (51.8%); p < 0.0001], and exercise knowledge [Lifestyle Advice 444 (75.8%) vs. Standard Care 367 (58.8%); p < 0.0001], and reassurance about their health [Lifestyle Advice 499 (85.3%) vs. Standard Care 485 (77.9%); p = 0.0112], and health of their baby [Lifestyle Advice 527 (90.2%) vs. Standard Care 545 (87.6%); p = 0.0143]. Conclusion Lifestyle advice in pregnancy improved knowledge and provided reassurance without negatively impacting well-being.

Original languageEnglish
Pages (from-to)309-318
Number of pages10
JournalActa Obstetricia et Gynecologica Scandinavica
Volume95
Issue number3
DOIs
Publication statusPublished - Mar 2016
Externally publishedYes

Keywords

  • depression
  • dietary and lifestyle intervention
  • Overweight/obesity
  • pregnancy
  • quality of life
  • randomized trial

Cite this

Dodd, Jodie M ; Newman, Angela ; Moran, Lisa J. ; Deussen, Andrea R. ; Grivell, Rosalie M. ; Yelland, Lisa N. ; Crowther, Caroline A. ; McPhee, Andrew J. ; Wittert, Gary ; Owens, Julie A ; Turnbull, Deborah A ; Robinson, Jeffrey S ; For the LIMIT Randomised Trial Group. / The effect of antenatal dietary and lifestyle advice for women who are overweight or obese on emotional well-being : The LIMIT randomized trial. In: Acta Obstetricia et Gynecologica Scandinavica. 2016 ; Vol. 95, No. 3. pp. 309-318.
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title = "The effect of antenatal dietary and lifestyle advice for women who are overweight or obese on emotional well-being: The LIMIT randomized trial",
abstract = "Introduction Our aim was to evaluate the effect of dietary and lifestyle advice given to women who were overweight or obese during pregnancy on maternal quality of life, anxiety and risk of depression, and satisfaction with care. Material and methods We conducted a randomized trial, involving pregnant women with body mass index ≥25 kg/m2, recruited from maternity units in South Australia. Women were randomized to Lifestyle Advice or Standard Care, and completed questionnaires assessing risk of depression (Edinburgh Postnatal Depression Scale), anxiety (Spielberger State-Trait Anxiety Inventory), and quality of life (SF-36) at trial entry, 28 and 36 weeks' gestation, and 4 months postpartum. Secondary trial outcomes assessed for this analysis were risk of depression, anxiety, maternal quality of life, and satisfaction with care. Results One or more questionnaires were completed by 976 of 1108 (90.8{\%}) women receiving Lifestyle Advice and 957 of 1104 (89.7{\%}) women receiving Standard Care. The risk of depression [adjusted risk ratio 1.01; 95{\%} confidence interval (CI) 0.82-1.24; p = 0.95], anxiety (adjusted risk ratio 1.09; 95{\%} CI 0.93-1.27; p = 0.31), and health-related quality of life were similar between the two groups. Women receiving Lifestyle Advice reported improved healthy food choice [Lifestyle Advice 404 (68.9{\%}) vs. Standard Care 323 (51.8{\%}); p < 0.0001], and exercise knowledge [Lifestyle Advice 444 (75.8{\%}) vs. Standard Care 367 (58.8{\%}); p < 0.0001], and reassurance about their health [Lifestyle Advice 499 (85.3{\%}) vs. Standard Care 485 (77.9{\%}); p = 0.0112], and health of their baby [Lifestyle Advice 527 (90.2{\%}) vs. Standard Care 545 (87.6{\%}); p = 0.0143]. Conclusion Lifestyle advice in pregnancy improved knowledge and provided reassurance without negatively impacting well-being.",
keywords = "depression, dietary and lifestyle intervention, Overweight/obesity, pregnancy, quality of life, randomized trial",
author = "Dodd, {Jodie M} and Angela Newman and Moran, {Lisa J.} and Deussen, {Andrea R.} and Grivell, {Rosalie M.} and Yelland, {Lisa N.} and Crowther, {Caroline A.} and McPhee, {Andrew J.} and Gary Wittert and Owens, {Julie A} and Turnbull, {Deborah A} and Robinson, {Jeffrey S} and {For the LIMIT Randomised Trial Group}",
year = "2016",
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language = "English",
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Dodd, JM, Newman, A, Moran, LJ, Deussen, AR, Grivell, RM, Yelland, LN, Crowther, CA, McPhee, AJ, Wittert, G, Owens, JA, Turnbull, DA, Robinson, JS & For the LIMIT Randomised Trial Group 2016, 'The effect of antenatal dietary and lifestyle advice for women who are overweight or obese on emotional well-being: The LIMIT randomized trial', Acta Obstetricia et Gynecologica Scandinavica, vol. 95, no. 3, pp. 309-318. https://doi.org/10.1111/aogs.12832

The effect of antenatal dietary and lifestyle advice for women who are overweight or obese on emotional well-being : The LIMIT randomized trial. / Dodd, Jodie M; Newman, Angela; Moran, Lisa J.; Deussen, Andrea R.; Grivell, Rosalie M.; Yelland, Lisa N.; Crowther, Caroline A.; McPhee, Andrew J.; Wittert, Gary; Owens, Julie A; Turnbull, Deborah A; Robinson, Jeffrey S; For the LIMIT Randomised Trial Group.

In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 95, No. 3, 03.2016, p. 309-318.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - The effect of antenatal dietary and lifestyle advice for women who are overweight or obese on emotional well-being

T2 - The LIMIT randomized trial

AU - Dodd, Jodie M

AU - Newman, Angela

AU - Moran, Lisa J.

AU - Deussen, Andrea R.

AU - Grivell, Rosalie M.

AU - Yelland, Lisa N.

AU - Crowther, Caroline A.

AU - McPhee, Andrew J.

AU - Wittert, Gary

AU - Owens, Julie A

AU - Turnbull, Deborah A

AU - Robinson, Jeffrey S

AU - For the LIMIT Randomised Trial Group

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N2 - Introduction Our aim was to evaluate the effect of dietary and lifestyle advice given to women who were overweight or obese during pregnancy on maternal quality of life, anxiety and risk of depression, and satisfaction with care. Material and methods We conducted a randomized trial, involving pregnant women with body mass index ≥25 kg/m2, recruited from maternity units in South Australia. Women were randomized to Lifestyle Advice or Standard Care, and completed questionnaires assessing risk of depression (Edinburgh Postnatal Depression Scale), anxiety (Spielberger State-Trait Anxiety Inventory), and quality of life (SF-36) at trial entry, 28 and 36 weeks' gestation, and 4 months postpartum. Secondary trial outcomes assessed for this analysis were risk of depression, anxiety, maternal quality of life, and satisfaction with care. Results One or more questionnaires were completed by 976 of 1108 (90.8%) women receiving Lifestyle Advice and 957 of 1104 (89.7%) women receiving Standard Care. The risk of depression [adjusted risk ratio 1.01; 95% confidence interval (CI) 0.82-1.24; p = 0.95], anxiety (adjusted risk ratio 1.09; 95% CI 0.93-1.27; p = 0.31), and health-related quality of life were similar between the two groups. Women receiving Lifestyle Advice reported improved healthy food choice [Lifestyle Advice 404 (68.9%) vs. Standard Care 323 (51.8%); p < 0.0001], and exercise knowledge [Lifestyle Advice 444 (75.8%) vs. Standard Care 367 (58.8%); p < 0.0001], and reassurance about their health [Lifestyle Advice 499 (85.3%) vs. Standard Care 485 (77.9%); p = 0.0112], and health of their baby [Lifestyle Advice 527 (90.2%) vs. Standard Care 545 (87.6%); p = 0.0143]. Conclusion Lifestyle advice in pregnancy improved knowledge and provided reassurance without negatively impacting well-being.

AB - Introduction Our aim was to evaluate the effect of dietary and lifestyle advice given to women who were overweight or obese during pregnancy on maternal quality of life, anxiety and risk of depression, and satisfaction with care. Material and methods We conducted a randomized trial, involving pregnant women with body mass index ≥25 kg/m2, recruited from maternity units in South Australia. Women were randomized to Lifestyle Advice or Standard Care, and completed questionnaires assessing risk of depression (Edinburgh Postnatal Depression Scale), anxiety (Spielberger State-Trait Anxiety Inventory), and quality of life (SF-36) at trial entry, 28 and 36 weeks' gestation, and 4 months postpartum. Secondary trial outcomes assessed for this analysis were risk of depression, anxiety, maternal quality of life, and satisfaction with care. Results One or more questionnaires were completed by 976 of 1108 (90.8%) women receiving Lifestyle Advice and 957 of 1104 (89.7%) women receiving Standard Care. The risk of depression [adjusted risk ratio 1.01; 95% confidence interval (CI) 0.82-1.24; p = 0.95], anxiety (adjusted risk ratio 1.09; 95% CI 0.93-1.27; p = 0.31), and health-related quality of life were similar between the two groups. Women receiving Lifestyle Advice reported improved healthy food choice [Lifestyle Advice 404 (68.9%) vs. Standard Care 323 (51.8%); p < 0.0001], and exercise knowledge [Lifestyle Advice 444 (75.8%) vs. Standard Care 367 (58.8%); p < 0.0001], and reassurance about their health [Lifestyle Advice 499 (85.3%) vs. Standard Care 485 (77.9%); p = 0.0112], and health of their baby [Lifestyle Advice 527 (90.2%) vs. Standard Care 545 (87.6%); p = 0.0143]. Conclusion Lifestyle advice in pregnancy improved knowledge and provided reassurance without negatively impacting well-being.

KW - depression

KW - dietary and lifestyle intervention

KW - Overweight/obesity

KW - pregnancy

KW - quality of life

KW - randomized trial

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DO - 10.1111/aogs.12832

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