Representativeness of Participants in a Lifestyle Intervention Study in Obese Pregnant Women - the Difference between Study Participants and Non-Participants
نویسندگان
چکیده
OBJECTIVE To examine the representativeness of participants attending a lifestyle intervention study addressing obese pregnant women. METHODS Retrospective comparison of baseline data, attendance to oral glucose tolerance test (OGTT) during pregnancy, and pregnancy outcome in eligible women stratified according to study participation. Of 750 eligible women with a self-reported BMI > 30 kg/m(2), and a live singleton pregnancy, 510 were eligible for inclusion and 425 were randomized to either active intervention (n= 284) or to standard obstetric care (n= 141) including two standard OGTT. The 85 women who declined participation or were excluded due to competing diseases and 240 women who did not respond to the initial invitation received the same standard care. RESULTS The randomized women had similar BMI but a lower parity and age, and were more frequently non-smokers, born in Denmark and married or cohabitating with their partner than the non-participants. Women participating in the trial had a higher compliance to the second OGTT compared to non-participants, also after correcting for age and nationality. There was no difference in pregnancy outcome, i.e., fetal weight and length, gestational age as well as mode of delivery. CONCLUSION Women declining participation in a randomized lifestyle intervention study in pregnancy have characteristics indicating they are those who might benefit the most from lifestyle intervention.
منابع مشابه
The effect of aspirin on preeclampsia and fetal growth restriction (FGR) in obese pregnant women : a randomized controlled clinical trial
Background: To evaluate the effect of aspirin on preeclampsia and fetal growth restriction (FGR) in obese pregnant women. Methods: A randomized clinical trial with 187 participants. Participants were allocated to either an intervention (aspirin; n=89) or control (placebo; n=98) group. In two groups, intervention was done from 13-20 until 34 weeks of pregnancy. Outcomes were preeclampsia and FG...
متن کاملEffect of Counseling based on Information-Behavioral Motivation Model on Health Promoting Lifestyle Behaviors and Psychological Well-being in Obese and Overweight Pregnant Women: A Randomized Clinical Trial
Background and purpose: Physiological changes in pregnancy cause profound challenges to mental health. The aim of this study was to investigate the effect of counseling based on Information-Behavioral Motivation Model on health promoting lifestyle behaviors and psychological well-being in overweight and obese pregnant women. Materials and methods: This randomized clinical trial was performed i...
متن کاملEffect of Physiologic Delivery Education on Mental Health of Pregnant Women
Background: Pregnancy and postnatal period are associated with significant psychological and physiological changes, which might sometimes induce pathological variations, as well. This study aimed to evaluate the effect of physiologic delivery education on mental health of pregnant women. Methods: This clinical trial was conducted on 50 pregnant women, who were referred to three healthcare cent...
متن کاملتأثیر آموزش بر رفتار تغذیهای زنان باردار
Background & Objective: Prenatal period is a unique opportunity to assist the women to adopt healthy behaviors. The nutritional behaviors of pregnant women affect not only their own health but also the fetal growth and development. The purpose of this study was to determine the effect of nutrition education on nutritional behaviors in pregnant women.Methods & Materials: In this randomized trial...
متن کاملCigarette Smoking, Illicit Medicine, Substance and Alcohol Abuseamong Pregnant Women: A Cross Sectional Study from Iran
Background The aim of this study was to investigate the prevalence of illicit medicine abuse among pregnant women who referred to the general teaching hospital in Tehran. MaterialsAndMethods A non-randomized sample of 2189 eligible pregnant women, which were at 2nd and 3rd trimester, were visited for 2nd prenatal care or subsequent consultation and being confident regarding the time of taking i...
متن کامل