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. 2016 Jan 14;6(2):244–259. doi: 10.1007/s13142-015-0365-5

Table 3.

Description of Lifestyle Interventions for Expectant Moms (LIFE-Moms) studies

Healthy Beginnings LIFT PEARLS MOMFIT PREGO Expecting Success LIFE-Moms Phoenix
Institutions, PIs Grant #s California Polytechnic Institute State University and Brown University
Suzanne Phelan
Rena Wing
U01 HL114377
St. Luke’s—Roosevelt
Xavier Pi‐Sunyer
Dympna Gallagher
U01 DK094463
University of Puerto Rico
Kaumudi Joshipura
Paul Franks
U01 HL072834
Northwestern University
Linda Van Horn
Alan Peaceman
U01 HL114344
Washington University in St. Louis
Sam Klein
Debra Haire‐Joshu
Kelle Moley
U01 DK094416
Pennington Biomedical Research Center
Leanne Redman
Corby Martin
U01 DK094418
Phoenix Indian Medical Center
William Knowler
HSSN276201300001C
Primary outcome
(2 years post randomization)
Weight gain per week within IOM guidelines Newborn percent body fat Weight gain per week within IOM guidelines Weight gain Weight gain not exceeding IOM guidelines Weight gain per week exceeding IOM guidelines Weight gain
Major inclusion criteria ≥18 years
Singleton, viable pregnancy
BMI ≥25 kg/m2
Gestational age 9 weeks 0 days to 15 weeks 6 days
18–40 years
Singleton, viable pregnancy
25 kg/m2 ≤BMI ≤35 kg/m2
Gestational age 9 weeks 0 days to 15 weeks 6 days
≥18 years
Singleton, viable pregnancy
BMI ≥25 kg/m2
Gestational age 9 weeks 0 days to 15 weeks 6 days
18–45 years
Singleton, viable pregnancy
25 kg/m2 ≤BMI <40 kg/m2
Gestational age 9 weeks 0 days to 15 weeks 6 days
18–45 years
Singleton, viable pregnancy
25 kg/m2 ≤BMI ≤45 kg/m2
Gestational age 9 weeks 0 days to 15 weeks 6 days
African-American
Socioeconomically disadvantaged
18–40 years
Singleton, viable pregnancy
25 kg/m2 ≤BMI <40 kg/m2
Gestational age 9 weeks 0 days to 13 weeks 5 days
≥18 years
Singleton, viable pregnancy
BMI ≥25 kg/m2
Gestational age 9 weeks 0 days to 15 weeks 6 days
Sample size 175/arm 105/arm 200/arm 150/arm 133/arm 102/arm 100/arm
Recruitment Site(s) Various OB practices servicing major delivery hospitals in San Luis Obispo and Women and Infants Hospital Various OB practices and clinics whose patients deliver at St Luke’s Roosevelt University of Puerto Rico Hospital Prentice Ambulatory Care and other practices whose patients deliver at Prentice Women’s Hospital Women’s Health Clinic at Washington University Various OB practices and clinics whose patients deliver at Women’s Hospital Baton Rouge Women’s Clinic at PIMC
Interventions: Brief descriptions Antepartum Individual counseling sessions; meal replacement product provided; weight graphing with feedback; weekly educational/ behavior change materials. Guidance on ways to maintain success postpartum. Antepartum Individual counseling sessions with specific curriculum for diet modification and physical activity, with behavioral support strategies and social support. additional phone/e-mail contacts for support.
Group sessions as needed.
Antepartum Individual and group counseling session, phone calls regarding improving diet and promoting regular movement and minimizing sedentary behavior; certain food products provided, e.g., brown rice; cooking demo and exercise during group sessions. Antepartum Group sessions, phone coaching and electronic contact focusing on modified DASH (Dietary Approaches to Stop Hypertension) and moderate physical activity. Ongoing and electronic contact and feedback from lifestyle coach. Antepartum Home visits using the Parents as Teachers Model (PAT), incorporating an integrated diet and exercise lifestyle program, focusing on control of weight gain reflecting the philosophy of PAT (family strength, child development, parental modeling, parent–child interaction). Antepartum Group and individual sessions at the clinic with curriculum focused on diet and exercise and behavioral principles to foster adherence to the IOM
Same lessons delivered by Smartphone; 1st and last sessions in person. Smartphone transmits data which generates feedback to participants.
Antepartum Group or individual sessions focusing on individualized managed weight gain goals through caloric and fat gram recommendations, daily physical activity such as walking, reducing use of automation and reducing time spent in sedentary behaviors.
Postpartum
Up to 1 year group classes to aid in weight loss, adjust to parenthood, support lactation Individual support as needed
Postpartum
Up to 1 year Group sessions focusing on breastfeeding, physical activity, quality of the diet for the infant, and feeding practices; monthly calls
Postpartum
Up to 18 months 1 group and 2 individual sessions, focusing on weight loss, DASH diet in context of breast-feeding, infant feeding including transition to “Baby DASH”-type diet. Materials e-mailed
Postpartum
Up to 1 year Home visits focusing on goal of returning to pre-pregnancy weight, focusing on issues of relevance and problem-solving Also focus on positive child-feeding behaviors and interactive parent–child activities.