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. |