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Supporting women of childbearing age in the prevention and treatment of overweight and obesity: a scoping review of randomized control trials of behavioral interventions.
BMC Women's Health ( IF 2.742 ) Pub Date : 2020-01-23 , DOI: 10.1186/s12905-020-0882-3
Melinda J Hutchesson 1 , Mette de Jonge Mulock Houwer 1, 2 , Hannah M Brown 1 , Siew Lim 3 , Lisa J Moran 3 , Lisa Vincze 4 , Megan E Rollo 1 , Jenna L Hollis 1, 5, 6, 7, 8
Affiliation  

BACKGROUND Women of childbearing age are vulnerable to weight gain. This scoping review examines the extent and range of research undertaken to evaluate behavioral interventions to support women of childbearing age to prevent and treat overweight and obesity. METHODS Eight electronic databases were searched for randomized controlled trials (RCT) or systematic reviews of RCTs until 31st January 2018. Eligible studies included women of childbearing age (aged 15-44 years), evaluated interventions promoting behavior change related to diet or physical activity to achieve weight gain prevention, weight loss or maintenance and reported weight-related outcomes. RESULTS Ninety studies met the inclusion criteria (87 RCTs, 3 systematic reviews). Included studies were published from 1998 to 2018. The studies primarily focused on preventing excessive gestational weight gain (n = 46 RCTs, n = 2 systematic reviews), preventing postpartum weight retention (n = 18 RCTs) or a combination of the two (n = 14 RCTs, n = 1 systematic review). The RCTs predominantly evaluated interventions that aimed to change both diet and physical activity behaviors (n = 84) and were delivered in-person (n = 85). CONCLUSIONS This scoping review identified an increasing volume of research over time undertaken to support women of childbearing age to prevent and treat overweight and obesity. It highlights, however, that little research is being undertaken to support the young adult female population unrelated to pregnancy or preconception.

中文翻译:

支持育龄妇女预防和治疗超重和肥胖:行为干预随机对照试验的范围审查。

背景技术育龄妇女容易体重增加。本次范围审查审查了为评估行为干预措施而进行的研究的程度和范围,以支持育龄妇女预防和治疗超重和肥胖。方法 检索了截至 2018 年 1 月 31 日的八个电子数据库中的随机对照试验 (RCT) 或随机对照试验的系统评价。符合条件的研究包括育龄妇女(15-44 岁),评估了促进与饮食或身体活动相关的行为改变的干预措施实现体重增加预防、减肥或维持并报告体重相关结果。结果 90 项研究符合纳入标准(87 项随机对照试验,3 项系统评价)。纳入的研究发表于 1998 年至 2018 年。这些研究主要集中于预防妊娠期体重过度增加(n = 46 项随机对照试验,n = 2 项系统评价)、预防产后体重滞留(n = 18 项随机对照试验)或两者的组合(n = = 14 项随机对照试验,n = 1 项系统评价)。随机对照试验主要评估旨在改变饮食和身体活动行为的干预措施 (n = 84),并亲自实施 (n = 85)。结论 本次范围审查发现,随着时间的推移,为支持育龄妇女预防和治疗超重和肥胖而开展的研究数量不断增加。然而,它强调,很少有研究来支持与怀孕或孕前无关的年轻成年女性群体。
更新日期:2020-01-23
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