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The UK Pregnancies Better Eating and Activity Trial (UPBEAT); pregnancy outcomes and health behaviours by obesity class

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The UK Pregnancies Better Eating and Activity Trial (UPBEAT); pregnancy outcomes and health behaviours by obesity class. / Peacock, Lucy; Seed, Paul Townsend; Dalrymple, Katie; White, Sara; Poston, Lucilla; Flynn, Angela.

In: International Journal of Environmental Research and Public Health, Vol. 17, No. 13, 4712, 12.07.2020, p. 1-17.

Research output: Contribution to journalArticle

Harvard

Peacock, L, Seed, PT, Dalrymple, K, White, S, Poston, L & Flynn, A 2020, 'The UK Pregnancies Better Eating and Activity Trial (UPBEAT); pregnancy outcomes and health behaviours by obesity class', International Journal of Environmental Research and Public Health, vol. 17, no. 13, 4712, pp. 1-17. https://doi.org/10.3390/ijerph17134712

APA

Peacock, L., Seed, P. T., Dalrymple, K., White, S., Poston, L., & Flynn, A. (2020). The UK Pregnancies Better Eating and Activity Trial (UPBEAT); pregnancy outcomes and health behaviours by obesity class. International Journal of Environmental Research and Public Health, 17(13), 1-17. [4712]. https://doi.org/10.3390/ijerph17134712

Vancouver

Peacock L, Seed PT, Dalrymple K, White S, Poston L, Flynn A. The UK Pregnancies Better Eating and Activity Trial (UPBEAT); pregnancy outcomes and health behaviours by obesity class. International Journal of Environmental Research and Public Health. 2020 Jul 12;17(13):1-17. 4712. https://doi.org/10.3390/ijerph17134712

Author

Peacock, Lucy ; Seed, Paul Townsend ; Dalrymple, Katie ; White, Sara ; Poston, Lucilla ; Flynn, Angela. / The UK Pregnancies Better Eating and Activity Trial (UPBEAT); pregnancy outcomes and health behaviours by obesity class. In: International Journal of Environmental Research and Public Health. 2020 ; Vol. 17, No. 13. pp. 1-17.

Bibtex Download

@article{dfc4e63b82064acdb75197a753cd47ce,
title = "The UK Pregnancies Better Eating and Activity Trial (UPBEAT); pregnancy outcomes and health behaviours by obesity class",
abstract = "The effectiveness of antenatal intervention in women with increasing obesity is unknown. This study investigated whether there was a differential effect of antenatal intervention on diet, physical activity and pregnancy outcomes in women stratified by obesity class using data from the UK Pregnancies Better Eating and Activity Trial (UPBEAT) (n = 1555). The stratification was by World Health Organization classifications: Class I, II and III (30–34.9 kg/m2, 35–39.9 kg/m2 and ≥40 kg/m2). Using linear and logistic regression, adjusted for confounders, outcomes were assessed post-intervention (27+0–28+6 weeks{\textquoteright} gestation) and in late pregnancy (34+0–36+0 weeks{\textquoteright} gestation). Interactions between obesity class and the intervention were explored. Compared to the standard care arm, class III intervention women had lower gestational weight gain (GWG) (−1.87 kg; 95% CI −3.29 to −0.47, p = 0.009), and the effect of the intervention was greater in class III compared to class I, by −2.01 kg (95% CI −3.45 to −0.57, p = 0.006). Class I and II intervention women reported significantly lower dietary glycaemic load and saturated fat intake across their pregnancy. This differential effect of the intervention suggests antenatal interventions for women with obesity should stratify outcomes by obesity severity. This would inform evidence-based antenatal strategies for high-risk groups, including women with a BMI ≥ 40 kg/m2.",
keywords = "Antenatal lifestyle intervention, Dietary intake, Gestational weight gain, Obesity class, Pregnant women with obesity",
author = "Lucy Peacock and Seed, {Paul Townsend} and Katie Dalrymple and Sara White and Lucilla Poston and Angela Flynn",
year = "2020",
month = jul,
day = "12",
doi = "10.3390/ijerph17134712",
language = "English",
volume = "17",
pages = "1--17",
journal = "International Journal of Environmental Research and Public Health",
issn = "1660-4601",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "13",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - The UK Pregnancies Better Eating and Activity Trial (UPBEAT); pregnancy outcomes and health behaviours by obesity class

AU - Peacock, Lucy

AU - Seed, Paul Townsend

AU - Dalrymple, Katie

AU - White, Sara

AU - Poston, Lucilla

AU - Flynn, Angela

PY - 2020/7/12

Y1 - 2020/7/12

N2 - The effectiveness of antenatal intervention in women with increasing obesity is unknown. This study investigated whether there was a differential effect of antenatal intervention on diet, physical activity and pregnancy outcomes in women stratified by obesity class using data from the UK Pregnancies Better Eating and Activity Trial (UPBEAT) (n = 1555). The stratification was by World Health Organization classifications: Class I, II and III (30–34.9 kg/m2, 35–39.9 kg/m2 and ≥40 kg/m2). Using linear and logistic regression, adjusted for confounders, outcomes were assessed post-intervention (27+0–28+6 weeks’ gestation) and in late pregnancy (34+0–36+0 weeks’ gestation). Interactions between obesity class and the intervention were explored. Compared to the standard care arm, class III intervention women had lower gestational weight gain (GWG) (−1.87 kg; 95% CI −3.29 to −0.47, p = 0.009), and the effect of the intervention was greater in class III compared to class I, by −2.01 kg (95% CI −3.45 to −0.57, p = 0.006). Class I and II intervention women reported significantly lower dietary glycaemic load and saturated fat intake across their pregnancy. This differential effect of the intervention suggests antenatal interventions for women with obesity should stratify outcomes by obesity severity. This would inform evidence-based antenatal strategies for high-risk groups, including women with a BMI ≥ 40 kg/m2.

AB - The effectiveness of antenatal intervention in women with increasing obesity is unknown. This study investigated whether there was a differential effect of antenatal intervention on diet, physical activity and pregnancy outcomes in women stratified by obesity class using data from the UK Pregnancies Better Eating and Activity Trial (UPBEAT) (n = 1555). The stratification was by World Health Organization classifications: Class I, II and III (30–34.9 kg/m2, 35–39.9 kg/m2 and ≥40 kg/m2). Using linear and logistic regression, adjusted for confounders, outcomes were assessed post-intervention (27+0–28+6 weeks’ gestation) and in late pregnancy (34+0–36+0 weeks’ gestation). Interactions between obesity class and the intervention were explored. Compared to the standard care arm, class III intervention women had lower gestational weight gain (GWG) (−1.87 kg; 95% CI −3.29 to −0.47, p = 0.009), and the effect of the intervention was greater in class III compared to class I, by −2.01 kg (95% CI −3.45 to −0.57, p = 0.006). Class I and II intervention women reported significantly lower dietary glycaemic load and saturated fat intake across their pregnancy. This differential effect of the intervention suggests antenatal interventions for women with obesity should stratify outcomes by obesity severity. This would inform evidence-based antenatal strategies for high-risk groups, including women with a BMI ≥ 40 kg/m2.

KW - Antenatal lifestyle intervention

KW - Dietary intake

KW - Gestational weight gain

KW - Obesity class

KW - Pregnant women with obesity

UR - http://www.scopus.com/inward/record.url?scp=85087342698&partnerID=8YFLogxK

U2 - 10.3390/ijerph17134712

DO - 10.3390/ijerph17134712

M3 - Article

C2 - 32629997

AN - SCOPUS:85087342698

VL - 17

SP - 1

EP - 17

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - 13

M1 - 4712

ER -

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