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HealthyMoms : = A Smartphone Application to Promote Healthy Weight Gain, Diet and Physical Activity During Pregnancy : A Randomized Controlled Trial.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
HealthyMoms :/
其他題名:
A Smartphone Application to Promote Healthy Weight Gain, Diet and Physical Activity During Pregnancy : A Randomized Controlled Trial.
作者:
Sandborg, Johanna.
面頁冊數:
1 online resource (137 pages)
附註:
Source: Dissertations Abstracts International, Volume: 84-04, Section: B.
Contained By:
Dissertations Abstracts International84-04B.
標題:
Insulin resistance. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29316550click for full text (PQDT)
ISBN:
9798352603437
HealthyMoms : = A Smartphone Application to Promote Healthy Weight Gain, Diet and Physical Activity During Pregnancy : A Randomized Controlled Trial.
Sandborg, Johanna.
HealthyMoms :
A Smartphone Application to Promote Healthy Weight Gain, Diet and Physical Activity During Pregnancy : A Randomized Controlled Trial. - 1 online resource (137 pages)
Source: Dissertations Abstracts International, Volume: 84-04, Section: B.
Thesis (Ph.D.)--Karolinska Institutet (Sweden), 2022.
Includes bibliographical references
BackgroundWeight gain in pregnancy is closely related to the health of both mother and child. For instance, gaining too much weight during pregnancy increases the risk of gestational diabetes, and later obesity for both mother and child. On the other end of the spectra, an insufficient weight gain increases the risk of e.g., preterm birth. Alarmingly, few women gain weight in accordance with current recommendations. In fact, one in two pregnant women in the Western world, including Sweden, gain excessive weight in pregnancy. Lifestyle factors such as diet and physical activity play an important role in supporting a healthy weight gain and have been the focus of many previous lifestyle interventions in pregnancy. Fortunately, these have been shown to successfully decrease the risk of excessive weight gain; however, traditionally, they have relied on face-to-face counselling which requires extensive resources. In this digital era the use of technology such as smartphone apps to deliver lifestyle interventions has emerged and compared to traditional delivery modes, require less resources while simultaneously provide wider reach and possibilities to provide more individually tailored interventions. To date, few studies have investigated the usability and effectiveness of a lifestyle intervention in pregnancy solely delivered through a smartphone app. Finally, pregnancy is characterized by physiological changes which impact the ability to maintain the same level of physical activity and few pregnant women reach the recommended levels of physical activity. Current knowledge on how physical activity levels in pregnancy change, especially taking all movement behaviors (i.e., physical activity of different intensities, sedentary behavior, and sleep) into consideration is insufficient. Thus, to further understand the impact of physical activity in pregnancy and improve future interventions and guidelines research on this topic is needed.Research approachA randomized controlled trial was conducted to investigate the effectiveness of a 6-month digital pregnancy and lifestyle intervention (the HealthyMoms app) on weight gain, diet, physical activity, and glycemia in pregnancy and infant body size and composition (i.e., fatand fat free mass). Three hundred and five women were recruited in early pregnancy at maternity clinics in the county of Ostergotland and completed baseline assessments in early pregnancy (gestational week 14). These included measurements of weight, body composition, diet, physical activity, and cardiometabolic health indicators (i.e., blood pressure, blood lipids). After completion of these measurements, women were randomized to either the intervention (i.e., standard maternity care and the HealthyMoms app) or control group (i.e., standard maternity care). Women then returned for a follow up measurement in late pregnancy (gestational week 37) to repeat the same assessments. Furthermore, at this time point usage and satisfaction with the app was also examined by exit interviews with nineteen women from the intervention group. Lastly, the women returned for a third measurement 1-2 weeks after birth at which their infant's weight, length, and body composition were assessed to investigate potential effects of the intervention on the child as well. Finally, the data on physical activity collected in pregnancy were used to investigate associations between physical activity of different intensities, sedentary behavior, and sleep with body composition and cardiometabolic health indicators (e.g., metabolic syndrome score, blood sugar levels and insulin resistance) in early and late pregnancy.
Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023
Mode of access: World Wide Web
ISBN: 9798352603437Subjects--Topical Terms:
1016456
Insulin resistance.
Index Terms--Genre/Form:
542853
Electronic books.
HealthyMoms : = A Smartphone Application to Promote Healthy Weight Gain, Diet and Physical Activity During Pregnancy : A Randomized Controlled Trial.
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Source: Dissertations Abstracts International, Volume: 84-04, Section: B.
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BackgroundWeight gain in pregnancy is closely related to the health of both mother and child. For instance, gaining too much weight during pregnancy increases the risk of gestational diabetes, and later obesity for both mother and child. On the other end of the spectra, an insufficient weight gain increases the risk of e.g., preterm birth. Alarmingly, few women gain weight in accordance with current recommendations. In fact, one in two pregnant women in the Western world, including Sweden, gain excessive weight in pregnancy. Lifestyle factors such as diet and physical activity play an important role in supporting a healthy weight gain and have been the focus of many previous lifestyle interventions in pregnancy. Fortunately, these have been shown to successfully decrease the risk of excessive weight gain; however, traditionally, they have relied on face-to-face counselling which requires extensive resources. In this digital era the use of technology such as smartphone apps to deliver lifestyle interventions has emerged and compared to traditional delivery modes, require less resources while simultaneously provide wider reach and possibilities to provide more individually tailored interventions. To date, few studies have investigated the usability and effectiveness of a lifestyle intervention in pregnancy solely delivered through a smartphone app. Finally, pregnancy is characterized by physiological changes which impact the ability to maintain the same level of physical activity and few pregnant women reach the recommended levels of physical activity. Current knowledge on how physical activity levels in pregnancy change, especially taking all movement behaviors (i.e., physical activity of different intensities, sedentary behavior, and sleep) into consideration is insufficient. Thus, to further understand the impact of physical activity in pregnancy and improve future interventions and guidelines research on this topic is needed.Research approachA randomized controlled trial was conducted to investigate the effectiveness of a 6-month digital pregnancy and lifestyle intervention (the HealthyMoms app) on weight gain, diet, physical activity, and glycemia in pregnancy and infant body size and composition (i.e., fatand fat free mass). Three hundred and five women were recruited in early pregnancy at maternity clinics in the county of Ostergotland and completed baseline assessments in early pregnancy (gestational week 14). These included measurements of weight, body composition, diet, physical activity, and cardiometabolic health indicators (i.e., blood pressure, blood lipids). After completion of these measurements, women were randomized to either the intervention (i.e., standard maternity care and the HealthyMoms app) or control group (i.e., standard maternity care). Women then returned for a follow up measurement in late pregnancy (gestational week 37) to repeat the same assessments. Furthermore, at this time point usage and satisfaction with the app was also examined by exit interviews with nineteen women from the intervention group. Lastly, the women returned for a third measurement 1-2 weeks after birth at which their infant's weight, length, and body composition were assessed to investigate potential effects of the intervention on the child as well. Finally, the data on physical activity collected in pregnancy were used to investigate associations between physical activity of different intensities, sedentary behavior, and sleep with body composition and cardiometabolic health indicators (e.g., metabolic syndrome score, blood sugar levels and insulin resistance) in early and late pregnancy.
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