The impact of a randomized controlled trial of a lifestyle intervention on postpartum physical activity among at-risk hispanic women: Estudio PARTO
Authors
Burkart, SarahMarcus, Bess H.
Pekow, Penelope
Rosal, Milagros C.
Manson, JoAnn E.
Braun, Barry
Chasan-Taber, Lisa
UMass Chan Affiliations
Prevention Research CenterDivision of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences
Document Type
Journal ArticlePublication Date
2020-07-24Keywords
Physical activityHispanic people
Pregnancy
Sedentary behavior
Transportation
Gestational diabetes
Type 2 diabetes
Behavioral Medicine
Endocrinology, Diabetes, and Metabolism
Female Urogenital Diseases and Pregnancy Complications
Health Services Administration
Health Services Research
Nutritional and Metabolic Diseases
Preventive Medicine
Psychiatry and Psychology
Race and Ethnicity
Reproductive and Urinary Physiology
Women's Health
Metadata
Show full item recordAbstract
AIMS: To assess the impact of a culturally modified, motivationally targeted, individually-tailored intervention on postpartum physical activity (PA) and PA self-efficacy among Hispanic women. METHODS: Estudio PARTO was a randomized controlled trial conducted in Western Massachusetts from 2013-17. Hispanic women who screened positive for gestational diabetes mellitus were randomized to a Lifestyle Intervention (LI, n = 100) or to a comparison Health and Wellness (HW, n = 104) group during late pregnancy. Exercise goals in LI were to meet American College of Obstetrician and Gynecologists guidelines for postpartum PA. The Pregnancy Physical Activity Questionnaire (PPAQ) and the Self-Efficacy for Physical Activity Questionnaire were administered at 6 weeks, 6 months, and 1 year postpartum. RESULTS: Compared to baseline levels, both groups had significant increases in moderate-to-vigorous PA at 6 months and one year postpartum (i.e., LI: mean change = 30.9 MET-hrs/wk, p = 0.05; HW: 27.6 MET-hrs/wk, p = 0.01), with only LI group experiencing significant increases in vigorous PA (mean change = 1.3 MET-hrs/wk, p = 0.03). Based on an intent-to-treat analysis using mixed effects models, we observed no differences in pattern of change in PA intensity and type over time between intervention groups (all p > 0.10). However, there was the suggestion of a greater decrease in sedentary activity in the LI group compared to the HW group (beta = -3.56, p = 0.09). CONCLUSIONS: In this randomized trial among high-risk Hispanic women, both groups benefitted from participation in a postpartum intervention.Source
Burkart S, Marcus BH, Pekow P, Rosal MC, Manson JE, Braun B, Chasan-Taber L. The impact of a randomized controlled trial of a lifestyle intervention on postpartum physical activity among at-risk hispanic women: Estudio PARTO. PLoS One. 2020 Jul 24;15(7):e0236408. doi: 10.1371/journal.pone.0236408. PMID: 32706812; PMCID: PMC7380594. Link to article on publisher's site
DOI
10.1371/journal.pone.0236408Permanent Link to this Item
http://hdl.handle.net/20.500.14038/41520PubMed ID
32706812Related Resources
Rights
Copyright: © 2020 Burkart et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Distribution License
http://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.1371/journal.pone.0236408
Scopus Count
Except where otherwise noted, this item's license is described as Copyright: © 2020 Burkart et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.