Division of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences; UMass Worcester Prevention Research Center
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
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.
Physical activity, Hispanic people, Pregnancy, Sedentary behavior, Transportation, Gestational diabetes, Type 2 diabetes
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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.
DOI of Published Version
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
Burkart S, Marcus BH, Pekow P, Rosal MC, Manson JE, Braun B, Chasan-Taber L. (2020). The impact of a randomized controlled trial of a lifestyle intervention on postpartum physical activity among at-risk hispanic women: Estudio PARTO. Open Access Articles. https://doi.org/10.1371/journal.pone.0236408. Retrieved from https://escholarship.umassmed.edu/oapubs/4300
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Behavioral Medicine Commons, Endocrinology, Diabetes, and Metabolism Commons, Female Urogenital Diseases and Pregnancy Complications Commons, Health Services Administration Commons, Health Services Research Commons, Nutritional and Metabolic Diseases Commons, Preventive Medicine Commons, Psychiatry and Psychology Commons, Race and Ethnicity Commons, Reproductive and Urinary Physiology Commons, Women's Health Commons