Behavioural weight management interventions for postnatal women: a systematic review of systematic reviews of randomised controlled trials

Research output: Contribution to journalArticle

Authors

Colleges, School and Institutes

External organisations

  • Loughborough University

Abstract

This systematic review of systematic reviews investigated the effectiveness of lifestyle weight management interventions for postnatal women. We systematically reviewed Medline (PubMed), Embase, CINAHL Plus, The Cochrane Library and Scopus from 2000 until January 2018, to identify systematic reviews of randomised controlled trials that evaluated the effectiveness of behavioural lifestyle interventions for weight management in postnatal women. Results were summarised both descriptively and statistically using a mega meta-analysis of data from randomised controlled trials included in previous systematic reviews. Nine systematic reviews met our inclusion criteria. Overall the reviews concluded that lifestyle interventions involving physical activity and/or dietary changes resulted in a reduction in postnatal weight. Results from the overall mega meta-analysis confirmed this finding with a mean difference of -1.7kg (95% CI -2.3, -1.1). Findings for subgroup analyses gave mean differences of -1.9kg (95% CI -2.9, -1.0) for combined diet and physical activity interventions, -1.6kg (95% CI -2.1, -1.2) for physical activity only interventions, and -9.3kg (95% CI -16.5, -2.1) for diet only interventions (one study). Heterogeneity varied from 0% to 68%. Interventions involving lifestyle interventions appeared to be effective in reducing weight in postnatal women, although these findings should be interpreted with some caution due to statistical heterogeneity.

Details

Original languageEnglish
JournalObesity Reviews
Early online date2 Apr 2019
Publication statusE-pub ahead of print - 2 Apr 2019