Short- and Longterm Effects of Physical Activity and Dietary Restriction Postpartum (LEVA)
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Purpose
The study will investigate whether physical exercise, or dietary restrictions, or a combination of both, among overweight and obese postpartum women lead to a significantly larger reduction in weight in a longer perspective, compared to similar women not receiving the intervention. The study also will investigate the effects on body composition, cardiovascular fitness, blood lipids, insulin levels and inflammation markers. In total, 68 women with pre-pregnancy BMI 25 - 34.9 will be randomized at 10 wk postpartum into: (1) physical exercise, (2) dietary restrictions, (3) physical exercise + dietary restrictions and (4) control group. The intervention lasts for 12 wk and longterm effects are measured 1 yr after trial initiation. To date only studies showing short term (12 wk) effects exist. Our study is the first to include four intervention groups, so that separate effects of physical activity and dietary restriction and their interaction, can be assessed. Further, the investigators will estimate effects on body composition taking body water into account and estimate total energy expenditure with higher precision than previously. Overweight and obesity is an escalating problem in Sweden. Sustainable weight reduction programs are urgently needed. During the postpartum period, women may be motivated to lose weight. Information aimed at promoting life style changes among overweight and obese women could in a longer perspective be integrated in the regular maternal health care in Sweden.
| Condition | Intervention |
|---|---|
|
Obesity |
Behavioral: Diet Behavioral: Exercise Behavioral: Diet and Exercise |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Short- and Longterm Effects of Physical Activity and Dietary Restriction Postpartum on Women's Weight and Body Composition: a Randomized Study |
- Body weight [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]Weight loss after 12 weeks intervention
- body composition [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]Change in body composition after 12 weeks intervention
| Enrollment: | 76 |
| Study Start Date: | May 2007 |
| Study Completion Date: | June 2011 |
| Primary Completion Date: | August 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Diet
12 week diet modification intervention by dietician
|
Behavioral: Diet
12 week diet behavior modification
|
|
Experimental: Exercise
12 week physical exercise modification intervention by physical therapist
|
Behavioral: Exercise
12 week exercise behavioral intervention
|
|
Experimental: Diet and Exercise
12 week diet and exercise behavioral modification by dietician and physical therapist
|
Behavioral: Diet and Exercise
12 week diet and exercise behavioral modification intervention
|
|
No Intervention: Control
Standard procedure
|
Eligibility| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- prepregnant BMI 25-35
- non smoking, single term birth
- intention to breastfeed exclusively for 6 mo
Exclusion Criteria:
- Diseases or medication in mother or child
Contacts and Locations| Sweden | |
| The University of Gothenburg | |
| Gothenburg, Sweden, 40530 | |
| Principal Investigator: | Anna Winkvist, PhD | The Unviersity of Gothenburg |
More Information
No publications provided by Göteborg University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Göteborg University |
| ClinicalTrials.gov Identifier: | NCT01343238 History of Changes |
| Other Study ID Numbers: | K2009-70X-21091-01-3, FAS Dnr: 2006-0339 |
| Study First Received: | April 26, 2011 |
| Last Updated: | August 29, 2012 |
| Health Authority: | Sweden: Regional Ethical Review Board |
Keywords provided by Göteborg University:
|
obesity diet exercise |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013