Trial Outcomes & Findings for Gestational Weight Gain and Postpartum Weight Loss in Active Duty Women (Moms Fit 2 Fight) (NCT NCT03057808)

Last Updated: 2022-12-23

Results Overview

At all measurement visits, weight will be recorded in kilograms. Weight will be measured on a calibrated digital scale in duplicate, with the participant wearing light clothing and no shoes. While Investigators obtain the mother's weight at baseline, there will also be a self reported pregravid weight (before the last menstrual period).

Recruitment status

COMPLETED

Study phase

Target enrollment

430 participants

Primary outcome timeframe

Baseline to 6 months postpartum

Results posted on

2022-12-23

Participant Flow

Initially, participants were required to receive obstetric care at either San Antonio Military Medical Center or Wilford Hall Ambulatory Surgical Center. With the obstetric clinic closure at Wilford Hall Ambulatory Surgical Center in October 2019 and the coronavirus pandemic, recruitment was expanded to include obstetric clinics at Andrews and Wright Patterson Air Force Bases in July 2020. Interested individuals were recruited between February 2017 to October 2020.

Potentially eligible participants presented for a screening visit where full eligibility was assessed, informed consent was obtained, and study measures were collected. Participants were then asked to track their diet and exercise for one week and obtain their obstetrician's clearance for participation. Active duty personnel were also required to submit their fitness test scores for the year prior to study enrollment, to facilitate comparisons with their postpartum fitness test scores.

Participant milestones

Participant milestones
Measure	Gestational Weight Gain Intervention (GWG-only) The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.	Postpartum Weight Loss Intervention (PPWL-only) The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Combined During the gestational phase participants will receive the same intervention as the GWG only group. During the postpartum phase participants will receive the the same intervention as the PPWL group. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Overall Study STARTED	144	142	144
Overall Study 32-36 Weeks Gestation	129	129	120
Overall Study COMPLETED	132	121	127
Overall Study NOT COMPLETED	12	21	17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gestational Weight Gain and Postpartum Weight Loss in Active Duty Women (Moms Fit 2 Fight)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Gestational Weight Gain Intervention (GWG-only) n=144 Participants The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.	Postpartum Weight Loss Intervention (PPWL-only) n=142 Participants The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Combined n=144 Participants During the gestational phase participants will receive the same intervention as the GWG only group. During the postpartum phase participants will receive the the same intervention as the PPWL group. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Total n=430 Participants Total of all reporting groups
Age, Continuous	30.9 years STANDARD_DEVIATION 4.9 • n=93 Participants	30.4 years STANDARD_DEVIATION 4.8 • n=4 Participants	30.6 years STANDARD_DEVIATION 4.8 • n=27 Participants	30.6 years STANDARD_DEVIATION 4.9 • n=483 Participants
Sex: Female, Male Female	144 Participants n=93 Participants	142 Participants n=4 Participants	144 Participants n=27 Participants	430 Participants n=483 Participants
Sex: Female, Male Male	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants	0 Participants n=483 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	22 Participants n=93 Participants	21 Participants n=4 Participants	29 Participants n=27 Participants	72 Participants n=483 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	122 Participants n=93 Participants	121 Participants n=4 Participants	115 Participants n=27 Participants	358 Participants n=483 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants	0 Participants n=483 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=93 Participants	0 Participants n=4 Participants	2 Participants n=27 Participants	2 Participants n=483 Participants
Race (NIH/OMB) Asian	2 Participants n=93 Participants	5 Participants n=4 Participants	6 Participants n=27 Participants	13 Participants n=483 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	2 Participants n=93 Participants	0 Participants n=4 Participants	3 Participants n=27 Participants	5 Participants n=483 Participants
Race (NIH/OMB) Black or African American	20 Participants n=93 Participants	22 Participants n=4 Participants	22 Participants n=27 Participants	64 Participants n=483 Participants
Race (NIH/OMB) White	101 Participants n=93 Participants	99 Participants n=4 Participants	92 Participants n=27 Participants	292 Participants n=483 Participants
Race (NIH/OMB) More than one race	5 Participants n=93 Participants	3 Participants n=4 Participants	13 Participants n=27 Participants	21 Participants n=483 Participants
Race (NIH/OMB) Unknown or Not Reported	14 Participants n=93 Participants	13 Participants n=4 Participants	6 Participants n=27 Participants	33 Participants n=483 Participants
Region of Enrollment United States	144 participants n=93 Participants	142 participants n=4 Participants	144 participants n=27 Participants	430 participants n=483 Participants
Body mass index	27.6 Kg/m^2 STANDARD_DEVIATION 5.3 • n=93 Participants	27.7 Kg/m^2 STANDARD_DEVIATION 5.5 • n=4 Participants	27.6 Kg/m^2 STANDARD_DEVIATION 5.0 • n=27 Participants	27.6 Kg/m^2 STANDARD_DEVIATION 5.2 • n=483 Participants
Gestational week at screening	11.8 weeks STANDARD_DEVIATION 1.1 • n=93 Participants	11.6 weeks STANDARD_DEVIATION 1.2 • n=4 Participants	11.8 weeks STANDARD_DEVIATION 1.0 • n=27 Participants	11.7 weeks STANDARD_DEVIATION 1.1 • n=483 Participants
Active duty	70 Participants n=93 Participants	64 Participants n=4 Participants	70 Participants n=27 Participants	204 Participants n=483 Participants
Previous live birth	80 Participants n=93 Participants	80 Participants n=4 Participants	80 Participants n=27 Participants	240 Participants n=483 Participants

PRIMARY outcome

Timeframe: Baseline to 6 months postpartum

Population: Those who completed the 6 month postpartum visit

Outcome measures

Outcome measures
Measure	Gestational Weight Gain Intervention (GWG-only) n=132 Participants The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.	Postpartum Weight Loss Intervention (PPWL-only) n=121 Participants The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Combined n=127 Participants During the gestational phase participants will receive the same intervention as the GWG only group. During the postpartum phase participants will receive the the same intervention as the PPWL group. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Changes in the Mother's Body Weight Pre and Post Pregnancy	2.39 kilograms Standard Deviation 5.36	1.25 kilograms Standard Deviation 5.40	1.37 kilograms Standard Deviation 5.76

SECONDARY outcome

Timeframe: Baseline (13 weeks gestational to delivery)

Population: Those who delivered in military hospitals, with some missing data for some of the variables. The two conditions that received the same intervention during the gestational period (GWG-only, Combined) were combined for analyses and compared to the PPWL-only condition.

Pregnancy-related medical outcomes will be obtained from the participant's medical record and will include: maternal (e.g., gestational diabetes, preeclampsia) and fetal conditions.

Outcome measures

Outcome measures
Measure	Gestational Weight Gain Intervention (GWG-only) n=233 Participants The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.	Postpartum Weight Loss Intervention (PPWL-only) n=115 Participants The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Combined During the gestational phase participants will receive the same intervention as the GWG only group. During the postpartum phase participants will receive the the same intervention as the PPWL group. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Maternal and Fetal Conditions During Pregnancy Cesarean delivery (emergency)	39 Participants	14 Participants	—
Maternal and Fetal Conditions During Pregnancy Preeclampsia	22 Participants	13 Participants	—
Maternal and Fetal Conditions During Pregnancy Pregancy inducaed hypertension	35 Participants	26 Participants	—
Maternal and Fetal Conditions During Pregnancy Gestational diabetes	17 Participants	13 Participants	—
Maternal and Fetal Conditions During Pregnancy Cesarean delivery (elective)	36 Participants	18 Participants	—
Maternal and Fetal Conditions During Pregnancy Preterm delivery (<37 weeks)	14 Participants	7 Participants	—
Maternal and Fetal Conditions During Pregnancy Small-for-gestational age (<10th percentile)	15 Participants	7 Participants	—
Maternal and Fetal Conditions During Pregnancy Large-for-gestational age (> 90th percentile)	19 Participants	9 Participants	—
Maternal and Fetal Conditions During Pregnancy Neonatal Intensive Care Unit admission)	19 Participants	12 Participants	—

SECONDARY outcome

Timeframe: Delivery

Population: For participants who delivered at a military hospital. The two conditions that received the same intervention during the gestational period (GWG-only, Combined) were combined for analyses and compared to the PPWL-only condition.

Birth weight of the infant will be recorded in grams.

Outcome measures

Outcome measures
Measure	Gestational Weight Gain Intervention (GWG-only) n=225 Participants The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.	Postpartum Weight Loss Intervention (PPWL-only) n=106 Participants The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Combined During the gestational phase participants will receive the same intervention as the GWG only group. During the postpartum phase participants will receive the the same intervention as the PPWL group. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Birth Weight of Infant	3363.5 grams Standard Deviation 529.1	3365.3 grams Standard Deviation 545.8	—

SECONDARY outcome

Timeframe: Delivery

Birth height of the infant will be recorded in centimeters.

Outcome measures

Outcome measures
Measure	Gestational Weight Gain Intervention (GWG-only) n=209 Participants The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.	Postpartum Weight Loss Intervention (PPWL-only) n=100 Participants The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Combined During the gestational phase participants will receive the same intervention as the GWG only group. During the postpartum phase participants will receive the the same intervention as the PPWL group. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Length of Infant	51.3 centimeters Standard Deviation 2.8	50.8 centimeters Standard Deviation 4.0	—

SECONDARY outcome

Timeframe: Baseline and 12 months postpartum

Population: Due to the coronavirus pandemic, military fitness tests were suspended for approximately 18 months, which did not allow for postpartum fitness tests to be conducted at the designated time.

Waist circumference will be recorded in centimeters.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and 12 months postpartum

Population: Due to the COVID-19 pandemic, military fitness tests were suspended for approximately 18 months, which did not allow for postpartum fitness tests to be conducted at the designated time.

Number of push ups completed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and 12 months postpartum

Population: Due to the COVID-19 pandemic, military fitness tests were suspended for approximately 18 months, which did not allow for postpartum fitness tests to be conducted at the designated time.

Number of sit ups completed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and 12 months postpartum

Population: Due to the COVID-19 pandemic, military fitness tests were suspended for approximately 18 months, which did not allow for postpartum fitness tests to be conducted at the designated time.

The amount of time it took to complete 1.5 miles.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months postpartum

Population: Includes participants who completed the 12 month program satisfaction measure and did not indicate "don't know"

Program satisfaction will be assessed using the Investigators program evaluation form to offer insight into program acceptability as well as barriers and facilitators to participation in each intervention arm. Participants will be given 10 statements to rate their experience using a 5 point scale.

Outcome measures

Outcome measures
Measure	Gestational Weight Gain Intervention (GWG-only) n=111 Participants The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.	Postpartum Weight Loss Intervention (PPWL-only) n=103 Participants The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Combined n=109 Participants During the gestational phase participants will receive the same intervention as the GWG only group. During the postpartum phase participants will receive the the same intervention as the PPWL group. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Moms Fit 2 Fight Program Evaluation Form Appropriate length of sessions	100 Participants	92 Participants	92 Participants
Moms Fit 2 Fight Program Evaluation Form Appropriate number of sessions	90 Participants	85 Participants	93 Participants
Moms Fit 2 Fight Program Evaluation Form Lesson materials were helpful	82 Participants	75 Participants	71 Participants
Moms Fit 2 Fight Program Evaluation Form Diet/Exercise monitoring was helpful	95 Participants	86 Participants	90 Participants
Moms Fit 2 Fight Program Evaluation Form Electronic scale was helpful	104 Participants	98 Participants	109 Participants
Moms Fit 2 Fight Program Evaluation Form Meal replacements were helpful	29 Participants	31 Participants	32 Participants
Moms Fit 2 Fight Program Evaluation Form Meal plans were helpful	31 Participants	29 Participants	27 Participants
Moms Fit 2 Fight Program Evaluation Form Would recommend the program	104 Participants	99 Participants	96 Participants
Moms Fit 2 Fight Program Evaluation Form Found the program useful	96 Participants	88 Participants	93 Participants
Moms Fit 2 Fight Program Evaluation Form Enjoyed the program	95 Participants	87 Participants	96 Participants

Adverse Events

Gestational Weight Gain Intervention (GWG-only)

Serious events: 23 serious events

Other events: 30 other events

Deaths: 0 deaths

Postpartum Weight Loss Intervention (PPWL-only)

Serious events: 13 serious events

Other events: 38 other events

Deaths: 0 deaths

Combined

Serious events: 22 serious events

Other events: 46 other events

Deaths: 0 deaths

Serious adverse events

Other adverse events

Other adverse events
Measure	Gestational Weight Gain Intervention (GWG-only) n=144 participants at risk The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.	Postpartum Weight Loss Intervention (PPWL-only) n=142 participants at risk The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.	Combined n=144 participants at risk During the gestational phase participants will receive the same intervention as the GWG only group. During the postpartum phase participants will receive the the same intervention as the PPWL group. Gestational weight gain intervention: This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving. Postpartum weight loss intervention: The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists. (The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals). The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Infections and infestations Common cold	6.2% 9/144 • Number of events 9 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	8.5% 12/142 • Number of events 12 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	13.9% 20/144 • Number of events 20 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit
Psychiatric disorders Depressive symptoms	8.3% 12/144 • Number of events 12 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	9.9% 14/142 • Number of events 14 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	11.8% 17/144 • Number of events 17 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit
Pregnancy, puerperium and perinatal conditions Gestational diabetes	7.6% 11/144 • Number of events 11 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	4.2% 6/142 • Number of events 6 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	9.0% 13/144 • Number of events 13 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit
Musculoskeletal and connective tissue disorders Back pain	2.8% 4/144 • Number of events 4 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	2.1% 3/142 • Number of events 3 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	6.9% 10/144 • Number of events 10 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit
Infections and infestations COVID-19	1.4% 2/144 • Number of events 2 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	5.6% 8/142 • Number of events 8 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit	1.4% 2/144 • Number of events 2 • From study enrollment/consent to 12 months postpartum (approximately 20 months) At each data collection visit, the participants were asked if they experienced any changes in their health since the last visit

Additional Information

Dr. Rebecca Krukowski

University of Virginia

Phone: 4349245303

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place