Ripple Effect of Lifestyle Interventions During Pregnancy on Untreated Partners' Weight.

Todd A Hagobian, Suzanne Phelan, Andrew Schaffner, Anna Brannen, Angelica McHugh, Maxine Ashby-Thompson, Amy A Gorin, Xavier Pi-Sunyer, Dympna Gallagher, Rena Wing
Author Information
  1. Todd A Hagobian: Department of Kinesiology and Public Health, California Polytechnic State University, San Luis Obispo, California, USA. ORCID
  2. Suzanne Phelan: Department of Kinesiology and Public Health, California Polytechnic State University, San Luis Obispo, California, USA. ORCID
  3. Andrew Schaffner: Center for Health Research, California Polytechnic State University, San Luis Obispo, California, USA.
  4. Anna Brannen: Department of Kinesiology and Public Health, California Polytechnic State University, San Luis Obispo, California, USA.
  5. Angelica McHugh: Department of Psychiatry, The Miriam Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
  6. Maxine Ashby-Thompson: Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
  7. Amy A Gorin: Department of Psychological Sciences, Institute for Collaboration on Health, Intervention and Policy, University of Connecticut, Storrs, Connecticut, USA. ORCID
  8. Xavier Pi-Sunyer: Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
  9. Dympna Gallagher: Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
  10. Rena Wing: Department of Psychiatry, The Miriam Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA. ORCID

Abstract

OBJECTIVE: Weight-loss interventions have a positive "ripple effect" on untreated partners' weight, but ripple effects in pregnancy are unknown. The objective of this study was to determine whether prenatal lifestyle interventions that reduce gestational weight gain in pregnant women have a positive ripple effect on untreated partners' weight.
METHODS: Two clinical trials with the same outcome measures randomly assigned pregnant women to a lifestyle intervention or usual care. Untreated partners were randomly assigned according to their pregnant partner's group allocation and were assessed at study entry (~13 weeks' gestation), 35 weeks' gestation, and 6 and 12 months after delivery.
RESULTS: A total of 122 partners (100% male, 23% Hispanic, 82% married, and 48% with obesity) were randomly assigned to the intervention (n = 59) or usual care (n = 63). There was no intervention or intervention-by-time interaction effect on partner weight (P = 0.795). Partner weight changes were not statistically significant (P = 0.120) from study entry to 35 weeks' gestation (mean 0.19 kg; 95% CI: -0.73 to 1.24) or to 12 months after delivery (mean 0.82 kg; 95% CI: -0.26 to 1.91).
CONCLUSIONS: There was no evidence of a ripple effect on partner weight. In a self-selected sample, partners of pregnant women appeared not to experience sympathy weight gain.

Associated Data

ClinicalTrials.gov | NCT01770028

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Grants

  1. R01 HL118208/NHLBI NIH HHS

MeSH Term

Adult
Female
Humans
Life Style
Male
Obesity
Pregnancy
Pregnancy Complications

Word Cloud

Created with Highcharts 10.0.0weightpregnantripplestudywomeneffectrandomlyassignedinterventionpartnersgestationinterventionspositiveuntreatedpartners'lifestylegainusualcareUntreatedentry35 weeks'12 monthsdeliverypartnerP = 0mean095%CI:-01OBJECTIVE:Weight-loss"rippleeffect"effectspregnancyunknownobjectivedeterminewhetherprenatalreducegestationalMETHODS:Twoclinicaltrialsoutcomemeasuresaccordingpartner'sgroupallocationassessed~13 weeks'6RESULTS:total122100%male23%Hispanic82%married48%obesityn = 59n = 63intervention-by-timeinteraction795Partnerchangesstatisticallysignificant12019 kg732482 kg2691CONCLUSIONS:evidenceself-selectedsampleappearedexperiencesympathyRippleEffectLifestyleInterventionsPregnancyPartners'Weight

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