1. Determinants of successful lifestyle change during a 6-month preconception lifestyle intervention in women with obesity and infertility
- Author
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Karsten, Matty D. A., van Oers, Anne M., Groen, Henk, Mutsaerts, Meike A. Q., van Poppel, Mireille N. M., Geelen, Anouk, van de Beek, Cornelieke, Painter, Rebecca C., Mol, Ben W. J., Roseboom, Tessa J., Hoek, Annemieke, Burggraaff, J. M., Kuchenbecker, W. K. H., Perquin, D. A. M., Koks, C. A. M., van Golde, R., Kaaijk, E. M., Schierbeek, J. M., Oosterhuis, G. J. E., Broekmans, F. J., Vogel, N. E. A., Lambalk, C. B., van der Veen, F., Klijn, N. F., Mercelina, P. E. A. M., van Kasteren, Y. M., Nap, A. W., Mulder, R. J. A. B., Gondrie, E. T. C. M., de Bruin, J. P., Obstetrie & Gynaecologie, MUMC+: MA Medische Staf Obstetrie Gynaecologie (9), RS: GROW - R4 - Reproductive and Perinatal Medicine, Reproductive Origins of Adult Health and Disease (ROAHD), Value, Affordability and Sustainability (VALUE), Public and occupational health, Pediatric surgery, Obstetrics and gynaecology, Amsterdam Reproduction & Development (AR&D), ACS - Atherosclerosis & ischemic syndromes, Amsterdam Neuroscience - Cellular & Molecular Mechanisms, Plastic, Reconstructive and Hand Surgery, APH - Aging & Later Life, APH - Health Behaviors & Chronic Diseases, Graduate School, Obstetrics and Gynaecology, and Epidemiology and Data Science
- Subjects
Counseling ,Male ,0301 basic medicine ,Gerontology ,Lifestyle intervention ,DIABETES PREVENTION PROGRAM ,TERM WEIGHT-LOSS ,Nutrition and Disease ,Psychological intervention ,Medicine (miscellaneous) ,Overweight ,0302 clinical medicine ,Weight loss ,Voeding en Ziekte ,SOCIOECONOMIC-STATUS ,PREDICTORS ,Determinants ,Nutrition and Dietetics ,Preconception ,Original Contribution ,3. Good health ,Weight Reduction Programs ,PREGNANCY ,Female ,medicine.symptom ,Adult ,Infertility ,Adolescent ,030209 endocrinology & metabolism ,HEALTH BEHAVIOR ,Health Promotion ,CLASSIFICATION ,Young Adult ,03 medical and health sciences ,Intervention (counseling) ,Weight Loss ,CORONARY RISK-FACTORS ,medicine ,Humans ,Obesity ,Exercise ,Life Style ,Socioeconomic status ,VLAG ,Pregnancy ,030109 nutrition & dietetics ,OVERWEIGHT ,business.industry ,Feeding Behavior ,ADULTS ,medicine.disease ,business ,Program Evaluation - Abstract
Purpose To identify demographic, (bio)physical, behavioral, and psychological determinants of successful lifestyle change and program completion by performing a secondary analysis of the intervention arm of a randomized-controlled trial, investigating a preconception lifestyle intervention. Methods The 6-month lifestyle intervention consisted of dietary counseling, physical activity, and behavioral modification, and was aimed at 5–10% weight loss. We operationalized successful lifestyle change as successful weight loss (≥ 5% weight/BMI ≤ 29 kg/m2), weight loss in kilograms, a reduction in energy intake, and an increase in physical activity during the intervention program. We performed logistic and mixed-effect regression analyses to identify baseline factors that were associated with successful change or program completion. Results Women with higher external eating behavior scores had higher odds of successful weight loss (OR 1.10, 95% CI 1.05–1.16). Women with the previous dietetic support lost 0.94 kg less during the intervention period (95% CI 0.01–1.87 kg). Women with higher self-efficacy reduced energy intake more than women with lower self-efficacy (p
- Published
- 2019
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