Journal
NUTRIENTS
Volume 13, Issue 4, Pages -Publisher
MDPI
DOI: 10.3390/nu13041310
Keywords
postnatal; postpartum lifestyle; maternal diet; dietary behaviour; physical activity; smoking; obesity prevention; lifestyle intervention; primary care
Categories
Funding
- Else Kroner-Fresenius Foundation, Bad Homburg, Germany [5140889]
- Competence Centre for Nutrition (KErn) in Bavaria
- Bavarian State Ministry of Food, Agriculture and Forestry
- Bavarian State Ministry of Health and Care (Health Initiative Gesund.Leben.Bayern.)
- AOK Bayern
- largest statutory health insurance in Bavaria
- DEDIPAC consortium by the Joint Programming Initiative (JPI) A Healthy Diet for a Healthy Life
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Lifestyle interventions during pregnancy have a modestly positive impact on postpartum maternal dietary and smoking behaviors, with reductions in fast food and soft drink intake, increased vegetable consumption, and healthier oil usage noted in the intervention group. The overall dietary quality was also improved in the intervention group, while trends towards improved physical activity behavior were observed.
Lifestyle interventions during pregnancy were shown to beneficially influence maternal dietary behaviour and physical activity, but their effect on health behaviour after delivery is unclear. The objective of this secondary analysis was to investigate the sustained effect of a lifestyle intervention in routine care on maternal health behaviour during the first year postpartum. The cluster-randomised controlled Healthy living in pregnancy (GeliS) study included 2286 pregnant women. Data on maternal health behaviour were collected at 6-8 weeks (T1pp) and one year postpartum (T2pp) using validated questionnaires. The intervention group showed a lower mean intake of fast food (T1pp: p = 0.016; T2pp: p < 0.001) and soft drinks (T1pp: p < 0.001), a higher mean intake of vegetables (T2pp: p = 0.015) and was more likely to use healthy oils for meal preparation than the control group. Dietary quality rated by a healthy eating index was higher in the intervention group (T1pp: p = 0.093; T2pp: p = 0.043). There were minor trends towards an intervention effect on physical activity behaviour. The proportion of smokers was lower in the intervention group (p < 0.001, both time points). The lifestyle intervention within routine care modestly improved maternal postpartum dietary and smoking behaviours.
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