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Pregnancy Hypertens. 2014 Jul;4(3):236-7. doi: 10.1016/j.preghy.2014.03.023. Epub 2014 Jul 09.

Evaluation of 'Just4Mums' - A community based healthy eating and physical activity course for obese pregnant women.

Pregnancy hypertension

Ellinor K Olander, Lou Atkinson, David P French

Affiliations

  1. City University London, United Kingdom.

PMID: 26104626 DOI: 10.1016/j.preghy.2014.03.023

Abstract

UNLABELLED: Current NICE guidelines state that women in England need to be supported regarding eating healthily and being physically active during pregnancy. In response to these guidelines, the Just4Mums service was developed - a free six week community-based course for obese (BMI⩾30) pregnant women. The service encouraged a healthy weight gain in pregnancy through the provision of information on healthy eating and opportunities to be physically active. The aim of this evaluation was to provide preliminary evidence on efficacy.

METHODS: Participants' were assessed at the beginning and end of the course, in terms of healthy eating and physical activity (PA) behaviour, mental well-being, and mediating variables (i.e. intentions, self-efficacy and attitudes towards healthy eating and PA).

RESULTS: Thirty-four out of 60 women (57%) women completed the course. There were few differences between those women who completed and did not complete the course. After attending the service, the intention-to-treat analysis showed an improvement in healthy eating (higher intake of fruit and vegetables, lower intake of fast food), no change in PA, reduction in sedentary behaviour and an improvement in mental well-being. Participants also increased their attitude, intention and self-efficacy towards engaging in PA and intention to eat fruit and vegetables.

CONCLUSIONS: These findings suggest that women who completed the Just4Mums service improved their health behaviours. More research is needed to identify why so many women dropped out of the service.

Copyright © 2014.

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