An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries

Rosemary Estevez Burns; Marion E. Hare; Aline Andres; Robert C. Klesges; Gerald Wayne Talcott; Karen LeRoy; Melissa A. Little; Ann Hyrshko-Mullen; Teresa M. Waters; Jean R. Harvey; Zoran Bursac; Rebecca A. Krukowski

doi:10.1002/oby.23523

An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries

Rosemary Estevez Burns, Marion E. Hare, Aline Andres, Robert C. Klesges, Gerald Wayne Talcott, Karen LeRoy, Melissa A. Little, Ann Hyrshko-Mullen, Teresa M. Waters, Jean R. Harvey, Zoran Bursac, Rebecca A. Krukowski

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Objective: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active-duty personnel and other TRICARE beneficiaries who received a stepped-care GWG intervention compared with those who did not receive a GWG intervention. Method: Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention. Results: Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes. Conclusions: The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost-effective, it may be sustainably integrated throughout the military prenatal care system.

Original language	English
Pages (from-to)	1951-1962
Number of pages	12
Journal	Obesity
Volume	30
Issue number	10
DOIs	https://doi.org/10.1002/oby.23523
State	Published - Oct 2022

Bibliographical note

Funding Information:
We gratefully acknowledge the contributions of the research participants and staff, without whom this research would not have been possible. We also acknowledge the contributions of the health care providers in the obstetric clinics at Wilford Hall, San Antonio Military Medical Center, Andrews Air Force Base, and Wright-Patterson Air Force Base. Specifically, we recognize the support of Dr. Deirdre McCullough, Dr. Veronica Gonzalez-Brown, Dr. Callie Cox-Bauer, Dr. Kaela Pearce, Dr. Dalia Garcia, Heather Wolfe, Dr. Jason Massengill, and Dr. Bao Tram Thi Nguyen. We gratefully acknowledge the donation of some of the meal replacements and snacks from ConAgra Foods, Inc., and the partnership with BodyTrace. The data are available upon request to the corresponding author (Rebecca Krukowski).

Funding Information:
The study was funded by the National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK104872) of the National Institutes of Health, with the title of “Behavioral Weight Management for Pregnant and Postpartum Women in the Military” (Rebecca A. Krukowski, Principal Investigator). The research represents a Collaborative Research and Development Agreement with the United States Air Force (CRADA #18–282‐59MDW‐C19002). The opinions expressed in this document are solely those of the authors and do not represent an endorsement by or the views of the US Air Force, the Department of Defense, or the US Government.

Publisher Copyright:
© 2022 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society (TOS).

ASJC Scopus subject areas

Medicine (miscellaneous)
Endocrinology, Diabetes and Metabolism
Endocrinology
Nutrition and Dietetics

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/oby.23523

Cite this

@article{8a485a2d071d4412900197016710535e,

title = "An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries",

abstract = "Objective: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active-duty personnel and other TRICARE beneficiaries who received a stepped-care GWG intervention compared with those who did not receive a GWG intervention. Method: Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention. Results: Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes. Conclusions: The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost-effective, it may be sustainably integrated throughout the military prenatal care system.",

author = "{Estevez Burns}, Rosemary and Hare, {Marion E.} and Aline Andres and Klesges, {Robert C.} and Talcott, {Gerald Wayne} and Karen LeRoy and Little, {Melissa A.} and Ann Hyrshko-Mullen and Waters, {Teresa M.} and Harvey, {Jean R.} and Zoran Bursac and Krukowski, {Rebecca A.}",

note = "Funding Information: We gratefully acknowledge the contributions of the research participants and staff, without whom this research would not have been possible. We also acknowledge the contributions of the health care providers in the obstetric clinics at Wilford Hall, San Antonio Military Medical Center, Andrews Air Force Base, and Wright-Patterson Air Force Base. Specifically, we recognize the support of Dr. Deirdre McCullough, Dr. Veronica Gonzalez-Brown, Dr. Callie Cox-Bauer, Dr. Kaela Pearce, Dr. Dalia Garcia, Heather Wolfe, Dr. Jason Massengill, and Dr. Bao Tram Thi Nguyen. We gratefully acknowledge the donation of some of the meal replacements and snacks from ConAgra Foods, Inc., and the partnership with BodyTrace. The data are available upon request to the corresponding author (Rebecca Krukowski). Funding Information: The study was funded by the National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK104872) of the National Institutes of Health, with the title of “Behavioral Weight Management for Pregnant and Postpartum Women in the Military” (Rebecca A. Krukowski, Principal Investigator). The research represents a Collaborative Research and Development Agreement with the United States Air Force (CRADA #18–282‐59MDW‐C19002). The opinions expressed in this document are solely those of the authors and do not represent an endorsement by or the views of the US Air Force, the Department of Defense, or the US Government. Publisher Copyright: {\textcopyright} 2022 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society (TOS).",

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T1 - An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries

AU - Estevez Burns, Rosemary

AU - Hare, Marion E.

AU - Andres, Aline

AU - Klesges, Robert C.

AU - Talcott, Gerald Wayne

AU - LeRoy, Karen

AU - Little, Melissa A.

AU - Hyrshko-Mullen, Ann

AU - Waters, Teresa M.

AU - Harvey, Jean R.

AU - Bursac, Zoran

AU - Krukowski, Rebecca A.

N1 - Funding Information: We gratefully acknowledge the contributions of the research participants and staff, without whom this research would not have been possible. We also acknowledge the contributions of the health care providers in the obstetric clinics at Wilford Hall, San Antonio Military Medical Center, Andrews Air Force Base, and Wright-Patterson Air Force Base. Specifically, we recognize the support of Dr. Deirdre McCullough, Dr. Veronica Gonzalez-Brown, Dr. Callie Cox-Bauer, Dr. Kaela Pearce, Dr. Dalia Garcia, Heather Wolfe, Dr. Jason Massengill, and Dr. Bao Tram Thi Nguyen. We gratefully acknowledge the donation of some of the meal replacements and snacks from ConAgra Foods, Inc., and the partnership with BodyTrace. The data are available upon request to the corresponding author (Rebecca Krukowski). Funding Information: The study was funded by the National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK104872) of the National Institutes of Health, with the title of “Behavioral Weight Management for Pregnant and Postpartum Women in the Military” (Rebecca A. Krukowski, Principal Investigator). The research represents a Collaborative Research and Development Agreement with the United States Air Force (CRADA #18–282‐59MDW‐C19002). The opinions expressed in this document are solely those of the authors and do not represent an endorsement by or the views of the US Air Force, the Department of Defense, or the US Government. Publisher Copyright: © 2022 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society (TOS).

PY - 2022/10

Y1 - 2022/10

N2 - Objective: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active-duty personnel and other TRICARE beneficiaries who received a stepped-care GWG intervention compared with those who did not receive a GWG intervention. Method: Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention. Results: Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes. Conclusions: The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost-effective, it may be sustainably integrated throughout the military prenatal care system.

AB - Objective: Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study examines GWG outcomes among active-duty personnel and other TRICARE beneficiaries who received a stepped-care GWG intervention compared with those who did not receive a GWG intervention. Method: Participants (N = 430; 32% identified with an underrepresented racial group, 47% were active duty) were randomized to receive a GWG intervention or the comparison condition, which did not receive a GWG intervention. Results: Retention was 88% at 32 to 36 weeks' gestation. Participants who received the GWG intervention gained less weight compared with those who did not (mean [SD] = 10.38 [4.58] vs. 11.80 [4.87] kg, p = 0.0056). Participants who received the intervention were less likely to have excessive GWG compared with those who did not (54.6% vs. 66.7%, p = 0.0241). The intervention effects were significant for participants who identified as White, but not for those of other racial identities. There were no significant differences between the conditions in maternal/neonatal outcomes. Conclusions: The intervention successfully reduced excessive GWG, particularly among participants who identified as White. Should this intervention be found cost-effective, it may be sustainably integrated throughout the military prenatal care system.

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An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries

Abstract

Bibliographical note

ASJC Scopus subject areas

UN SDGs

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