Overweight and obesity in postpartum women Nutritional, Metabolic, Endocrine
Conditions
Interventions
Women will be recruited from all four countries in the UK using community based recruitment as well as signposting via routine contact with health professionals. Written informed consent will be obtai
Sponsors
Queen's University Belfast
Eligibility
Sex/Gender
Female
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Women (as per NICE Postnatal care guideline NG1941, for this trial, the term 'woman' is taken to include people who do not identify as women but are pregnant or have given birth) 2. Aged >18 years old 3. BMI =25 kg/m² 4. Have had a baby within the last two years
Exclusion criteria
Exclusion criteria: Current participant exclusion criteria as of 24/02/204: 1. Baby less than 6 weeks old 2. No access to a mobile phone to receive personal messages 3. Insufficient English to understand short written messages 4. Currently pregnant 5. Recent or planned bariatric surgery 6. Diagnosis of anorexia nervosa or bulimia by a doctor 7. On a specialist diet and receiving dietetic care 8. Taking part in another weight management research study/programme currently, or in the last 3 months Previous participant exclusion criteria: 1. Baby less than 6 weeks old 2. No access to a mobile phone to receive personal messages 3. Insufficient English to understand short written messages 4. Currently pregnant 5. Recent or planned bariatric surgery 6. Eating disorder 7. On a specialist diet and receiving dietetic care 8. Taking part in another weight management research study currently, or in the last 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 24/02/2024: Between-group difference in mean weight change (kg) measured using calibrated scales from baseline to 12 months Previous primary outcome measure: Weight change from baseline to 12 months (kg), measured using calibrated scales | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 06/10/2025: 1. Between-group difference in mean weight change (kg) from baseline to 6 months and baseline to 24 months, respectively. 2. Between-group difference in mean waist circumference (cm) measured by a flexible measuring tape at baseline, 6, 12 and 24 months. 3. Between-group difference in mean BMI (kg/m2) measured at baseline, 6, 12 and 24 months. 4. Between-group difference in proportions of women: i) gaining a substantial amount of weight (5 kg) at 12 and 24 months; ii) losing a substantial amount of weight (5 kg) between 12 and 24 months; iii) who have returned to their pre-pregnancy weight at 24 months; iv) who maintained a weight loss between 12 and 24 months. 5. Health behaviours are measured by: Fat and Fibre Barometer; self-report questionnaire on sugar and alcohol intake; International Physical Activity Questionnaire (IPAQ) - Short form; and self-report questionnaire on infant feeding practices (Infant Feeding Survey) measured at baseline, 6, 12 and 24 months 6. Study acceptability is measured by: recruitment; retention; engagement with the two-way text messages during 12 months; self-reported questionnaire on participant satisfaction with SMS messages (at 6 and 12 months) and rating of intervention (at 12 months); and qualitative interviews (at 6 and 12 months), 7. Economic evaluation outcomes are measured by: self-report questionnaire on health service resources use, prescribed and over-the counter medication usage and lifestyle-related costs; the EuroQol 5-dimension (EQ-5D-5L with visual analogue scale) quality of life questionnaire; and the ICEpop Capability Measure for Adults (ICECAP-A) at baseline, 6, 12 and 24 months 8. Moderators of intervention effect are measured by: Edinburgh Postnatal Depression Scale (EPDS); Generalised Anxiety Disorder (GAD-7); Pittsburgh Sleep Quality Index; and self-report questionnaire on confidence and desire for weight loss and maintenance at baseline, 6, 12 and 24 months 9 | — |
Countries
England, Northern Ireland, Scotland, United Kingdom, Wales
Outcome results
None listed