{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T05:38:07Z","timestamp":1788068287429,"version":"build-2784847793"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD078407"],"award-info":[{"award-number":["R01HD078407"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to evaluate the effects of an antenatal behavioral lifestyle intervention on total gestational weight gain (GWG) and perinatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pregnant women with overweight and obesity in South Carolina were recruited into a theory\u2010based randomized controlled trial (<jats:italic>n<\/jats:italic>\u2009=\u2009112 intervention, <jats:italic>n<\/jats:italic>\u2009=\u2009105 standard care), which was designed to target weight self\u2010monitoring, increased physical activity, and improved dietary practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants were racially\/ethnically diverse (44% African American). Intervention and standard care participants had similar total GWG at delivery (12.9\u2009\u00b1\u20096.9 vs. 12.4\u2009\u00b1\u20098.3 kg, respectively), but intervention participants had a smaller standard deviation (<jats:italic>P<\/jats:italic>\u2009=\u20090.04) in total GWG. The treatment effects were moderated by race\/ethnicity and prepregnancy BMI. Among African American participants with overweight, intervention participants gained 4.5 kg less, whereas, among African American women with obesity, intervention participants gained 4.1 kg more than standard care participants. Total GWG among White participants was similar regardless of weight status and group assignment. Fewer intervention participants than standard care participants had adverse pregnancy outcomes (<jats:italic>P<\/jats:italic> \u2264 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The behavioral lifestyle intervention favorably impacted GWG in African American participants with overweight but not African American participants with obesity. The intervention\u2019s overall favorable impact on perinatal outcomes suggests that the mechanisms beyond total GWG may drive these outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.23119","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T04:09:37Z","timestamp":1614053377000},"page":"672-680","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["A Behavioral Lifestyle Intervention to Limit Gestational Weight Gain in Pregnant Women with Overweight and Obesity"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8685-3036","authenticated-orcid":false,"given":"Jihong","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics Arnold School of Public Health University of South Carolina Columbia South Carolina USA"},{"name":"Prevention Research Center Arnold School of Public Health University of South Carolina Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4992-4610","authenticated-orcid":false,"given":"Sara","family":"Wilcox","sequence":"additional","affiliation":[{"name":"Prevention Research Center Arnold School of Public Health University of South Carolina Columbia South Carolina USA"},{"name":"Department of Exercise Science Arnold School of Public Health University of South Carolina Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4069-4871","authenticated-orcid":false,"given":"Ellen","family":"Wingard","sequence":"additional","affiliation":[{"name":"Prevention Research Center Arnold School of Public Health University of South Carolina Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1683-5729","authenticated-orcid":false,"given":"Gabrielle","family":"Turner\u2010McGrievy","sequence":"additional","affiliation":[{"name":"Prevention Research Center Arnold School of Public Health University of South Carolina Columbia South Carolina USA"},{"name":"Department of Health Promotion, Education, and Behavior Arnold School of Public Health University of South Carolina Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3393-8057","authenticated-orcid":false,"given":"Brent","family":"Hutto","sequence":"additional","affiliation":[{"name":"Prevention Research Center Arnold School of Public Health University of South Carolina Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Burgis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine University of South Carolina Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2013.02.015"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.6458"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000739"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6443a3"},{"key":"e_1_2_12_6_1","volume-title":"Weight Gain During Pregnancy: Reexamining the Guidelines","author":"Rasmussen KM","year":"2009"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.01.030"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12706"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.3635"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/524939"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-4887.2004.tb00079.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12691"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-10-47"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.39"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.nutr.28.061807.155322"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22070"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21240"},{"key":"e_1_2_12_18_1","unstructured":"Centers for Disease Control and Prevention. 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