{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T12:40:11Z","timestamp":1747658411041,"version":"3.40.5"},"reference-count":63,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Cardiometabolic disorders among childbearing women, particularly Black American women, contribute to adverse perinatal outcomes and long-term health consequences. Lifestyle interventions are critical approaches to improve cardiometabolic health.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>This integrative review synthesized evidence on lifestyle interventions promoting cardiometabolic health among Black women of childbearing age in the U.S.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A comprehensive search strategy was developed and applied across PubMed, CINAHL, the Web of Science Core Collection, and Scopus from the databases\u2019 inception through August 2023. Key inclusion criteria were Black American women of childbearing age, lifestyle interventions using an experimental\/quasi-experimental design conducted in the U.S., and cardiometabolic, health behavior, or psychosocial outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Thirty-three studies were included, with 29 (87%) using randomized controlled trials. Lifestyle interventions were primarily implemented during pregnancy and\/or postpartum periods, only two in pre-pregnancy stage. Health education (i.e. structured\/unstructured teaching on various lifestyle content) was the main intervention component. While many studies incorporated digital health technologies, only six leveraged mhealth tools (e.g., mobile health applications, internet-based platforms, social media) as the primary delivery method. Weight change was the most common cardiometabolic outcome, with five out of 13 studies showing significant reductions in gestational weight gain or postpartum weight retention. Of seven studies measuring other cardiometabolic outcomes (e.g., blood glucose), only one showed a significantly decreased incidence of hypertension. Three of 11 studies reported a significant increase in physical activity, and four out of ten showed significant improvement in dietary behaviors. Nine of the 15 studies measuring psychosocial outcomes found significant improvement, with five noting decreased depression. Common weaknesses included recruitment challenges, convenience sampling, small sample sizes, high attrition rates, and short post-intervention follow-up. Some studies adopting digital health technologies reported better retention rates and higher engagement.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The results suggest the potential impact of lifestyle interventions on weight reduction, increased physical activity, healthier dietary behaviors, and decreased depression. Future high-quality and powered studies are needed to investigate the efficacy of lifestyle interventions on cardiometabolic outcomes in this population by considering the use of digital health technologies to improve intervention recruitment, engagement and retention, including Black American women of childbearing age representing all socioeconomic levels, and targeting the pre-pregnancy stage.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s12884-025-07490-7","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T12:05:33Z","timestamp":1747656333000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifestyle interventions addressing cardiometabolic health among Black American women of reproductive age in the U.S. : an integrative review"],"prefix":"10.1186","volume":"25","author":[{"given":"Eyitayo O.","family":"Owolabi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kougang Anne","family":"Mbe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen L.","family":"Clancy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renaisa","family":"Anthony","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuqing","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"7490_CR1","unstructured":"National Academies of Sciences, Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Committee on National Statistics; Committee on Population; Committee on Rising Midlife Mortality Rates and Socioeconomic Disparities, Becker T, Majmundar MK, Harris KM, editors. High and Rising Mortality Rates Among Working-Age Adults. National Academies Press (US), Washington, DC. 2021."},{"key":"7490_CR2","unstructured":"Parker JD, Branum AM, Axelrad D, Cohen J. Adjusting national health and nutrition examination survey sample weights for women of childbearing age. Vital Health Stat 2. 2013;(157):1\u201320."},{"key":"7490_CR3","doi-asserted-by":"publisher","first-page":"832678","DOI":"10.3389\/fendo.2022.832678","volume":"13","author":"K Neal","year":"2022","unstructured":"Neal K, Ullah S, Glastras SJ. Obesity class impacts adverse maternal and neonatal outcomes independent of diabetes. Front Endocrinol. 2022;13:832678.","journal-title":"Front Endocrinol"},{"issue":"1","key":"7490_CR4","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1186\/s12884-023-05818-9","volume":"23","author":"SG Bromfield","year":"2023","unstructured":"Bromfield SG, Ma Q, DeVries A, Inglis T, Gordon AS. The association between hypertensive disorders during pregnancy and maternal and neonatal outcomes: a retrospective claims analysis. BMC Pregnancy Childbirth. 2023;23(1):514. https:\/\/doi.org\/10.1186\/s12884-023-05818-9.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"4","key":"7490_CR5","first-page":"170","volume":"1","author":"MA Leddy","year":"2008","unstructured":"Leddy MA, Power ML, Schulkin J. The impact of maternal obesity on maternal and fetal health. Reviews Obstet Gynecol. 2008;1(4):170.","journal-title":"Reviews Obstet Gynecol"},{"issue":"9677","key":"7490_CR6","doi-asserted-by":"publisher","first-page":"1773","DOI":"10.1016\/S0140-6736(09)60731-5","volume":"373","author":"L Bellamy","year":"2009","unstructured":"Bellamy L, Casas J-P, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009;373(9677):1773\u20139.","journal-title":"Lancet"},{"issue":"6","key":"7490_CR7","doi-asserted-by":"publisher","first-page":"1719","DOI":"10.1161\/HYPERTENSIONAHA.121.17570","volume":"78","author":"R Aggarwal","year":"2021","unstructured":"Aggarwal R, Chiu N, Wadhera RK, Moran AE, Raber I, Shen C, et al. Racial\/ethnic disparities in hypertension prevalence, awareness, treatment, and control in the United States, 2013 to 2018. Hypertension. 2021;78(6):1719\u201326.","journal-title":"Hypertension"},{"key":"7490_CR8","doi-asserted-by":"publisher","unstructured":"Chinn JJ, Martin IK, Redmond N. Health equity among black women in the United States. J Womens Health (Larchmt). 2021;30(2):212\u20139. https:\/\/doi.org\/10.1089\/jwh.2020.8868.","DOI":"10.1089\/jwh.2020.8868"},{"key":"7490_CR9","unstructured":"Driscoll AK, Gregory ECW. Increases in prepregnancy obesity: united States, 2016\u20132019. NCHS Data Brief. 2020;(392):1\u20138."},{"issue":"4","key":"7490_CR10","doi-asserted-by":"publisher","first-page":"e226385","DOI":"10.1001\/jamanetworkopen.2022.6385","volume":"5","author":"C Caraballo","year":"2022","unstructured":"Caraballo C, Mahajan S, Valero-Elizondo J, Massey D, Lu Y, Roy B, et al. Evaluation of Temporal trends in Racial and ethnic disparities in sleep duration among US adults, 2004\u20132018. JAMA Netw Open. 2022;5(4):e226385\u2013e. https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.6385.","journal-title":"JAMA Netw Open"},{"issue":"5","key":"7490_CR11","doi-asserted-by":"publisher","first-page":"e18","DOI":"10.1161\/CIR.0000000000001078","volume":"146","author":"DM Lloyd-Jones","year":"2022","unstructured":"Lloyd-Jones DM, Allen NB, Anderson CAM, Black T, Brewer LC, Foraker RE, et al. Life\u2019s essential 8: updating and enhancing the American heart association\u2019s construct of cardiovascular health: a presidential advisory from the American heart association. Circulation. 2022;146(5):e18\u201343.","journal-title":"Circulation"},{"key":"7490_CR12","doi-asserted-by":"publisher","first-page":"1305","DOI":"10.1007\/s00125-020-05131-6","volume":"63","author":"B Tang","year":"2020","unstructured":"Tang B, Yuan S, Xiong Y, He Q, Larsson SC. Major depressive disorder and cardiometabolic diseases: a bidirectional Mendelian randomisation study. Diabetologia. 2020;(63):1305\u201311.","journal-title":"Diabetologia"},{"issue":"24","key":"7490_CR13","doi-asserted-by":"publisher","first-page":"e027610","DOI":"10.1161\/JAHA.122.027610","volume":"11","author":"SL Patterson","year":"2022","unstructured":"Patterson SL, Marcus M, Goetz M, Vaccarino V, Gooding HC. Depression and anxiety are associated with cardiovascular health in young adults. J Am Heart Association. 2022;11(24):e027610.","journal-title":"J Am Heart Association"},{"key":"7490_CR14","doi-asserted-by":"publisher","unstructured":"Collins SV, Hines AL. Stress reduction to decrease hypertension for black women: a scoping review of trials and interventions. J Racial Ethnic Health Disparities. 2022;9(6):2208\u201317. https:\/\/doi.org\/10.1007\/s40615-021-01160-y.","DOI":"10.1007\/s40615-021-01160-y"},{"issue":"2","key":"7490_CR15","first-page":"245","volume":"100","author":"BL Rooney","year":"2002","unstructured":"Rooney BL, Schauberger CW. Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol. 2002;100(2):245\u201352.","journal-title":"Obstet Gynecol"},{"key":"7490_CR16","doi-asserted-by":"crossref","unstructured":"Elgaddal N, Kramarow EA, Reuben C. Physical activity among adults aged 18 and over: United States, 2020. NCHS Data Brief. 2022;(443):1\u20138.","DOI":"10.15620\/cdc:120046"},{"issue":"4","key":"7490_CR17","doi-asserted-by":"publisher","first-page":"e16151","DOI":"10.2196\/16151","volume":"4","author":"JM Nicklas","year":"2020","unstructured":"Nicklas JM, Leiferman JA, Lockhart S, Daly KM, Bull SS, Barbour LA. Development and modification of a mobile health program to promote postpartum weight loss in women at elevated risk for cardiometabolic disease: single-arm pilot study. JMIR Formative Res. 2020;4(4):e16151.","journal-title":"JMIR Formative Res"},{"issue":"2","key":"7490_CR18","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1093\/eurpub\/cky222","volume":"29","author":"V Wekker","year":"2019","unstructured":"Wekker V, Huvinen E, van Dammen L, Rono K, Painter RC, Zwinderman AH, et al. Long-term effects of a preconception lifestyle intervention on cardiometabolic health of overweight and obese women. Eur J Pub Health. 2019;29(2):308\u201314. https:\/\/doi.org\/10.1093\/eurpub\/cky222.","journal-title":"Eur J Pub Health"},{"issue":"4","key":"7490_CR19","doi-asserted-by":"publisher","first-page":"944","DOI":"10.11124\/JBIES-21-00371","volume":"20","author":"AC Tricco","year":"2022","unstructured":"Tricco AC, Khalil H, Holly C, Feyissa G, Godfrey C, Evans C, et al. Rapid reviews and the methodological rigor of evidence synthesis: a JBI position statement. JBI Evid Synthesis. 2022;20(4):944\u20139.","journal-title":"JBI Evid Synthesis"},{"issue":"2","key":"7490_CR20","first-page":"68","volume":"35","author":"J Babineau","year":"2014","unstructured":"Babineau J. Product review: covidence (systematic review software). J Can Health Libr Association\/Journal De l\u2019Association Des Biblioth\u00e8ques De La Sant\u00e9 Du Can. 2014;35(2):68\u201371.","journal-title":"J Can Health Libr Association\/Journal De l\u2019Association Des Biblioth\u00e8ques De La Sant\u00e9 Du Can"},{"issue":"5","key":"7490_CR21","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1046\/j.1525-1446.2002.19502.x","volume":"19","author":"J Banks-Wallace","year":"2002","unstructured":"Banks-Wallace J, Conn V. Interventions to promote physical activity among African American women. Public Health Nurs. 2002;19(5):321\u201335.","journal-title":"Public Health Nurs"},{"key":"7490_CR22","unstructured":"Newhouse RP, Dearholt SL, Poe SS, Pugh LC, White KM. Johns Hopkins nursing evidence-based practice model and guidelines. Sigma Theta Tau International Honor Society of Nursing Indianapolis, IN; 2007."},{"issue":"1","key":"7490_CR23","first-page":"29","volume":"26","author":"D Berry","year":"2015","unstructured":"Berry D, Verbiest S, Hall EG, Dawson I, Norton D, Willis S, et al. A postpartum Community-Based weight management intervention designed for Low-Income women: feasibility and initial efficacy testing. J Natl Black Nurses\u2019 Association: JNBNA. 2015;26(1):29\u201339.","journal-title":"J Natl Black Nurses\u2019 Association: JNBNA"},{"issue":"2","key":"7490_CR24","first-page":"1","volume":"27","author":"DC Berry","year":"2016","unstructured":"Berry DC, Hall EG, Neal MN, Adatorwovor R, Schwartz TA, Stuebe A. Results of the optimizing outcomes in women with gestational diabetes mellitus and their infants, a cluster randomized, controlled pilot study: lessons learned. J Natl Black Nurses\u2019 Association: JNBNA. 2016;27(2):1\u201310.","journal-title":"J Natl Black Nurses\u2019 Association: JNBNA"},{"issue":"3","key":"7490_CR25","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1080\/02646838.2018.1556788","volume":"37","author":"RC Boyd","year":"2019","unstructured":"Boyd RC, Price J, Mogul M, Yates T, Guevara JP. Pilot RCT of a social media parenting intervention for postpartum mothers with depression symptoms. J Reproductive Infant Psychol. 2019;37(3):290\u2013301.","journal-title":"J Reproductive Infant Psychol"},{"key":"7490_CR26","doi-asserted-by":"publisher","first-page":"57","DOI":"10.3389\/fnut.2017.00057","volume":"4","author":"AM Chao","year":"2017","unstructured":"Chao AM, Srinivas SK, Studt SK, Diewald LK, Sarwer DB, Allison KC. A pilot randomized controlled trial of a technology-based approach for preventing excess weight gain during pregnancy among women with overweight. Front Nutr. 2017;4:57.","journal-title":"Front Nutr"},{"issue":"1","key":"7490_CR27","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1037\/a0018168","volume":"78","author":"PM Cinciripini","year":"2010","unstructured":"Cinciripini PM, Blalock JA, Minnix JA, Robinson JD, Brown VL, Lam C, et al. Effects of an intensive depression-focused intervention for smoking cessation in pregnancy. J Consult Clin Psychol. 2010;78(1):44.","journal-title":"J Consult Clin Psychol"},{"key":"7490_CR28","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1007\/s00737-008-0036-3","volume":"11","author":"K Crockett","year":"2008","unstructured":"Crockett K, Zlotnick C, Davis M, Payne N, Washington R. A depression preventive intervention for rural low-income African-American pregnant women at risk for postpartum depression. Arch Women Ment Health. 2008;11:319\u201325.","journal-title":"Arch Women Ment Health"},{"issue":"3","key":"7490_CR29","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1097\/AOG.0b013e3181834b10","volume":"112","author":"AAE El-Mohandes","year":"2008","unstructured":"El-Mohandes AAE, Kiely M, Joseph JG, Subramanian S, Johnson AA, Blake SM, et al. An intervention to improve postpartum outcomes in African-American mothers: a randomized controlled trial. Obstet Gynecol. 2008;112(3):611\u201320.","journal-title":"Obstet Gynecol"},{"key":"7490_CR30","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1007\/s10995-018-2449-6","volume":"22","author":"SM Gross","year":"2018","unstructured":"Gross SM, Augustyn M, Henderson JL, Baig K, Williams CA, Ajao B, et al. Integrating obstetrical care and WIC nutritional services to address maternal obesity and postpartum weight retention. Matern Child Health J. 2018;22:794\u2013802.","journal-title":"Matern Child Health J"},{"key":"7490_CR31","doi-asserted-by":"crossref","unstructured":"Joshi PP. A randomized controlled feasibility trial in behavioral weight management for underserved postpartum African American women: the RENEW study. Prev Chronic Dis. 2018;15.","DOI":"10.5888\/pcd15.170400"},{"issue":"3","key":"7490_CR32","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1176\/ps.2009.60.3.313","volume":"60","author":"NK Grote","year":"2009","unstructured":"Grote NK, Swartz HA, Geibel SL, Zuckoff A, Houck PR, Frank E. A randomized controlled trial of culturally relevant, brief interpersonal psychotherapy for perinatal depression. Psychiatric Serv. 2009;60(3):313\u201321.","journal-title":"Psychiatric Serv"},{"issue":"4","key":"7490_CR33","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1002\/oby.22413","volume":"27","author":"D Haire-Joshu","year":"2019","unstructured":"Haire-Joshu D, Cahill AG, Stein RI, Cade WT, Woolfolk CL, Moley K, et al. Randomized controlled trial of home\u2010based lifestyle therapy on postpartum weight in underserved women with overweight or obesity. Obesity. 2019;27(4):535\u201341.","journal-title":"Obesity"},{"issue":"Suppl 1","key":"7490_CR34","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1007\/s10995-018-2537-7","volume":"22","author":"SL Hans","year":"2018","unstructured":"Hans SL, Edwards RC, Zhang Y. Randomized controlled trial of doula-home-visiting services: impact on maternal and infant health. Matern Child Health J. 2018;22(Suppl 1):105\u201313.","journal-title":"Matern Child Health J"},{"issue":"6","key":"7490_CR35","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1016\/j.jneb.2014.06.002","volume":"46","author":"SJ Herring","year":"2014","unstructured":"Herring SJ, Cruice JF, Bennett GG, Davey A, Foster GD. Using technology to promote postpartum weight loss in urban, low-income mothers: a pilot randomized controlled trial. J Nutr Educ Behav. 2014;46(6):610\u20135.","journal-title":"J Nutr Educ Behav"},{"issue":"5","key":"7490_CR36","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1111\/jmwh.12308","volume":"60","author":"DE Jesse","year":"2015","unstructured":"Jesse DE, Gaynes BN, Feldhousen EB, Newton ER, Bunch S, Hollon SD. Performance of a culturally tailored Cognitive-Behavioral intervention integrated in a public health setting to reduce risk of antepartum depression: A randomized controlled trial. J Midwifery Womens Health. 2015;60(5):578\u201392. https:\/\/doi.org\/10.1111\/jmwh.12308. Epub 2015\/08\/12.","journal-title":"J Midwifery Womens Health"},{"issue":"8","key":"7490_CR37","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1001\/jama.1997.03550080054039","volume":"278","author":"H Kitzman","year":"1997","unstructured":"Kitzman H, Olds DL, Henderson CR Jr., Hanks C, Cole R, Tatelbaum R, et al. Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. JAMA. 1997;278(8):644\u201352. Epub 1997\/08\/27.","journal-title":"JAMA"},{"issue":"6","key":"7490_CR38","doi-asserted-by":"publisher","first-page":"100315","DOI":"10.1016\/j.ajogmf.2021.100315","volume":"3","author":"HR Kranzler","year":"2021","unstructured":"Kranzler HR, Washio Y, Zindel LR, Wileyto EP, Srinivas S, Hand DJ, et al. Placebo-controlled trial of bupropion for smoking cessation in pregnant women. Am J Obstet Gynecol MFM. 2021;3(6):100315. https:\/\/doi.org\/10.1016\/j.ajogmf.2021.100315. Epub 2021\/01\/26.","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"12","key":"7490_CR39","doi-asserted-by":"publisher","first-page":"e30578","DOI":"10.2196\/30578","volume":"5","author":"R Krukowski","year":"2021","unstructured":"Krukowski R, Johnson B, Kim H, Sen S, Homsi R. A pragmatic intervention using financial incentives for pregnancy weight management: feasibility randomized controlled trial. JMIR Form Res. 2021;5(12):e30578. Epub 2021\/12\/25. doi: 10.2196\/30578.","journal-title":"JMIR Form Res"},{"issue":"8","key":"7490_CR40","doi-asserted-by":"publisher","first-page":"1407","DOI":"10.1007\/s10995-023-03709-1","volume":"27","author":"A Lane","year":"2023","unstructured":"Lane A, Wilcox S, Wingard E, McLean MK, Liu J. Association of a lifestyle intervention with blood pressure trajectories during pregnancy and postpartum in women with Pre-pregnancy overweight and obesity. Matern Child Health J. 2023;27(8):1407\u201315. https:\/\/doi.org\/10.1007\/s10995-023-03709-1.","journal-title":"Matern Child Health J"},{"issue":"6","key":"7490_CR41","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1001\/jamacardio.2022.0553","volume":"7","author":"J Lewey","year":"2022","unstructured":"Lewey J, Murphy S, Zhang D, Putt ME, Elovitz MA, Riis V, et al. Effectiveness of a Text-Based gamification intervention to improve physical activity among postpartum individuals with hypertensive disorders of pregnancy: A randomized clinical trial. JAMA Cardiol. 2022;7(6):591\u20139. https:\/\/doi.org\/10.1001\/jamacardio.2022.0553.","journal-title":"JAMA Cardiol"},{"issue":"7","key":"7490_CR42","doi-asserted-by":"publisher","first-page":"1370","DOI":"10.1002\/oby.23449","volume":"30","author":"J Liu","year":"2022","unstructured":"Liu J, Wilcox S, Hutto B, Turner-McGrievy G, Wingard E. Effects of a lifestyle intervention on postpartum weight retention among women with elevated weight. Obes (Silver Spring). 2022;30(7):1370\u20139. https:\/\/doi.org\/10.1002\/oby.23449. Epub 2022\/06\/21.","journal-title":"Obes (Silver Spring)"},{"issue":"4","key":"7490_CR43","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1002\/oby.23119","volume":"29","author":"J Liu","year":"2021","unstructured":"Liu J, Wilcox S, Wingard E, Turner-McGrievy G, Hutto B, Burgis J. A behavioral lifestyle intervention to limit gestational weight gain in pregnant women with overweight and obesity. Obes (Silver Spring). 2021;29(4):672\u201380. https:\/\/doi.org\/10.1002\/oby.23119. Epub 2021\/02\/24.","journal-title":"Obes (Silver Spring)"},{"issue":"4","key":"7490_CR44","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1300\/J079v32n04_04","volume":"32","author":"MD McKee","year":"2006","unstructured":"McKee MD, Zayas LH, Fletcher J, Boyd RC, Nam SH. Results of an intervention to reduce perinatal depression among Low-Income minority women in community primary care. J Social Service Res. 2006;32(4):63\u201381. https:\/\/doi.org\/10.1300\/J079v32n04_04.","journal-title":"J Social Service Res"},{"key":"7490_CR45","doi-asserted-by":"publisher","unstructured":"Napolitano MA, Harrington CB, Patchen L, Ellis LP, Ma T, Chang K, et al. Feasibility of a digital intervention to promote healthy weight management among postpartum African American\/Black women. Int J Environ Res Public Health. 2021;18(4). Epub 2021\/03\/07. https:\/\/doi.org\/10.3390\/ijerph18042178","DOI":"10.3390\/ijerph18042178"},{"issue":"5","key":"7490_CR46","doi-asserted-by":"publisher","first-page":"e32226","DOI":"10.2196\/32226","volume":"6","author":"L Pezley","year":"2022","unstructured":"Pezley L, Tussing-Humphreys L, Koenig MD, Maki P, Odoms-Young A, Freels S, et al. Feasibility of a Web-Based intervention to prevent perinatal depression and promote human milk feeding: randomized pilot trial. JMIR Form Res. 2022;6(5):e32226. Epub 2022\/05\/04. doi: 10.2196\/32226.","journal-title":"JMIR Form Res"},{"issue":"6","key":"7490_CR47","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1007\/s11524-021-00544-z","volume":"98","author":"EC South","year":"2021","unstructured":"South EC, Lee K, Oyekanmi K, Buckler DG, Tiako MJN, Martin T, et al. Nurtured in nature: a pilot randomized controlled trial to increase time in greenspace among Urban-Dwelling postpartum women. J Urban Health. 2021;98(6):822\u201331. https:\/\/doi.org\/10.1007\/s11524-021-00544-z. Epub 2021\/05\/21.","journal-title":"J Urban Health"},{"key":"7490_CR48","doi-asserted-by":"publisher","first-page":"5703607","DOI":"10.1155\/2016\/5703607","volume":"2016","author":"JL Thomson","year":"2016","unstructured":"Thomson JL, Tussing-Humphreys LM, Goodman MH, Olender SE. Gestational weight gain: results from the delta healthy sprouts comparative impact trial. J Pregnancy. 2016;2016:5703607. https:\/\/doi.org\/10.1155\/2016\/5703607. Epub 2016\/09\/07.","journal-title":"J Pregnancy"},{"issue":"1","key":"7490_CR49","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1186\/s12966-022-01387-w","volume":"19","author":"S Wilcox","year":"2022","unstructured":"Wilcox S, Liu J, Turner-McGrievy GM, Boutt\u00e9 AK, Wingard E. Effects of a behavioral intervention on physical activity, diet, and health-related quality of life in pregnant women with elevated weight: results of the HIPP randomized controlled trial. Int J Behav Nutr Phys Act. 2022;19(1):145. https:\/\/doi.org\/10.1186\/s12966-022-01387-w. Epub 2022\/12\/10.","journal-title":"Int J Behav Nutr Phys Act"},{"issue":"2","key":"7490_CR50","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1177\/0890117117736090","volume":"32","author":"JL Thomson","year":"2018","unstructured":"Thomson JL, Tussing-Humphreys LM, Goodman MH, Landry AS. Enhanced curriculum intervention did not result in increased postnatal physical activity in rural, Southern, primarily African American women. Am J Health Promot. 2018;32(2):464\u201372. https:\/\/doi.org\/10.1177\/0890117117736090. Epub 2017\/11\/03.","journal-title":"Am J Health Promot"},{"issue":"5","key":"7490_CR51","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1177\/0193945911403775","volume":"34","author":"LO Walker","year":"2012","unstructured":"Walker LO, Sterling BS, Latimer L, Kim SH, Garcia AA, Fowles ER. Ethnic-specific weight-loss interventions for low-income postpartum women: findings and lessons. West J Nurs Res. 2012;34(5):654\u201376. https:\/\/doi.org\/10.1177\/0193945911403775. Epub 2011\/04\/13.","journal-title":"West J Nurs Res"},{"issue":"3","key":"7490_CR52","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1007\/s10995-023-03605-8","volume":"27","author":"AS Bryant","year":"2023","unstructured":"Bryant AS, Coleman J, Shi X, Rodriguez M, Papadopoulos AS, Merz K, et al. The power and promise of postpartum self care: evaluation of a web-based tool for underserved women. Matern Child Health J. 2023;27(3):548\u201355.","journal-title":"Matern Child Health J"},{"issue":"4","key":"7490_CR53","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1007\/s10995-009-0507-9","volume":"14","author":"S Kannan","year":"2010","unstructured":"Kannan S, Sparks AV, Webster JD, Krishnakumar A, Lumeng J. Healthy eating and Harambee: curriculum development for a culturally-centered bio-medically oriented nutrition education program to reach African American women of childbearing age. Matern Child Health J. 2010;14(4):535\u201347. https:\/\/doi.org\/10.1007\/s10995-009-0507-9. Epub 2009\/08\/06.","journal-title":"Matern Child Health J"},{"issue":"4","key":"7490_CR54","doi-asserted-by":"publisher","first-page":"840","DOI":"10.1007\/s10995-014-1582-0","volume":"19","author":"J Liu","year":"2015","unstructured":"Liu J, Wilcox S, Whitaker K, Blake C, Addy C. Preventing excessive weight gain during pregnancy and promoting postpartum weight loss: a pilot lifestyle intervention for overweight and obese African American women. Matern Child Health J. 2015;19(4):840\u20139. https:\/\/doi.org\/10.1007\/s10995-014-1582-0. Epub 2014\/07\/24.","journal-title":"Matern Child Health J"},{"issue":"1","key":"7490_CR55","doi-asserted-by":"publisher","first-page":"e4865","DOI":"10.2196\/resprot.4865","volume":"5","author":"DN Cavallo","year":"2016","unstructured":"Cavallo DN, Sisneros JA, Ronay AA, Robbins CL, Pitts SBJ, Keyserling TC, et al. Assessing the feasibility of a web-based weight loss intervention for low-income women of reproductive age: a pilot study. JMIR Res Protocols. 2016;5(1):e4865.","journal-title":"JMIR Res Protocols"},{"issue":"5","key":"7490_CR56","doi-asserted-by":"publisher","first-page":"1030","DOI":"10.1111\/jan.13511","volume":"74","author":"YK Wu","year":"2018","unstructured":"Wu YK, Berry DC. Impact of weight stigma on physiological and psychological health outcomes for overweight and obese adults: A systematic review. J Adv Nurs. 2018;74(5):1030\u201342.","journal-title":"J Adv Nurs"},{"issue":"1","key":"7490_CR57","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1097\/aog.0000000000000591","volume":"125","author":"L Schummers","year":"2015","unstructured":"Schummers L, Hutcheon JA, Bodnar LM, Lieberman E, Himes KP. Risk of adverse pregnancy outcomes by prepregnancy body mass index: a population-based study to inform prepregnancy weight loss counseling. Obstet Gynecol. 2015;125(1):133\u201343. https:\/\/doi.org\/10.1097\/aog.0000000000000591. Epub 2015\/01\/07.","journal-title":"Obstet Gynecol"},{"issue":"1","key":"7490_CR58","doi-asserted-by":"publisher","first-page":"223","DOI":"10.2337\/dc10-1368","volume":"34","author":"DK Tobias","year":"2011","unstructured":"Tobias DK, Zhang C, van Dam RM, Bowers K, Hu FB. Physical activity before and during pregnancy and risk of gestational diabetes mellitus: a meta-analysis. Diabetes Care. 2011;34(1):223\u20139. https:\/\/doi.org\/10.2337\/dc10-1368. Epub 2010\/09\/30.","journal-title":"Diabetes Care"},{"issue":"3","key":"7490_CR59","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1097\/ede.0000000000000036","volume":"25","author":"D Aune","year":"2014","unstructured":"Aune D, Saugstad OD, Henriksen T, Tonstad S. Physical activity and the risk of preeclampsia: a systematic review and meta-analysis. Epidemiology. 2014;25(3):331\u201343. https:\/\/doi.org\/10.1097\/ede.0000000000000036. Epub 2014\/04\/10.","journal-title":"Epidemiology"},{"issue":"5","key":"7490_CR60","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1001\/archinte.166.5.543","volume":"166","author":"C Zhang","year":"2006","unstructured":"Zhang C, Solomon CG, Manson JE, Hu FB. A prospective study of pregravid physical activity and sedentary behaviors in relation to the risk for gestational diabetes mellitus. Arch Intern Med. 2006;166(5):543\u20138. https:\/\/doi.org\/10.1001\/archinte.166.5.543. Epub 2006\/03\/15.","journal-title":"Arch Intern Med"},{"issue":"S1","key":"7490_CR61","doi-asserted-by":"publisher","first-page":"S16","DOI":"10.2105\/AJPH.2018.304883","volume":"109","author":"J Alvidrez","year":"2019","unstructured":"Alvidrez J, Castille D, Laude-Sharp M, Rosario A, Tabor D. The National Institute on minority health and health disparities research framework. Am J Public Health. 2019;109(S1):S16\u201320.","journal-title":"Am J Public Health"},{"key":"7490_CR62","first-page":"174550572412397","volume":"20","author":"N Hernandez-Green","year":"2024","unstructured":"Hernandez-Green N, Davis MV, Farinu O, Hernandez-Spalding K, Lewis K, Beshara MS, et al. Using mHealth to reduce disparities in black maternal health: perspectives from black rural postpartum mothers. Women\u2019s Health. 2024;20:17455057241239769.","journal-title":"Women\u2019s Health"},{"issue":"2","key":"7490_CR63","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1089\/jwh.2020.8889","volume":"30","author":"B Jean-Francois","year":"2021","unstructured":"Jean-Francois B, Bailey Lash T, Dagher RK, Green Parker MC, Han SB, Lewis Johnson T. The potential for health information technology tools to reduce Racial disparities in maternal morbidity and mortality. J Women\u2019s Health. 2021;30(2):274\u20139.","journal-title":"J Women\u2019s Health"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-025-07490-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12884-025-07490-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-025-07490-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T12:05:36Z","timestamp":1747656336000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-025-07490-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,19]]},"references-count":63,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["7490"],"URL":"https:\/\/doi.org\/10.1186\/s12884-025-07490-7","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,19]]},"assertion":[{"value":"9 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"590"}}