Overweight and Obesity Clinical Trial
Official title:
Madres Para la Salud (Mothers for Health)
The purpose of "Madres Para la Salud" [Mothers for Their Health] is to see how support and
encouragement can help women to make positive changes in their health. This program tested
if supportive information, encouragement, and walking as a group would increase physical
activity and health benefits, such as weight loss and postpartum depression.
Participants in this study were randomly assigned to one of two groups, a walking or a
non-walking group. The walking group met weekly. Participants were given a pedometer to
record the number of steps taken daily.
Participants met one time each week with our study staff. Participants walked four other
days per week on their own, or with other group members. Participants measurements included
body fat, waist, and hip at the beginning of the study, and at 3, 6, 9, and 12 months. The
non-walking group received a weekly mailed newsletter about topics such as parenting, infant
growth and development, and reproductive health. Non-walking group participants'
measurements included body fat, waist, and hip at the beginning of the study and at 6 and 12
months.
Project Summary
The purpose of "Madres para la Salud" (Mothers for Health) was to explore the effectiveness
of a culturally specific intervention using walking "bouts" to affect changes in the health
of Hispanic women following childbirth. The project will advance our understanding of the
relationship between moderate increases in physical activity and consequent body fat loss
and decreased postpartum depression symptoms in sedentary Hispanic women during the
postpartum period. This was accomplished by having a group of women who participated in
supportive information and walking sessions, both alone and with study personnel, and an
attention control group who received monthly phone calls to address common postpartum health
concerns, but who did not participate in the walking program. Both groups received weekly
health-focused newsletters with no content related to the intervention. The women had a
random assignment to a group.
Study Aims
The purpose of this social support intervention program was to test the theory-driven Madres
para la Salud with Hispanic women by conducting a formative evaluation of the intervention:
Aim 1: Examine the effectiveness of the Madres para la Salud, a theoretically driven social
support intervention for reducing the distal outcomes in: (a) body fat; (b) systemic and fat
tissue inflammation; and (c) PPD symptoms among postpartum Hispanic women compared with an
attention control group, at 6 and 12 months, after controlling for dietary intake.
Aim2: Test whether the theoretical mediators, intermediate outcomes, of social support and
walking, and environmental factor moderators, affect changes in body fat; systemic and fat
tissue inflammation; and PPD symptoms among postpartum Hispanic women completing the Madres
para la Salud intervention compared with an attention control group, at 6 and 12 months,
after controlling for dietary intake.
Aim 3: Determine the relationship between the immediate outcome of walking (minutes walked
per week) and change in the distal outcomes of: (a) body fat; (b) systemic and fat tissue
inflammation; and (c) PPD symptoms.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Basic Science
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