{"doi":"10.1093/abm/kaad014","title":"A Postpartum Weight Loss-focused Stepped-care Intervention in a Military Population: A Randomized Controlled Trial","abstract":"OBJECTIVE: Postpartum weight retention is associated with adverse health among both civilian and military women. PURPOSE: The current study evaluated a stepped-care weight management intervention, Moms Fit 2 Fight, adapted for use in a pregnant and postpartum military population. METHODS: Active duty women and other TRICARE beneficiaries (N = 430) were randomized to one of three conditions: gestational weight gain only (GWG-only) intervention (n =144), postpartum weight loss only (PPWL-only) intervention (n =142), or a combined GWG + PPWL intervention (n = 144). Those participants who received the PPWL intervention (i.e., the PPWL-only and GWG+PPWL conditions) were combined consistently with the pre-registered protocol and compared to those participants who did not receive the PPWL intervention in the primary analyses. Primary outcome data (i.e., postpartum weight retention) were obtained at 6-months postpartum by unblinded data collectors, and intent-to-treat analyses were conducted. RESULTS: Retention at 6-months postpartum was 88.4%. Participants who received the PPWL intervention retained marginally less weight (1.31 kg) compared to participants that received the GWG-only intervention (2.39 kg), with a difference of 1.08 kg (p = .07). None of the measured covariates, including breastfeeding status, were significantly associated with postpartum weight retention. Of the participants who received the PPWL intervention, 48.1% participants returned to their pre-pregnancy weight at 6-months postpartum, with no significant differences compared to those who received the GWG-only intervention. CONCLUSIONS: A behavioral intervention targeting diet and physical activity during the postpartum period had a trend for reduced postpartum weight retention. CLINICAL TRIAL INFORMATION: The trial is registered on clinicaltrials.gov (NCT03057808).","journal":"Annals of Behavioral Medicine","year":2023,"id":353759,"datarank":0.3733699561496819,"base_score":2.0794415416798357,"endowment":2.0794415416798357,"self_citation_contribution":0.31191623125197543,"citation_network_contribution":0.061453724897706466,"self_endowment_contribution":0.31191623125197543,"citer_contribution":0.061453724897706466,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":6,"citers_with_citation_signal":4,"citers_with_endowment":4,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.95,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03057808"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":992775,"name":"Marion E. Hare","orcid":"0000-0003-2889-0968","position":1,"is_corresponding":false},{"id":273746,"name":"Aline Andres","orcid":"0000-0003-2611-2193","position":2,"is_corresponding":false},{"id":453757,"name":"Robert C. Klesges","orcid":null,"position":3,"is_corresponding":false},{"id":443926,"name":"G. Wayne Talcott","orcid":"0000-0002-5954-4921","position":4,"is_corresponding":false},{"id":452612,"name":"Melissa A. Little","orcid":"0000-0002-0562-4010","position":5,"is_corresponding":false},{"id":659558,"name":"Teresa M. Waters","orcid":"0000-0002-3823-5177","position":6,"is_corresponding":false},{"id":738919,"name":"Jean Harvey","orcid":"0000-0002-9981-1430","position":7,"is_corresponding":false},{"id":348053,"name":"Zoran Bursac","orcid":"0000-0001-9306-0907","position":8,"is_corresponding":false},{"id":452613,"name":"Rebecca A. Krukowski","orcid":"0000-0001-9193-2783","position":9,"is_corresponding":false},{"id":943152,"name":"Andrea Pérez-Muñoz","orcid":"0000-0002-3774-0788","position":0,"is_corresponding":true}],"reference_count":43,"raw_metadata":null,"created_at":"2026-07-19T01:13:02.680107Z","pmid":"37061829","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}