Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2014 Mar;104(3):526-33.
doi: 10.2105/AJPH.2012.301122. Epub 2013 Jun 13.

Dietary outcomes in a Spanish-language randomized controlled diabetes prevention trial with pregnant Latinas

Edith C Kieffer  1 , Diana B Welmerink, Brandy R Sinco, Kathleen B Welch, Erin M Rees Clayton, Christina Y Schumann, Virginia E Uhley
Affiliations
Randomized Controlled Trial

Dietary outcomes in a Spanish-language randomized controlled diabetes prevention trial with pregnant Latinas

Edith C Kieffer et al. Am J Public Health. 2014 Mar.

Abstract

Objectives: We evaluated the effectiveness of a community-based healthy lifestyle intervention in improving dietary behaviors of pregnant Latinas from 2004 to 2006 in Detroit, Michigan.

Methods: The 11-week, culturally tailored, Spanish-language Healthy Mothers on the Move (MOMs) intervention offered home visits, group classes, related activities, and social support from trained community health workers (CHWs) and peers. Dietary behaviors were measured by food frequency questionnaire. Linear mixed models estimated pre- and post-intervention changes, within and between MOMs intervention and minimal intervention (MI) groups.

Results: MOMs (n = 139) and MI (n = 139) participants had similar baseline characteristics and dietary intake. Post-intervention, MOMs participants showed significant improvement in all dietary behaviors, except fruit and fiber consumption. Compared with MI participants, MOMs participants had significantly decreased consumption of added sugar (P = .05), total fat (P < .05), saturated fat (P < .01), percentage of daily calories from saturated fat (P < .001), solid fats and added sugars (P < .001), and had increased vegetable consumption (P < .001). Their increase in fiber consumption (P < .05) was significant relative to MI participants' decrease in fiber intake.

Conclusions: We confirmed the hypothesis that a community-planned, CHW-led healthy lifestyle intervention could improve dietary behaviors of low-income Latina women during pregnancy.

Trial registration: ClinicalTrials.gov NCT01584063.

PubMed Disclaimer

Figures

FIGURE 1—
FIGURE 1—
Flow of participants through Healthy Mothers on the Move (MOMs) study: Detroit, MI, 2004–2006. Note. FFQ = food frequency questionnaire. aBaseline FFQ data removed for 1 woman with extreme values (8724 kcal/day); follow-up data included.
See this image and copyright information in PMC

References

    1. Hackley B, Fennie K, Applebaum J, Berry D, D’Eramo Melkus G. The effect of language preference on prenatal weight gain and postpartum weight retention in urban Hispanic women. Ethn Dis. 2010;20(2):162–168. - PubMed
    1. Caughey AB, Cheng YW, Stotland NE, Washington AE, Escobar GJ. Maternal and paternal race/ethnicity are both associated with gestational diabetes. Am J Obstet Gynecol. 2010;202(6) 616.e1–616.e5. - PubMed
    1. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006;295(13):1549–1555. - PubMed
    1. Kieffer EC, Carman WJ, Gillespie BW, Nolan GH, Worley SE, Guzman JR. Obesity and gestational diabetes among African-American women and Latinas in Detroit: implications for disparities in women’s health. J Am Med Womens Assoc. 2001;56(4):181–187, 196. - PubMed
    1. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults—findings from the Third National Health and Nutrition Examination Survey. JAMA. 2002;287(3):356–359. - PubMed

Publication types

Associated data