A5071553046- Obesity, Physical Activity, Diet
- Gestational Diabetes Research and Management
- Bariatric Surgery and Outcomes
- Birth, Development, and Health
- Maternal Mental Health During Pregnancy and Postpartum
- Physical Activity and Health
- Sleep and related disorders
- Health and Lifestyle Studies
- Thermoregulation and physiological responses
- Opioid Use Disorder Treatment
- Body Composition Measurement Techniques
- Breastfeeding Practices and Influences
- Adipose Tissue and Metabolism
- Pregnancy-related medical research
- Children's Physical and Motor Development
- Eating Disorders and Behaviors
- Pain Management and Opioid Use
- Mobile Health and mHealth Applications
- Maternal and Perinatal Health Interventions
- Pregnancy and preeclampsia studies
- Infant Development and Preterm Care
- Prenatal Substance Exposure Effects
- Anesthesia and Pain Management
- Lower Extremity Biomechanics and Pathologies
- Obesity and Health Practices
Pennsylvania State University
2018-2025
National Center for Advancing Translational Sciences
2021
Penn State Milton S. Hershey Medical Center
2021
Community Link
2021
Background Regulating gestational weight gain (GWG) in pregnant women with overweight or obesity is difficult, particularly because of the narrow range recommended GWG for optimal health outcomes. Given that many show excessive and considering lack a “gold standard” intervention to manage GWG, there timely need effective efficient approaches regulate GWG. We have enhanced Healthy Mom Zone (HMZ) 2.0 novel digital platform, automated dosage changes, personalized strategies our pilot study...
High gestational weight gain is a major public health concern as it independently predicts adverse maternal and infant outcomes. Past interventions have had only limited success in effectively managing pregnancy gain, especially among women with overweight obesity. Well-designed are needed that take an individualized approach target unique barriers to promote healthy gain.The primary aim of the study describe protocol for Healthy Mom Zone, individually tailored, adaptive intervention...
Maintaining adequate hydration over the course of pregnancy is critical for maternal and fetal health reducing risks adverse outcomes (e.g., preeclampsia, low placental amniotic fluid volume). Recent evidence suggests that women may be at risk under-hydration in second third trimesters when water needs begin to increase. Scant research has examined pregnant women's knowledge recommendations, intake behaviors, willingness use digital tools promote intake. This study aimed to: 1) describe...
High gestational weight gain (GWG) in overweight/obese pregnant women increases maternal-fetal complications. We conducted a 6-week GWG intervention based on an energy balance model that includes theories of planned behavior (TPB) and self-regulation constructs to promote exercise healthy eating motivation behaviors. The purposes this proof-of-concept feasibility study were examine: (1) the over intervention, (2) pre-post weekly, dose-response changes constructs. Methods . Overweight/obese...
Excess maternal weight gain during pregnancy elevates infants' risk for macrosomia and early-onset obesity. Eating behavior is also related to gain, but the relationship fetal growth unclear. We examined whether Healthy Mom Zone, an individually tailored, adaptive gestational intervention, eating behaviors affected in pregnant women (n = 27) with a BMI > 24. At study enrollment (6-13 weeks gestation) monthly thereafter, Three-Factor Questionnaire was completed. Ultrasounds were obtained from...
Excessive maternal weight gain during pregnancy represents a major public health concern that calls for novel and effective gestational management interventions. In Healthy Mom Zone (HMZ), an on-going intervention study, energy intake (EI) underreporting has been found to be important consideration interferes with accurate control assessment the use of balance (EB) models in setting. this paper, series estimation approaches addresses measurement noise losses are developed better understand...
Pregnant women are at a high risk for experiencing sleep disturbances, excess energy intake, low physical activity, and excessive gestational weight gain (GWG). Scant research has examined how behaviors influence GWG over the course of pregnancy. This study conducted secondary analyses from Healthy Mom Zone Study to examine between- within-person effects weekly on in pregnant with overweight/obesity (PW-OW/OB) participating an adaptive intervention manage GWG. The overall sample N = 24 (M...
OBJECTIVE: To examine obstetric physicians' beliefs about using professional or regulatory guidelines, opioid risk-screening tools, and preferences for recommending nonanalgesic therapies postpartum pain management. METHODS: A qualitative study design was used to conduct semi-structured interviews with maternal–fetal medicine physicians (N=38) from two large academic health care institutions in central Pennsylvania. An interview guide direct the discussion each response questions management...
(1) Background: Energy intake (EI) underreporting is a widespread problem of great relevance to public health, yet poorly described among pregnant women. This study aimed describe and predict error in self-reported EI across pregnancy women with overweight or obesity. (2) Methods: Participants were from the Healthy Mom Zone study, an adaptive intervention regulate gestational weight gain (GWG) tested feasibility RCT followed (n = 21) body mass index (BMI) ≥25 8−12 weeks ~36 gestation. Mobile...
Although cortisol levels increase during normal pregnancy, particularly high of or stress have been associated with adverse maternal/child outcomes. Obesity is altered metabolism, but there limited information on pregnancy-related changes in pregnant women overweight/obesity. The objective this study was to examine weekly measures urinary and perceived throughout ~10-36 weeks gestation, if differ by pre-pregnancy BMI categories, whether concurrent are associated. Longitudinal observational...
Energy intake underreporting is a frequent concern in weight control interventions. In prior work, series of estimation approaches were developed to better understand the issue energy intake; among these an approach based on semi-physical identification principles that adjusts self-reports by obtaining functional relationship for extent underreporting. this paper, global modeling extended, and comparison purposes, local concept Model-on-Demand (MoD) developed. The displays comparable...
<sec> <title>BACKGROUND</title> Regulating gestational weight gain (GWG) is particularly challenging in pregnant women with overweight and obesity (PW-OW/OB) because of several challenges including a narrow range that recommended for optimal maternal infant health outcomes. Given many PW-OW/OB exceed the GWG recommendations lack “gold standard” intervention to regulate GWG, there critical timely need approaches effectively efficiently have promise future dissemination clinical care. We...
Aim: To examine postpartum opioid prescribing practices. Materials & methods: Obstetricians were interviewed about opioids: choice of opioid, clinical factors considered when prescribing, thoughts/beliefs and typical counseling provided. Inductive thematic analyses used to identify themes. Results: A total 38 interviews analyzed. Several key points emerged. The dosing number pills prescribed varied widely. mode delivery is the primary consideration for opioids. All providers would prescribe...
<sec> <title>BACKGROUND</title> High gestational weight gain is a major public health concern as it independently predicts adverse maternal and infant outcomes. Past interventions have had only limited success in effectively managing pregnancy gain, especially among women with overweight obesity. Well-designed are needed that take an individualized approach target unique barriers to promote healthy gain. </sec> <title>OBJECTIVE</title> The primary aim of the study describe protocol for...