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Effect of Telehealth on Promoting a Healthy Lifestyle and Weight Control Among Pregnant Women
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Nikki Maleki1    , Erfan Teymuri2 , Maryam Mahmoudi3 , Fatemeh Hajialiasgari4 , Ardalan Shariat5 , Negar Hassanzadeh *6 |
1- Master's Student of Telehealth, Department of Digital Health, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
2- Master's Student of Telehealth, Department of E-Health, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
3- Associate Professor of Nutrition, Department of Clinical Nutrition, School of Nutrition, Tehran University of Medical Sciences, Tehran, Iran.
4- Assistant Professor of Information Technology, Department of Digital Health, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
5- Assistant Professor of Telehealth, Department of Digital Health, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
6- Assistant Professor of Cardiology, Department of Cardiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. , hz91_negar@yahoo.com |
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Abstract: (536 Views) |
Excessive weight gain during pregnancy is recognized as a global epidemic and is associated with complications, such as gestational diabetes. While a healthy diet and regular physical activity positively influence weight control and overall well-being, in-person consultations can be costly and time-consuming. The use of digital technologies, particularly smartphones, has increased for delivering lifestyle interventions and improving well-being. These technologies provide affordable access to health services for pregnant women, especially those in remote areas. This narrative review was conducted to evaluate the effect of telehealth on weight control and the promotion of a healthy lifestyle among pregnant women. A search was performed in the PubMed, Google Scholar, and Scopus databases. Of the 631 initial articles published during 2020-2024,
15 were selected and evaluated after excluding irrelevant articles, review articles, and those without full texts. The selected articles showed that mobile health (mHealth) could improve indicators, such as weight, body mass index (BMI), maternal and infant health, and lifestyle. However, certain limitations, including access issues, cultural barriers, and fluctuations in service quality, impacted their effectiveness. Based on the findings of these articles, it is suggested that personalized interventions be designed with continuous consultations and daily reminders. Forming virtual groups and providing timely feedback can strengthen the sense of belonging and promote adherence. These strategies are valuable for telehealth clinics and online counseling programs.
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Keywords: Telemedicine [MeSH], Pregnancy [MeSH], Diet [MeSH], Healthy Lifestyle [MeSH], Weight Gain [MeSH]
Article ID: Vol27-21 |
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Full-Text [PDF 765 kb]
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Type of Study: Review Article |
Subject:
Health System
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1. Waters DL, Aguirre L, Gurney B, Sinacore DR, Fowler K, Gregori G, et al. Effect of Aerobic or Resistance Exercise, or Both, on Intermuscular and Visceral Fat and Physical and Metabolic Function in Older Adults With Obesity While Dieting. J Gerontol A Biol Sci Med Sci. 2022 Jan;77(1):131-39. https://doi.org/10.1093/gerona/glab111. [ DOI] [ PubMed] 2. Strauss A. Obesity in pregnant women: maternal, fetal, and transgenerational consequences. Eur J Clin Nutr. 2021 Dec;75(12):1681-83. https://doi.org/10.1038/s41430-021-01015-z. [ DOI] [ PubMed] 3. Ferrara A, Hedderson MM, Brown SD, Ehrlich SF, Tsai AL, Feng J, et al. A telehealth lifestyle intervention to reduce excess gestational weight gain in pregnant women with overweight or obesity (GLOW): a randomised, parallel-group, controlled trial. Lancet Diabetes Endocrinol. 2020 Jun;8(6):490-500. https://doi.org/10.1016/s2213-8587(20)30107-8. [ DOI] [ PubMed] 4. Morshedzadeh N, Saedisomeolia A, Djalali M, Eshraghian MR, Hantoushzadeh S, Mahmoudi M. Resolvin D1 impacts on insulin resistance in women with polycystic ovary syndrome and healthy women. Diabetes Metab Syndr. 2019 Jan-Feb;13(1):660-64. https://doi.org/10.1016/j.dsx.2018.11.018. [ DOI] [ PubMed] 5. Moradi M, Mahmoudi M, Saedisomeolia A, Mansournia MA, Zahirihashemi R, Koohdani F. Study of the relationship between APOA-II -265T>C polymorphism and HDL function in response to weight loss in overweight and obese type 2 diabetic patients. Clin Nutr. 2018 Jun;37(3):965-69. https://doi.org/10.1016/j.clnu.2017.04.001. [ DOI] [ PubMed] 6. Basu A, Feng D, Planinic P, Ebersole JL, Lyons TJ, Alexander JM. Dietary Blueberry and Soluble Fiber Supplementation Reduces Risk of Gestational Diabetes in Women with Obesity in a Randomized Controlled Trial. J Nutr. 2021 May;151(5):1128-38. https://doi.org/10.1093/jn/nxaa435. [ DOI] [ PubMed] 7. Legro RS, Hansen KR, Diamond MP, Steiner AZ, Coutifaris C, Cedars MI, et al. Effects of preconception lifestyle intervention in infertile women with obesity: The FIT-PLESE randomized controlled trial. PLoS Med. 2022 Jan;19(1):e1003883. https://doi.org/10.1371/journal.pmed.1003883. [ DOI] [ PubMed] 8. McCloud MB, Barosso J. Experiences of Pregnant Women With Obesity. Nurs Womens Health. 2021 Jun;25(3):179-86. https://doi.org/10.1016/j.nwh.2021.03.004. [ DOI] [ PubMed] 9. Ruiz RL, Silva A, Filha I, Garzon MI, Magalhães W, Carvalho J, et al. Combating Malnutrition Among Pregnant Women, Mothers and Babies in the Rural Amazonian Forest: What can Telehealth Do?. J Int Soc Telemed eHealth. 2020; 8(e23):1-6. https://doi.org/10.29086/JISfTeH.8.e23. [ Link] [ DOI] 10. Greene EM, O'Brien EC, Kennelly MA, O'Brien OA, Lindsay KL, McAuliffe FM. Acceptability of the Pregnancy, Exercise, and Nutrition Research Study With Smartphone App Support (PEARS) and the Use of Mobile Health in a Mixed Lifestyle Intervention by Pregnant Obese and Overweight Women: Secondary Analysis of a Randomized Controlled Trial. JMIR Mhealth Uhealth. 2021 May;9(5):e17189. https://doi.org/10.2196/17189. [ DOI] [ PubMed] 11. Sandborg J, Henriksson P, Larsen E, Lindqvist AK, Rutberg S, Söderström E, et al. Participants' Engagement and Satisfaction With a Smartphone App Intended to Support Healthy Weight Gain, Diet, and Physical Activity During Pregnancy: Qualitative Study Within the HealthyMoms Trial. JMIR Mhealth Uhealth. 2021 Mar;9(3):e26159. https://doi.org/10.2196/26159. [ DOI] [ PubMed] 12. van Dijk MR, Koster MPH, Oostingh EC, Willemsen SP, Steegers EAP, Steegers-Theunissen RPM. A Mobile App Lifestyle Intervention to Improve Healthy Nutrition in Women Before and During Early Pregnancy: Single-Center Randomized Controlled Trial. J Med Internet Res. 2020 May;22(5):e15773. https://doi.org/10.2196/15773. [ DOI] [ PubMed] 13. Shariat A, Hajialiasgari F, Alizadeh A, Anastasio AT. The role of telehealth in the care of musculoskeletal pain conditions after COVID-19. Work. 2023;74(4):1261-64. https://doi.org/10.3233/wor-220524. [ DOI] [ PubMed] 14. Alizadeh R, Anastasio AT, Shariat A, Bethell M, Hassanzadeh G. Teleexercise for geriatric patients with failed back surgery syndrome. Front Public Health. 2023 Mar;11:1140506. https://doi.org/10.3389/fpubh.2023.1140506. [ DOI] [ PubMed] 15. Karaibrahimoglu A, İnce F, Hassanzadeh G, Alizadeh A, Bagheri K, Yucel I, et al. Ethical considerations in telehealth and artificial intelligence for work related musculoskeletal disorders: A scoping review. Work. 2024;79(3):1577-88. https://doi.org/10.3233/wor-240187. [ DOI] [ PubMed] 16. Liu F, Song T, Yu P, Deng N, Guan Y, Yang Y, et al. Efficacy of an mHealth App to Support Patients' Self-Management of Hypertension: Randomized Controlled Trial. J Med Internet Res. 2023 Dec;25:e43809. https://doi.org/10.2196/43809. [ DOI] [ PubMed] 17. Bae JW, Woo SI, Lee J, Park SD, Kwon SW, Choi SH, et al. mHealth Interventions for Lifestyle and Risk Factor Modification in Coronary Heart Disease: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2021 Sep;9(9):e29928. https://doi.org/10.2196/29928. [ DOI] [ PubMed] 18. Aguiar M, Trujillo M, Chaves D, Álvarez R, Epelde G. mHealth Apps Using Behavior Change Techniques to Self-report Data: Systematic Review. JMIR Mhealth Uhealth. 2022 Sep;10(9):e33247. https://doi.org/10.2196/33247. [ DOI] [ PubMed] 19. He Y, Huang C, He Q, Liao S, Luo B. Effects of mHealth-Based Lifestyle Interventions on Gestational Diabetes Mellitus in Pregnant Women With Overweight and Obesity: Systematic Review and Meta-Analysis. JMIR Mhealth Uhealth. 2024 Jan;12:e49373. https://doi.org/10.2196/49373. [ DOI] [ PubMed] 20. Holmes H, Palacios C, Wu Y, Banna J. Effect of a Short Message Service Intervention on Excessive Gestational Weight Gain in a Low-Income Population: A Randomized Controlled Trial. Nutrients. 2020 May;12(5):1428. https://doi.org/10.3390/nu12051428. [ DOI] [ PubMed] 21. Woo Baidal JA, Nichols K, Charles N, Chernick L, Duong N, Finkel MA, et al. Text Messages to Curb Sugar-Sweetened Beverage Consumption among Pregnant Women and Mothers: A Mobile Health Randomized Controlled Trial. Nutrients. 2021 Dec;13(12):4367. https://doi.org/10.3390/nu13124367. [ DOI] [ PubMed] 22. Giacobbi P Jr, Symons Downs D, Haggerty T, Pidhorskyi S, Long DL, Clemmer M, et al. Feasibility and Acceptability of Guided Imagery to Sequentially Address Multiple Health Behaviors During Pregnancy. J Midwifery Womens Health. 2021 Sep;66(5):664-70. https://doi.org/10.1111/jmwh.13251. [ DOI] [ PubMed] 23. Leziak K, Birch E, Jackson J, Strohbach A, Niznik C, Yee LM. Identifying Mobile Health Technology Experiences and Preferences of Low-Income Pregnant Women with Diabetes. J Diabetes Sci Technol. 2021 Sep;15(5):1018-26. https://doi.org/10.1177/1932296821993175. [ DOI] [ PubMed] 24. Downs DS, Savage JS, Rivera DE, Pauley AM, Leonard KS, Hohman EE, et al. Adaptive, behavioral intervention impact on weight gain, physical activity, energy intake, and motivational determinants: results of a feasibility trial in pregnant women with overweight/obesity. J Behav Med. 2021 Oct;44(5):605-21. https://doi.org/10.1007/s10865-021-00227-9. [ DOI] [ PubMed] 25. Sandborg J, Söderström E, Henriksson P, Bendtsen M, Henström M, Leppänen MH, et al. Effectiveness of a Smartphone App to Promote Healthy Weight Gain, Diet, and Physical Activity During Pregnancy (HealthyMoms): Randomized Controlled Trial. JMIR Mhealth Uhealth. 2021 Mar;9(3):e26091. https://doi.org/10.2196/26091. [ DOI] [ PubMed] 26. Souza SCS, da Silva DF, Nagpal TS, Semeniuk K, Ferraro ZM, Redman L, et al. The short-term effect of a mHealth intervention on gestational weight gain and health behaviors: The SmartMoms Canada pilot study. Physiol Behav. 2022 Dec;257:113977. https://doi.org/10.1016/j.physbeh.2022.113977. [ DOI] [ PubMed] 27. Henriksson P, Migueles JH, Söderström E, Sandborg J, Maddison R, Löf M. User engagement in relation to effectiveness of a digital lifestyle intervention (the HealthyMoms app) in pregnancy. Sci Rep. 2022 Aug;12(1):13793. https://doi.org/10.1038/s41598-022-17554-9. [ DOI] [ PubMed] 28. Gonzalez-Plaza E, Bellart J, Arranz Á, Luján-Barroso L, Crespo Mirasol E, Seguranyes G. Effectiveness of a Step Counter Smartband and Midwife Counseling Intervention on Gestational Weight Gain and Physical Activity in Pregnant Women With Obesity (Pas and Pes Study): Randomized Controlled Trial. JMIR Mhealth Uhealth. 2022 Feb;10(2):e28886. https://doi.org/10.2196/28886. [ DOI] [ PubMed] 29. Chen HH, Lee CF, Huang JP, Hsiung Y, Chi LK. Effectiveness of a nurse-led mHealth app to prevent excessive gestational weight gain among overweight and obese women: A randomized controlled trial. J Nurs Scholarsh. 2023 Jan;55(1):304-18. https://doi.org/10.1111/jnu.12813. [ DOI] [ PubMed] 30. Mattson R, Barger MK. Feasibility of Telehealth and Innovative Technologies to Limit Excessive Gestational Weight Gain. Nurs Womens Health. 2024 Feb;28(1):30-40. https://doi.org/10.1016/j.nwh.2023.08.002. [ DOI] [ PubMed] |
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Maleki N, Teymuri E, Mahmoudi M, Hajialiasgari F, Shariat A, Hassanzadeh N. Effect of Telehealth on Promoting a Healthy Lifestyle and Weight Control Among Pregnant Women. J Gorgan Univ Med Sci 2025; 27 (3) :1-9 URL: http://goums.ac.ir/journal/article-1-4556-en.html
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