EAL

AWM: Postpartum Individuals (2020-21)

Intervention
In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on BMI?
- Conclusion
  In postpartum women with overweight or obesity, limited evidence suggests that weight management interventions provided by a dietitian may decrease BMI.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on BMI?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on percent weight loss?
- Conclusion
  In postpartum women with overweight or obesity, the evidence is uncertain about the effect of weight management interventions provided by a dietitian on percent weight loss.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on percent weight loss?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on waist circumference?
- Conclusion
  In postpartum women with overweight or obesity, weight management interventions provided by a dietitian may reduce waist circumference.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on waist circumference?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on fasting blood glucose?
- Conclusion
  In postpartum women with overweight or obesity but without Type 2 Diabetes Mellitus, the evidence is very limited regarding the effect of weight management interventions provided by a dietitian on fasting blood glucose.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on fasting blood glucose?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on blood pressure?
- Conclusion
  In postpartum women with overweight or obesity, the evidence is very limited regarding the effect of weight management interventions provided by a dietitian on blood pressure.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on blood pressure?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on quality of life?
- Conclusion
  In postpartum women with overweight or obesity, weight management interventions provided by a dietitian may increase physical quality of life but have no effect on the mental quality of life.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on quality of life?
  - Detail
  - Quality Rating Summary
    For a summary of the Quality Rating results, click here.
  - Worksheets
    
    Hagberg L, Winkvist A, Brekke H,Bertz F,Hellebö Johansson E,Huseinovic E. Cost-effectiveness and quality of life of a diet intervention postpartum: 2-year results from a randomized controlled trial. BMC Public Health 2019; 19:38
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on cost-effectiveness?
- Conclusion
  Adult weight management interventions provided by a dietitian may be cost-effective for postpartum women with overweight or obesity.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on cost-effectiveness?
  - Detail
  - Quality Rating Summary
    For a summary of the Quality Rating results, click here.
  - Worksheets
    
    Hagberg L, Winkvist A, Brekke H,Bertz F,Hellebö Johansson E,Huseinovic E. Cost-effectiveness and quality of life of a diet intervention postpartum: 2-year results from a randomized controlled trial. BMC Public Health 2019; 19:38
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In postpartum individuals with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on adverse events?
- Conclusion
  There were no weight management intervention studies targeting postpartum women with overweight or obesity that reported adverse events.
- Grade: Ungraded
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.