The Institute of Medicine has published revised guidelines for gestational weight gain that are based on pre-pregnancy body mass index ranges for underweight, normal weight, overweight and obese women. Several studies (especially those with physical activity-based intervention) started recruiting the participants from 6 weeks post-delivery with variable outcomes.17,18,19,20,21 These studies have not specified the mode of delivery of the participants. Trying to engage women for their weight management too early might go in vain as they are adapting to the changed and demanding circumstances of early pregnancy. This calls for a need to engage these women in a structured weight management program at a suitable time to attain significant and sustainable results. However, women who tend to develop mastitis should be restricted from performing upper-body exercises. However, they should be advised to either express/pump their breast milk or breastfeed their baby before the initiation of physical activity.88,108 It is recommended that lactating mothers should be informed that they can breastfeed their infants and indulge in a routine physical activity regime. Mixed findings have been reported, wherein few interventions have shown significant weight loss outcomes17,20,21,47,56 while others did not report any significant findings owing to high attrition ratesor lack of relapse prevention. Consequently, women tend to decrease their activity levels post-delivery, whereas their sitting time including the screen time increases. It is crucial to assess the psychosocial health of postpartum women routinely to ensure their optimal engagement in the weight management interventions. This will assist in the development of individualised weight management strategies for postpartum women undergoing specific health conditions. Apart from this, the other chronic conditions related to metabolic health such as diabetes, hypertension, thyroid disorders and renal disorders can influence the weight management regime for postpartum women and hence need to be evaluated. Postpartum women with persistent weight retention should be advised for lifestyle interventions after assessment of their anthropometric parameters at their first postnatal visit (at 6 weeks postpartum), as by this time they have shed most of their retained weight. It includes a 16-week course, a customized lesson plan, a searchable food database, meal plans, recipes and a podcast for members. The premade meals focus on lean proteins, healthy fat and certain "smart" carbohydrates combined with fiber and vegetables, according to the company’s website. You then follow their app to know exactly what to eat and when (usually six times a day, which includes “grocery add-ins,” like low-fat plain yogurt and apple slices with almond butter) while having daily access to coaches as needed. She emphasizes the on-boarding questionnaire, which allows the user to personalize their program and guiding them with education so they learn there’s a reason to choose certain foods over others based on the health benefits. “TOPS clubs offer an inexpensive and easily accessible support system via virtual and in-person meetings,” Mok says. Though in its infancy, fecal microbiota transplant treatment has shown promising results in weight management trials. Intake of certain strains has been related to weight reduction and improvement in metabolic health, such as Lactobacillus gasseri and Bifidobacterium lactis. Prebiotics (fiber-rich foods that feed beneficial bacteria) and probiotics (beneficial live bacteria) are increasingly used to support gut health. Participating in longer interventions may lead to more substantial results but may not be feasible for some people because of work schedules, caregiving responsibilities, transportation requirements, or other factors. Future work should aim to disentangle the intervention components that may drive weight change for interventions of short duration. Although 7 studies had substantial dropout rates at the end of the intervention (24–26,33,35–37), our sensitivity analysis showed that excluding these studies did not substantively change the overall findings. Nonetheless, interventions that require long-term engagement from participants may preclude some people from ever enrolling (53). Our analysis did not examine which intervention components individually contributed to weight change. During pregnancy, women visit the obstetricians and gynaecologists, while in the postpartum period, they visit the paediatricians and/or obstetricians. The dietary recommendations consider the appropriate combination of methods to comprehensively assess dietary behaviour of postpartum women without any added participant burden. Apart from this, the provision of health monitoring cards (comprising anthropometric measurements, biochemical parameters, clinical signs or symptoms and diagnosis) should be done for women at the time of post-delivery discharge. It should be devised by considering the participants’ characteristics, feasibility, availability of resources and all lifestyle-related factors should be given due importance. Telemedicine revolutionized the way healthcare providers communicate with their patients at their convenience for continued care through virtual consultations, check-ins, and appointments. Telemedicine and digital health coaching are rapidly becoming integral pieces in the modern management of weight. Minimally invasive procedures for weight loss are very likely to continue increase at a rapid rate; it is expected that the global bariatric surgery market will reach a value of USD 6.79 billion by 2032. Research has consistently shown that a combined approach leads to greater weight loss, improved metabolic outcomes, and higher patient satisfaction. It is also reversible, thus offering flexibility in case there would be a need for change in long-term weight management. What weight loss can I expect on the program? The tool assists in comparing the actual daily dietary calcium intake and the recommended daily allowance for calcium to assess the adequacy of calcium intake. Some specific points need to be emphasised upon to obtain a detailed dietary behaviour have been mentioned in Table 8. In addition to these tools, detailed dietary behaviour should be considered in daily clinical practice. Since 24-h recall and food frequency questionnaires are widely accepted tools for dietary assessment, they should be used in combination. Also, instead of going for those highly processed sugary snacks, try one of these 17 healthy snacks.After 2 years from surgery, 72% of patients became normoglycemic compared to 21% in the control group.Meta-analysis was of the effects of the intervention versus control on mean difference in weight change (kg), removing the studies with high attrition (24–26,30,33,35–37) as a sensitivity analysis.It assesses various dimensions of physical activity such as frequency, intensity, type and duration and is suitable for the Indian population.We also examine 12-month glycemic outcomes among patients with type 2 diabetes mellitus.The mean ± sd parity was 1.83 ± 1.00, and 75.5% of the participants had delivered by cesarean section.The Southampton Women’s Survey reported that lower pre-pregnancy BMI, excessive GWG, lower early pregnancy vitamin D concentration, and breastfeeding for 31].We used the mean body weight change from baseline to the end of the intervention time point for both the intervention and comparison groups. In addition, many physicians currently using mobile applications to monitor their patients' health often do so free of charge, potentially causing other clinicians to be slightly hesitant in joining them (64). Dietitians mostly use these applications for information and recommend their use to patients for self-monitoring, but the field requires more data and regulation before mHealth interventions can be fully incorporated into therapy. With a constant outpouring of new information from studies designed to inform both researchers and consumers, it is vital that high quality data is produced and analyzed, as well as data that has real world applications beyond a trial setting. One study assessed as the primary endpoint, the relative change in daily steps from run-in to the 10-week follow-up, measured objectively by the participants' iPhones. While in surveys, all participants express their desire to lose weight, not all of them are willing to put in the effort to make it happen (61). They reported a net weight gain at 25 years for their gastroplasty patients. The Look AHEAD study which arguably provides the best example of what can be achieved by a concentrated and continuing process of an intensive lifestyle intervention, achieved approximately 15% EWL at 8 years . It is appropriate to be cautious when just two studies are available and therefore, we wait expectantly for additional long-term data on both sleeve and OAGB. Prior to the formulation of weight management regimes and their dissemination to the postpartum women, it is crucial to identify various pregnancy-related and other metabolic health complications that may affect their postpartum health. There are various guidelines available that have highlighted the significance of evaluation of pregnancy-related and chronic medical health conditions that can influence the postpartum weight management strategies.72,74,75 The fat stored during pregnancy does not diminish on its own and hence, women end up retaining more than 6% of body weight even at 6 months postpartum. The counselling process should involve dissemination of information about various lifestyle-related aspects such as general weight management advice, dietary habits, physical activity behaviour, sleep and stress management. Revisional surgery was not always reported in the studies within the systematic review but, when provided, showed reoperation was common after all surgical options. Gunther et al. followed 198 patients for up to 25 years. It is likely that the broad acceptance of bariatric surgery will not occur until these additional higher quality data become available. We look forward to longer follow-up from these and other such studies. The STAMPEDE study reported 21.7% TWL for RYGB and 18.5% TWL for sleeve. @just_you_weight lost 106 pounds in just over a year naturally by using MyFitnessPal to 50 percent fruits and veggies, 25 percent protein, and 25 percent whole grains. She learned how to count her macros after finding the keto diet and has lost 102 pounds in the process. After years of yo-yo dieting, @ketowithdanni weighed in at over 400 pounds. After reaching a place of recovery for binge eating disorder, @debiluv4health has lost over 80 pounds since she started WW (formerly Weight Watchers) and regular gym workouts. @wokeuplikedez dropped 150 pounds after having gastric-bypass surgery, and then continued the momentum with a high-protein diet. Counting calories with the My Fitness Pal app was a factor for @hayleysweightlossjourneyx to lose 70 pounds. Struggling with symptoms of both PCOS and IBS, @get_moefit first cut carbs and started going beast mode in the gym, and then worked with a nutritionist to do an elimination diet. A pilot study of Noom integration into the National Diabetes Prevention Program reported a significant mean weight reduction from baseline of over 6.0% at 65 weeks (40–41). Noom is a high-intensity, application-based weight-loss program that utilizes a traffic light system to tailor users’ dietary intake based, in part, on food density. In summary, few RCTs have evaluated the weight-loss efficacy of My Fitness Pal, and the one long-term RCT showed no significant weight loss difference from control. Continued engagement with platforms like My Fitness Pal may be an issue, as one study found that application engagement markedly declined after one month of follow-up (97% vs 55% participant log-ins at 1 and 2 months, respectively)(36). Published RCTs of My Fitness Pal are limited and have revealed small, short-term weight loss (36–37). In addition, many applications have too little choice of pre-entered meals in their databases, which often do not include ethnic foods. It is posited that the low adherence is largely due to the considerable effort required to self-monitor diet (14). The 12-week trial resulted in no change in diet, including reducing the consumption of sugar-sweetened beverages or increasing consumption of fruits and vegetables. For example, Allen et al. (38) observed no statistically significant reduction in weight with the use of the Lose it! Women’s bodies process fat, protein, and carbs differently than men’s due to hormonal fluctuations, reproductive health, and metabolism shifts. And S.P.; resources, D.M.; data curation, I.N.; writing—original draft preparation, O.N.-A., N.R., and M.B.; writing—review and editing, I.N., D.R. The findings of this observational study should be confirmed by randomized controlled trials with a large sample size. Also, the number of patients using antidiabetic drugs was significantly reduced. In our study population, there was a significant decrease in T2DM, affecting initially 36% of the subjects and, 5 years following gastric bypass surgery, 14% of them. Lack of Sleep This underscores the need for the development of evidence and consensus-based recommendations related to diet, physical activity and behaviour which can be used by obstetricians and paediatricians or any other healthcare provider to holistically counsel postpartum women for their weight management. Moreover, when coupled with the recognition that 80% of women will have a pregnancy at some point in their lifetime , these data highlight the potential public health importance of addressing postpartum weight retention as a strategy for mitigating the long-term incidence of cardiometabolic disease in women. WW is a high-intensity weight loss program that includes dietary monitoring through “SmartPoints”; body weight and physical activity tracking; and participation in individual, group or online support sessions. A 2024 study is one example, as it found an average increase in weight loss by 15% over a period of 12 months for participants receiving telehealth-based dietary counseling compared to receiving only in-person visits. It is tempting for women to go on a restricted diet in the weeks or months after birth to try to elicit some control over postpartum weight loss. Noom encourages mindful practices like meditation, deep breathing, and thought reframing to help lower cortisol levels and create healthier responses to stress. When stress hits, the body releases cortisol, a hormone that can trigger cravings for high-sugar, high-fat foods. To improve sleep quality, try setting a regular bedtime, limiting screen time before bed, and winding down with calming activities like reading, journaling, or gentle stretching. Reach your weight-loss goals and start living your healthiest life. How much weight can you expect to lose week to week after delivering your baby? Weight loss will be fastest in the first week and gradually slow down overtime. The program helps women navigate this stage of life with structure and confidence. Just as importantly, developing healthy routines now can foster positive eating habits in your children and shape your family’s approach to wellness for years to come. Women also benefit from expert-backed resources, an online community for support, and tools for accountability. Compared to non-adherent groups, individuals who manage to monitor their diets conscientiously on a long-term basis are successfully able to lose weight (59, 60). Each item needs to be individually entered into the application, and a greater variety in the diet requires more information to be entered, thus taking up more time (12). No differences in mean percentage weight loss was found between the three groups; however, across the groups, increased adherence correlated to greater weight-loss. Managing Common Postpartum Eating Challenges The findings of the studies were reported narratively in tables to form a write-up for summary statement. Methodological filters related to the study design were not applied at this stage to ensure an extensive and exhaustive search. The electronic databases such as PubMed, Wiley and Google Scholar were employed to extract relevant evidence. Includingsatiating nutrients in your diet, like protein, fiber, and healthy fats, is key.Medical weight management trends are transforming; these are powered by remarkable advances in technology and pharmacology and also a growing focus on holistic, patient-centered care.The majority of published studies that present mostly long-term outcomes after bariatric surgery focus only on weight loss and remission of type 2 diabetes mellitus or other obesity-related comorbidities 6–8.PPWR is influenced by various non-modifiable and modifiable risk factors 3, 4.However, gaps were highlighted in relation to appropriate weight management interventions, particularly in women with obesity who are in greater need of effective weight management strategies.Erosion of the band into the gastric lumen has occurred in 114 patients with an overall rate of 3.2%.Digital platforms support healthcare providers both to improve service delivery in terms of patient engagement and to establish appropriate, sustainable, long-term weight management strategies. Among the obesity-related factors, GWG was the most important predictor for both the baseline weight retention and rates of weight gain or loss. Although the information on postpartum weight mainly relied on measured weight, some of the mother’s postpartum weight was collected by maternal self-report rather than measured weight. For example, compared with women who were mostly close to their pre-conception weight (Class 3), primiparous women, along with women had a cesarean delivery, higher pre-pregnancy BMI or excessive weight gain, were more likely to experience the rapidly rising trend of PPWR. Higher weight retention, as a comorbidity of obesity-related adverse pregnancy outcomes, might be well predicted by the pre-pregnancy WC. It's worth noting that the Juniper Programme isn't suitable for breastfeeding women. Our app helps you track progress, connect with your care team, adjust medication as needed, and access expert support. Keep those goals realistic, eat well, move your body in a way that feels right for you, and don't forget to catch some z's. When you're ready to get back into more intense exercise, start with postpartum exercises designed to strengthen your core and pelvic floor muscles. Creating Your Personalized Postpartum Weight Loss Plan The Mayo Clinic Diet is a doctor-developed weight loss program backed by research and clinical experience. Through simple changes and the support of the program, Victoria transformed not just her weight but her entire approach to wellness. For Julia McCumber of Andover, Minnesota, weight loss had been a lifelong struggle. Having never followed a formal weight loss program before, Rich wanted a plan that would fit seamlessly into his life. When Rich Wendt and his wife, Jill, decided to make a change, they were looking for a sustainable, practical solution to improve their health and lifestyle. Studies also had to be conducted in countries rated as very high in development based on the United Nations Human Development Index (17), so that findings would be more generalizable to US adults with overweight or obesity. We excluded studies in which participants were already diagnosed with a chronic condition, such as hypertension or diabetes, but included studies that were intended for populations with heightened risks for developing chronic conditions. Studies had to report weight loss outcomes to be eligible for inclusion. Sticking to a consistent routine can not only help ease stress, it can also help you stay on track with your diet. Between paying college tuition for your kids, juggling more and more responsibilities at work, and dealing with aging parents, your 50s can be a prime-time for stress, says Durbin. “By realizing these behaviors, you can work to modify them through cognitive behavioral therapy, which emphasizes the importance that lifestyle changes should be maintained for life,” adds Dr. Hurtado. If an aching back, wonky knee, or creaky hip has kept you from working out on a regular basis, make an appointment with a physical therapist, suggests Samira Shuruk, an ACE-certified personal trainer. If you’re going to put in the effort to block out the time and get to the gym, don’t let your exhaustion or aching joints hold you back from going all out! To help you feel better, move better, and live a healthier life—no matter where you are on your journey. “These tools don’t just track progress—they provide actionable insights to make healthier choices easier and more intuitive every day.” Maintaining muscle mass has been recognized as an integral part of healthy aging. This is the best measure of hydration levels in your body.Recommended program intensity varies between guidelines ranging from moderate (12 sessions over 12 months) to high intensity (≥14 sessions over 6 months).It’s fine to start engaging in light exercise a few days after birth if you exercised before pregnancy and had an uncomplicated vaginal delivery.Continued engagement with platforms like My Fitness Pal may be an issue, as one study found that application engagement markedly declined after one month of follow-up (97% vs 55% participant log-ins at 1 and 2 months, respectively)(36).While many women speak negatively of this, the reality is that birth is a nearly superhuman feat.After data purification, incomplete or ineligible entries were removed and the data of 505 participants were subjected to final data analysis.Progress might feel slow at times, but every small step gets you closer to your goal. Clinicians should take into account patient preference, including mode of delivery and membership cost, when guiding patients in the selection of a commercial weight-loss program. Clinicians could consider referring patients with obesity to these programs. For patients who are not eligible to participate in a National DPP, do not have a DPP available in their area, or lack insurance coverage for this program, traditional commercial weight-loss programs may be an alternative. Clinicians should discuss these factors when counseling patients on meal replacement programs as dissatisfaction with meal replacement product may contribute to discontinuation. An ongoing RCT may improve the quality of evidence to evaluate the role of TOPS in weight management, particularly in low-resource settings. Apart from this, chronic medical conditions such as diabetes, hypertensive disorders, thyroid disorders, renal disorders etc. of women should also be taken into consideration when engaging them in postpartum weight management, as these specific health conditions may require some alterations in their diet and physical activity regimes.Initially, the study group included 65 patients undergoing surgical treatment for morbid obesity 39 females (60%) and 26 males (40%).Adjusted multiple linear associations between significant protective factors from model A and postpartum weight retention (continuous outcome).Genetic profiling, AI-driven meal planning, and wearable technology increase the effectiveness of medical weight management because they allow for specialized plans based on a patient’s individual biological profile.Many women with a normal BMI before their first pregnancy show an increase of more than half a unit in BMI during their second pregnancy .The telehealth industry grew about 24% in 2023 alone and is expected to continue as more practices implement remote care solutions.In the current study, we sought to provide evidence supportive of this hypothesis by evaluating the impact of postpartum weight retention on the trajectories of cardiovascular risk factors over the first 5-years after pregnancy.In other words, the child hospitalization by affecting factors such as maternal sleep indirectly affected the increase in PPWR , similar to the present study. You work with a “lifestyle coach” and have peer support to motivate you. People can also get one-on-one dietitian support from board-certified registered dietitians. The higher your score, the more potential for weight loss over the long term. Of note, we are aware of no published RCTs reporting outcomes with Noom at 12 months in the general population. Of the 2 studies reviewed, 1 reported only completers’ analyses; attrition ranged from 25–32%. My Fitness Pal is offered at no cost to consumers though enhanced tracking and dietary analysis features are available for an additional fee. While the studies conducted thus far have brought the field a long way in understanding the impact of mHealth applications on the ever-increasing burden of obesity, there is still much to be done. The study showed the feasibility and efficacy of a training workshop for dietitians to increase their interest and confidence in integrating mobile applications into their practice. In a recent study involving dietitians, after learning of the potential and the benefit of mHealth applications, many were eager to at least test the application to assess its effectiveness (69). There are several issues contributing to the involvement of health professionals, including lack of confidence, training, time, and stigma, to name a few. When you are awake, your body is in a catabolic state, constantly burning energy, and often entering “fight or flight” states. Are you aware that sleep deprivation can increase your risk of weight gain? Sleep is so important for a healthy metabolism, and it’s obviously something many mothers are deprived of. Due to the rapid and massive weight loss following MBS, it is suggested that patients wait 1–2 years after the procedure before conceiving to allow for maximum weight loss without exposing the fetus to the weight loss environment . MBS procedures lead to a 30–40% total body weight loss at 2 years postoperatively. Timing for discontinuation of weight loss drugs prior to conception depends on the half-life; for GLP-1 agonists, they should be discontinued 2 months prior to conception . Not only do women undergo hormonal changes, but the body that they have after birth has been changed in many physical ways, too. During pregnancy, a woman’s estrogen levels rise throughout the weeks and months of gestation, peaking in the third trimester as the time for birth nears. Another study showed that more than 40 percent of women carried more than five pounds of their baby weight indefinitely after birth, with as many as 20 percent of women retaining more than 11 pounds. Research shows that at one year postpartum, the average woman still carries between one to seven pounds of their pregnancy weight. Roux-en-Y gastric bypass (RYGB) presents the most common surgical operation in such patients. Besides genetic predisposition, environmental and behavioral habits have been implicated as important causes of the obesity epidemic . This report uses data from the natality data file from the National Vital Statistics System. The percentage of births covered by Medicaid declined 3% in 2024 and is down 6% since 2016 (when national data first became available) (2). Only 64% of the UPBEAT participants were exclusively breastfeeding on hospital discharge, significantly lower than the UK average of 81% . Furthermore, the authors highlighted that there was no difference in PPWR for mothers who breastfed from 3–6 months versus ≥6 months . The average GWG (15+0–18+6 weeks to 34+0–36+6 weeks gestation) was 7.14 kg, and, using the IOM guidelines for GWG, 30%, 34%, and 36% of women were categorised as having inadequate, adequate, and excessive GWG, respectively. At the 6 month follow-up visit, the FFQ and IPAQ questionnaires were repeated, maternal body composition was measured, and information on mode of infant feeding was recorded. Body composition at these visits was assessed by weight, height, and skinfold thicknesses. Kegel pelvic floor strengthening exercises can be initiated 2 to 14 days after delivery in patients without obstetric anal sphincter injury or episiotomy; these exercises can be deferred if the exercise incites pain. Other contributors include postpartum depression and the 40-day rule (a cultural belief that the mother must rest for 40 days following birth, including avoidance of household chores or care of other children) . Several factors increase the likelihood of PPWR exceeding 20 pounds, including race/ethnicity (African American or Hispanic), age 1, 3]. Furthermore, those with PPWR tend to weigh on average 15 pounds more at 2 years after delivery compared to prepregnancy . Moreover, certain randomised controlled trials have recruited women for weight management interventions during their pregnancy at different gestational ages such as 15 weeks of gestation, less than 16 weeks of gestation, less than 20 weeks of gestation and 24 to 28 weeks of gestation to study the effects of interventions on postpartum weight. Indeed, the stepwise accrual of cardiovascular risk factors between 1-, 3- and 5-years after pregnancy in women with postpartum weight retention may be reflecting a similar transition with exposure over time. In the current study, we sought to provide evidence supportive of this hypothesis by evaluating the impact of postpartum weight retention on the trajectories of cardiovascular risk factors over the first 5-years after pregnancy. Also, paying more attention to weight management, health, breastfeeding, and lifestyle is suggested to pregnant/postpartum women; and more social support for them is suggested to their husbands and families. Lastly, we also observed that an unhealthy lifestyle including poor diet and low physical activity is more prevalent in the initial months of postpartum. For patients of Asian ethnicity, the rates of diabetes and cardiovascular disease are higher at a lower BMI than for non-Asian populations; therefore, different thresholds for diagnosing obesity are suggested for patients of Asian ethnicity, such that MBS should be offered at a BMI of 27.5 kg/m2. MBS is also recommended for patients with class I obesity (BMI 30–34.9 kg/m2) and metabolic disease with an unsuccessful trial of pharmacotherapy. Given the lack of available safety data, weight-management medications are not recommended during breastfeeding . Lastly, adjustments were carried out for a broad range of confounding variables available in the UPBEAT dataset for inclusion in the statistics model. The UPBEAT participants were from ethnically diverse and inner-city settings from across the UK. The Southampton Women’s Survey reported that lower pre-pregnancy BMI, excessive GWG, lower early pregnancy vitamin D concentration, and breastfeeding for 31]. However, the combined impact of these determinants has not previously been analysed in a cohort of obese women, in whom PPWR is a particularly important issue. This weight loss accounts for half of all the weight you gained during pregnancy. You will also have a higher blood volume after giving birth because it takes time for your body to readjust to the postpartum state. Not only are these extra pounds normal but they are also needed to ensure your physical health and that of your baby during those crucial months. Many women are surprised to learn that the expected weight gain for a single-baby pregnancy is 25 to 35 pounds. Since 2006, IAPAM has trained over 10,000 healthcare providers, equipping them with the tools to offer medically-supervised weight loss programs that address the growing demand for sustainable, patient-centered care. Additional research may be needed to disentangle the intervention components that drive weight change for interventions of shorter durations, such as the type of dietary guidance or the frequency and nature of physical activity recommendations. This is consistent with findings from a recent meta-analysis where authors found that overall multicomponent lifestyle interventions were effective at achieving weight loss ranging from −1.3 kg to −8.2 kg at 5 to 6 months (42). Thus, a key contribution of our study is bolstering the evidence that short-term lifestyle change interventions may result in weight change benefits in adults with overweight or obesity and could provide an alternative to longer interventions that some people may be unable or unwilling to complete (8,39,40). In addition, 1 study provided financial incentives to participants who were part of a cohort that achieved the highest mean percentage weight loss after 1 month and at the end of the intervention (31). Results were similar using %EWL as a recommended parameter of weight loss and bariatric surgery success. Kaplan–Meier analysis; survival curves of patients with extreme obesity after bariatric surgery (censored—alive at the end of the follow-up period). During the study period, only two patients died, such that a five-year survival rate of 97% was reported in surgically treated patients. Variability in Lifestyle Behaviour Across Postpartum Period Also, instead of going for those highly processed sugary snacks, try one of these 17 healthy snacks. This is another reason why postpartum exercise is so beneficial! We both know that the postpartum period is one of very high stress. These stressful states are when your body releases high levels of cortisol. The same study suggests that losing weight by 10% would reduce the risk of cardiovascular disease by about 20% .All members receive a personalized Points Budget, calculated based on their individual metabolic rate, determined by age, height, weight, sex assigned at birth and goals.Tirzepatide is a once‐weekly glucose‐dependent insulinotropic polypeptide (GIP) and glucagon‐like peptide‐1 (GLP‐1) receptor agonist approved for the treatment of obesity, type 2 diabetes, and obstructive sleep apnea (in the US).Difference in kidney function tests predicts health risksAdditional long-term studies are needed before clinicians refer patients to this platform as a standalone weight loss treatment.In conclusion, the U.S. weight loss market can be analyzed regionally, with each region having its unique characteristics and demand for weight management solutions. This index was higher than 0.70 in all questionnaires, indicating the favorable stability of each questionnaire in the present study. In the present study, based on the content validity index (CVI), all the items of the designed questionnaires had a score of 0.79 and more and are considered appropriate. To measure CVI, 15 experts in reproductive health were asked to rate the relevance of the designed questionnaires items on a four-point Likert scale from 1 to 4. In the present study, based on the content validity index (CVI), all the items of the designed questionnaires had a score of 0.79 and more and are considered appropriate.The reliability of the questionnaires was assessed by the stability and internal consistency of the questionnaires. To measure CVR, 15 experts in reproductive health were asked to score the essentiality of the designed questionnaires items into three categories, including “Essential”, “Useful but not essential”, and “Not essential” from 1 to 3 respectively, based on Lawshe’s method. This effect was seldom examined by previous studies and can be interpreted as second trimester weight gain in women predicting most of the excessive GWG in pregnancy . They found that Chinese women who gained more weight during the second and third trimesters retained more weight at 6 weeks and 3 months postpartum. In Class 1 (2.8%), women showed an obvious decrease in PPWR from 3 months postpartum and had a lower weight than their pre-conception weight at 8 months postpartum. Most women’s weight (Class 3) had a slight decrease in eight months and finally became close to the pre-pregnancy weight. Our findings suggested that the trajectory of PPWR can be well-depicted in a quadratic LGMM, with substantial variability in postpartum weight development—both in the initial status and the rate of weight retention overtime. Therefore, postpartum weight loss intuitively begins immediately following parturition with the expulsion of the fetus, placenta, and amniotic fluid. Patients with obesity who lose weight between pregnancies (starting weight lower in successive pregnancy than the index pregnancy) have a 30% reduction in the risk of a large for gestational age infant; the effect of weight loss on decreasing other adverse obstetric outcomes is less clear . By going keto, then switching to a less restrictive low-carb diet, and lifting weights, @_jerrseyyy lost 80 pounds in 10 months. @sim_on_ww used WW and walking for weight loss 5 days and lost 123 pounds in 18 months. @shiannesmithfit used Beachbody workouts and the portion control-focused eating plan and calorie counting to undo pregnancy weight gain and lost 100 pounds. Both My Plan and personalized meal plans are designed to make healthy eating simple, enjoyable, and sustainable, no matter your starting point. Difference in kidney function tests predicts health risks Improved screening could eventually help doctors identify more women who are struggling with the condition. And about 5% experienced high levels of depressive symptoms that stayed higher than the other groups, even years after giving birth in some women. Another 13% had moderate symptoms that decreased over time. Indeed, the stepwise accrual of cardiovascular risk factors between 1-, 3- and 5-years after pregnancy in women with postpartum weight retention may be reflecting a similar transition with exposure over time.It has also explored the association of the aforementioned factors with socio-demographic variables.Meta-analyses of eligible studies demonstrated comparable results.Other studies have investigated the potential role of self-weighing and text message reminders combined with financial incentives for weight-loss maintenance among successful WW participants (23–24).Only participants with nonmissing baseline values and at least one nonmissing postbaseline value of the response variable were included in this analysis.Several observational studies previously examined changes in weight across the postnatal period and identified factors predictive of PPWR 30,37,38.Various myths related to physical activity are commonly followed around the time of pregnancy and postpartum period. Available guidelines emphasize on identifying pregnancy-related complications as well as other medical health complications that might lead to the increased cardiometabolic risk in future and hence require attention. Various pregnancy-related complications such as gestational diabetes, gestational hypertension, preeclampsia etc. have a bidirectional relationship with obesity and can lead to the additional risk of cardiovascular complications. The body mass index cannot truly indicate the fat mass and fat-free mass in an individual’s body and sometimes leads to overestimation or underestimation of disease risk as well. In the first week post-delivery, the additional weight is lost by shedding retained fluids and by 6 weeks half of the weight gained in pregnancy is lost. Time Constraints and Meal Planning Is offered through online and mobile app platforms at no cost to consumers, though enhanced tracking features including physical activity monitoring and dietary analysis are available for an additional fee. Is a calorie tracking program that utilizes goal setting and online support to achieve weight loss. Four deaths occurred in two trials (In summary, there is clear evidence to support OPTIFAST’s 12-month weight-loss efficacy and safety. Additional long-term RCTs examining A1c outcomes among patients with type 2 diabetes are needed. One study evaluated the impact of OPTIFAST participation on glycemic parameters in patients with type 2 diabetes; at 6 months of follow-up, OPTIFAST had reduced A1C by 0.3% greater than a counseling comparator (28). OPTIFAST is a high-intensity program that comprises meal replacements, behavioral education and the recommendation for participants to increase their physical activity. All studies included in the systematic review are listed in Tables 1, 2, 3 and 4 and are summarised in Table 5. Thus, 30 reports containing 34 datasets have been added to the original review which contained 20 reports and 23 datasets to provide a total of 52 reports containing 57 separate datasets for the period 1993 to December 2017. Eighteen studies were excluded from the meta-analysis as they did not report a measure of variance and 2 were single reports of a procedure only. In addition, weighted means were calculated to examine the long-term %EWL across each surgery technique. %EWL was defined as the loss of excess weight in kg above a BMI of 25 kg/m2 expressed as a percentage of initial weight. Prevention care and early intervention are increasingly emphasized in the landscape of medical weight management amid a rise in the global burden of obesity and its related weight diseases. The use of FMT introduces healthy gut bacteria from a donor into the recipient to alter his microbiome toward better metabolism, which may be helpful in weight loss. In light of new studies increasingly showing just how gut bacteria shape weight, metabolic function, and even appetite, the gut microbiome has emerged as a promising target for sustainable weight management solutions. Questions to assess knowledge, attitude and practices regarding obesity in postpartum women This will aid in bringing about the behavioural change among these women to achieve sustainable weight loss goals. Prior to the dissemination of any weight management intervention, it is crucial to identify various important aspects of lifestyle-related management that should be covered in the intervention trial. To overcome any plateau, you must provide your body with a new stimulus. You cannot expect your body to keep adapting if the stimulus never changes. Eventually your body will get used to whatever it is you are doing. This is because our body is so good at adapting to change. Your body burns between 400 and 500 calories per day making breast milk, which come from your diet as well as the fat you stored during pregnancy. And even if you are close to your pre-pregnancy weight shortly after giving birth, your body will still likely look a little different than what you’re used to. Your body is still holding onto extra weight from the fat stores you gained over the course of your pregnancy, which won’t disappear so quickly. Finding weight loss success in 2025 is not about following the strictest diet or investing in the most advanced device. “I built healthy habits with coaching and lessons that make me confident I can maintain my weight loss long term.” The key to losing weight in your 50s is to acknowledge these challenges and find safe and healthy ways to overcome them. These elements combined make weight loss more complex during this stage of life. Hormonally, the body undergoes significant changes during menopause, including decreases in estrogen levels, which can affect metabolism and lead to weight gain. The program is built to deliver safe, sustainable weight loss for adults of any gender. This flexible approach lets you satisfy your sweet tooth while staying on track with your weight loss and wellness goals. Progesterone levels remain high throughout the pregnancy, too, preventing the uterus from contracting and nourishing the baby. Whether it’s your first time as a mother or not, you’ve never cared for this baby before, and no two kids are the same. These days and weeks are a rapid time of development and adjustment for both baby and mom. Research from the World Health Organization shows that women, regardless of the country they live in, tend to lose an average of 10 pounds in the two years after giving birth. The variables affecting weight gain are different at various stages such as preconception, early gestation, late trimester, early postpartum, late postpartum etc. The final draft comprised 16 key clinical questions categorised in four domains and prioritised according to the need and impact on the dissemination of postpartum healthcare. Women in reproductive age are at a higher risk of developing obesity, posing a public health challenge. We included peer-reviewed primary research studies published in English that reported on lifestyle change interventions of 6 months or less (operationalized as 26 weeks) for adults aged 18 years or older with overweight or obesity. We demonstrated that multicomponent nutrition and physical activity interventions of 6 months or less can achieve weight loss by the end of the intervention period. Short-term multicomponent interventions involving physical activity and nutrition can achieve weight loss for adults with overweight or obesity. But if you are one of 70% of adults in the U.S. who are overweight and you want to make a change, where do you start? The authors received no external financial support for the research, authorship, or publication of this article. This work was supported by funding from the Centers for Disease Control and Prevention, contract no. Providing both short- and long-term options could increase opportunities for people to begin lifestyle changes and facilitate their choosing a program that best suits their schedule, needs, and available resources. Apart from this, (63%) reported that they cannot engage in physical activity due to excessive body ache/backache. Frequency distribution of responses for lifestyle practices of postpartum women The median postpartum weight retention was 5 kg, the 25th percentile was 2 kg, and the 75th percentile was 8 kg.