'Ripple' effect on infant zBMI trajectory of an internet-based weight loss program for low-income postpartum women.

BACKGROUND: Weight loss interventions can have positive 'ripple' effects on untreated partners in the home, but ripple effects on infants are unknown. OBJECTIVE: To examine whether a 12-month internet-based weight loss intervention for postpartum mothers had a positive ripple effect on participants' infants. METHODS: A 12-month cluster randomized, assessor-blind, clinical trial enrolling 371 postpartum women at 12 Women, Infants, Children clinics in CA. Clinics were randomized to standard Women, Infants, Children or an internet-based weight loss intervention for mothers. RESULTS: A total of 333 of the 371 (89.8%) mothers assented for infant participation. Infants were 5.3 ± 3.2 months; 75.9% were Hispanic and 64% were breastfeeding. Infant retention was 272/333 (82.7%) at 6 months post enrollment and 251/333 (75.3%) at 12 months post enrollment. In intent-to-treat analysis, a significant interaction between group and time was observed (p = 0.008) with the offspring of intervention mothers exhibiting lower zBMI change from study entry through 6 months (0.23 [CI, 0.03, 0.44] vs. 0.65 [0.50, 0.79] zBMI change, respectively; p = 0.001) but was not significant through 12 months (p = 0.16). Regardless of group, maternal reports at the final assessment indicated that infants (aged =17.2 ± 3.4 months) consumed sweetened beverages (0.93 ± 1.5/week), juice (2.0 ± 1.4/day), 'junk food' (7.8 ± 5.4/week) and fast food (2/month), and 46.7% of the infants had a TV in their bedroom. CONCLUSIONS: An internet-based weight loss program for low-income, postpartum mothers had a positive 'ripple' effect on the zBMI of infants in the home during the first 6 months of treatment.

Acute Responses to the 7-Minute Workout.

Riegler, M, Stotz, G, Fitzgerald, K, Munoz, CK, Lewis, J, Ring, S, and Astorino, TA. Acute responses to the 7-minute workout. J Strength Cond Res 31(9): 2572-2578, 2017-A popular smartphone application called the 7-Minute Workout (7Min) claims to be scientifically proven to promote weight loss and improve cardiovascular function. The application has 10 million downloads and has been reviewed by 350,000 users. However, changes in metabolic and perceptual variables in response to 7Min are unknown. Our study compared acute responses between 7Min and a time-matched session of cycling-based high-intensity interval exercise (HIIE). Fourteen active men and women (age and V[Combining Dot Above]O2max = 25.4 ± 8.3 years and 40.5 ± 6.4 ml·kg·min) initially underwent V[Combining Dot Above]O2max testing. During 2 subsequent sessions separated by ≥48 hours, they completed 7Min or HIIE. During exercise, oxygen uptake (V[Combining Dot Above]O2), heart rate (HR), blood lactate concentration (BLa), and rating of perceived exertion were measured. Peak V[Combining Dot Above]O2 was higher (p < 0.001) in HIIE vs. 7Min, and HIIE yielded greater (p < 0.001) mean V[Combining Dot Above]O2 (1.83 ± 0.41 L·min vs. 1.44 ± 0.32 L·min) and HR (159.0 ± 10.7 b·min vs. 140.7 ± 18.3 b·min, p < 0.001) vs. 7Min. Blood lactate concentration increased (p < 0.001) during exercise but was similar between bouts (p = 0.07). Rating of perceived exertion was higher (p = 0.008) in response to HIIE vs. 7Min. Although 7Min yields lower peak V[Combining Dot Above]O2 and HR than HIIE, it is characterized by bursts approaching 90 %HRmax and causes significant BLa accumulation, representing vigorous exercise. Nevertheless, 7Min is on the low end of the intensity spectrum, which questions whether it represents true HIIE and will confer similar benefits if performed long term.