Polley et al8 compared a stepped-care behavioral intervention with usual care in decreasing the percentage of women who gained more weight than the IOM recommendations. The intervention group received education about weight gain, healthy eating, and exercise and individual graphs of their weight gain. Those exceeding weight-gain goals were given more intensive intervention using a registered dietician. They found that the intervention significantly decreased the percentage of normal-weight women who exceeded the IOM recommendations (33% compared with 58%, P