scholarly journals A meta‐review of systematic reviews of lifestyle interventions for reducing gestational weight gain in women with overweight or obesity

2021 ◽  
Author(s):  
Frankie Fair ◽  
Hora Soltani
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Systematic Reviews ◽  
Lifestyle Interventions ◽  
Gestational Weight ◽  
Meta Review ◽  
Overweight Or Obesity

scholarly journals Lifestyle Interventions Limit Gestational Weight Gain in Women with Overweight or Obesity: LIFE‐Moms Prospective Meta‐Analysis

Obesity ◽  
2018 ◽  
Vol 26 (9) ◽  
pp. 1396-1404 ◽  
Author(s):  
Alan M. Peaceman ◽  
Rebecca G. Clifton ◽  
Suzanne Phelan ◽  
Dympna Gallagher ◽  
Mary Evans ◽  
...  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Meta Analysis ◽  
Lifestyle Interventions ◽  
Gestational Weight ◽  
Overweight Or Obesity

scholarly journals Association between Gestational Weight Gain, Gestational Diabetes Risk, and Obstetric Outcomes: A Randomized Controlled Trial Post Hoc Analysis

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1568 ◽  
Author(s):  
David Simmons ◽  
Roland Devlieger ◽  
Andre van Assche ◽  
Sander Galjaard ◽  
Rosa Corcoy ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Gestational Weight Gain ◽  
First Trimester ◽  
Obstetric Outcomes ◽  
Lifestyle Interventions ◽  
Gestational Weight ◽  
Randomized Controlled ◽  
Post Hoc

Excess gestational weight gain (GWG) is associated with the development of gestational diabetes mellitus (GDM). Lifestyle trials have not achieved much GWG limitation, and have largely failed to prevent GDM. We compared the effect of substantial GWG limitation on maternal GDM risk. Pregnant women with a body mass index (BMI) ≥29 kg/m2 <20 weeks gestation without GDM (n = 436) were randomized, in a multicenter trial, to usual care (UC), healthy eating (HE), physical activity (PA), or HE and PA lifestyle interventions. GWG over the median was associated with higher homeostasis model assessment insulin resistance (HOMA-IR) and insulin secretion (Stumvoll phases 1 and 2), a higher fasting plasma glucose (FPG) at 24–28 weeks (4.66 ± 0.43 vs. 4.61 ± 0.40 mmol/L, p < 0.01), and a higher rate of caesarean section (38% vs. 27% p < 0.05). The GWG over the median at 35–37 weeks was associated with a higher rate of macrosomia (25% vs. 16%, p < 0.05). A post hoc comparison among women from the five sites with a GWG difference >3 kg showed no significance difference in glycaemia or insulin resistance between HE and PA, and UC. We conclude that preventing even substantial increases in GWG after the first trimester has little effect on maternal glycaemia. We recommend randomized controlled trials of effective lifestyle interventions, starting in or before the first trimester.

scholarly journals Patterns of Gestational Weight Gain in Women with Overweight or Obesity and Risk of Large for Gestational Age

Obesity Facts ◽  
2019 ◽  
Vol 12 (4) ◽  
pp. 407-415 ◽  
Author(s):  
Wei Zheng ◽  
Wenyu Huang ◽  
Zhi Zhang ◽  
Li Zhang ◽  
Zhihong Tian ◽  
...  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Gestational Age ◽  
Large For Gestational Age ◽  
Gestational Weight ◽  
Overweight Or Obesity

scholarly journals Design of lifestyle intervention trials to prevent excessive gestational weight gain in women with overweight or obesity

Obesity ◽  
2015 ◽  
Vol 24 (2) ◽  
pp. 305-313 ◽  
Author(s):  
Rebecca G. Clifton ◽  
Mary Evans ◽  
Alison G. Cahill ◽  
Paul W. Franks ◽  
Dympna Gallagher ◽  
...  
Keyword(s):  
Weight Gain ◽  
Lifestyle Intervention ◽  
Gestational Weight Gain ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Intervention Trials ◽  
Overweight Or Obesity

scholarly journals Maternal anthropometry: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015

2019 ◽  
Vol 48 (Supplement_1) ◽  
pp. i26-i36 ◽  
Author(s):  
Bernardo L Horta ◽  
Fernando C Barros ◽  
Natália P Lima ◽  
Maria C F Assunção ◽  
Iná S Santos ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Family Income ◽  
Institute Of Medicine ◽  
Maternal Height ◽  
Maternal Weight ◽  
Gestational Weight ◽  
Maternity Hospitals ◽  
Overweight Or Obesity

Abstract Background Pre-pregnancy nutritional status and weight gain during pregnancy have short- and long-term consequences for the health of women and children. This study was aimed at evaluating maternal height,- and overweight or obesity at the beginning of the pregnancy and gestational weight gain, according to socioeconomic status and maternal skin colour of mothers in Pelotas, a southern Brazilian city, in 1982, 1993, 2004 and 2015. Methods In 1982, 1993, 2004 and 2015, the maternity hospitals in Pelotas were visited daily, all deliveries were identified and mothers who lived in the urban area of the city were interviewed. Maternal weight at the beginning of the pregnancy was self-reported by the mother or obtained from the antenatal card. Maternal height was collected from the maternity records or measured by the research team. Overweight or obesity was defined by a body mass index ≥25 kg/m2. Gestational weight gain was evaluated according to the Institute of Medicine guidelines. Results In the four cohorts, we evaluated 19 931 women. From 1982 to 2015, the prevalence of overweight or obesity at the beginning of the pregnancy increased from 22.1% to 47.0% and height increased by an average of 5.2 cm, whereas gestational weight gain did not change. Socioeconomic status was positively associated with maternal height, and the difference between the poorest and the wealthiest decreased. Overweight or obesity was lower among those mothers in the extreme categories of family income. Conclusions Over the 33-year span, mothers were taller at the beginning of the pregnancy, but the prevalence of overweight or obesity more than doubled.

scholarly journals Maternal gestational weight gain and offspring risk for childhood overweight or obesity

2014 ◽  
Vol 211 (3) ◽  
pp. 259.e1-259.e8 ◽  
Author(s):  
Sneha B. Sridhar ◽  
Jeanne Darbinian ◽  
Samantha F. Ehrlich ◽  
Margot A. Markman ◽  
Erica P. Gunderson ◽  
...  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Childhood Overweight ◽  
Gestational Weight ◽  
Overweight Or Obesity

Acceptability of a mobile-health intervention to increase physical activity among pregnant patients with overweight or obesity: A feasibility randomized controlled trial (Preprint)

2021 ◽  
Author(s):  
Tainayah Thomas ◽  
Fei Xu ◽  
Sneha Sridhar ◽  
Tali Sedgwick ◽  
Linda Nkemere ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Controlled Trial ◽  
Moderate Intensity ◽  
Moderate Intensity Physical Activity ◽  
Gestational Weight ◽  
Randomized Controlled ◽  
Intensity Physical Activity ◽  
Overweight Or Obesity

BACKGROUND Pregnant patients with overweight or obesity are at high risk of perinatal complications. Excess gestational weight gain further exacerbates this risk. Mobile health (mHealth) lifestyle interventions that leverage technology to facilitate self-monitoring and provide just-in-time feedback may motivate behavior change to reduce excess gestational weight gain, reduce intervention costs, and increase scalability by improving access. OBJECTIVE To test the acceptability and feasibility of a pilot mHealth lifestyle intervention for pregnant patients with overweight or obesity to promote moderate-intensity physical activity, encourage guideline-concordant gestational weight gain, and inform the design of a larger pragmatic cluster randomized controlled trial. METHODS We conducted a mixed-methods acceptability and feasibility randomized controlled trial among pregnant patients with a pre-pregnancy body mass index 25.0-40.0 kg/m2. Patients with singletons at 8–15 weeks’ gestation, and aged 21 years or older with Wi-Fi access were randomly assigned (1:1) to receive usual prenatal care or an mHealth lifestyle intervention. Participants in the intervention arm received wireless scales, access to an intervention website, activity trackers to receive automated feedback on weight gain and activity goals, and a monthly call from a lifestyle coach. Surveys and focus groups with intervention participants assessed intervention satisfaction and ways to improve the intervention. Physical activity outcomes were assessed using the Pregnancy Physical Activity Questionnaire and gestational weight gain was assessed using electronic health record data in both arms. RESULTS Thirty-three patients were randomly assigned to the intervention arm and 35 patients to the usual care arm. 100% of participants in the intervention arm weighed themselves at least once a week compared with 20% of participants in the usual care arm. Participants in the intervention arm wore the activity tracker 6.4 days/week, weighed themselves 5.3 times/week, and 87.9% rated the program “good to excellent.” Focus groups found participants desired more support related to nutrition to help them manage gestational weight gain and would have preferred an app instead of a website. Participants in the intervention arm had a 23.46 MET-hours greater change in total physical activity per week (95% CI:1.13, 45.8) and a 247.2-minute greater change in moderate intensity physical activity per week (95% CI: 36.2, 530.6) in unadjusted models, but these effects were attenuated in adjusted models (change in total physical activity: 15.55 MET-hours per week; 95% CI: -6.32, 37.42; change in moderate intensity physical activity: 199.6 minutes per week; 95% CI: -43.7, 442.9). We found no difference in total gestational weight gain (mean difference: 1.14 kg; 95% CI: -0.71, 3.00) compared to usual care. CONCLUSIONS A pilot mHealth lifestyle intervention was feasible, highly acceptable, and promoted self-monitoring. Refined interventions are needed to effectively impact physical activity and gestational weight gain among pregnant patients with overweight or obesity. CLINICALTRIAL ClinicalTrials.gov NCT03936283

Factors associated with early gestational weight gain among women with pre-pregnancy overweight or obesity

2020 ◽  
pp. 1-6
Author(s):  
Rebecca L. Emery ◽  
Maria Tina Benno ◽  
Rachel P. K. Conlon ◽  
Marsha D. Marcus ◽  
Michele D. Levine
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Factors Associated ◽  
Gestational Weight ◽  
Overweight Or Obesity
Sign in / Sign up

Export Citation Format

Share Document