Macronutrient composition and gestational weight gain: a systematic review
Autor: | Audry H Garcia, Wichor M. Bramer, Janine F. Felix, Ester A.L. de Jonge, Thirsa L Visser, André Peralta Santos, Nellija Luksa, Myrte J. Tielemans, Oscar H. Franco, Trudy Voortman, Jessica C. Kiefte-de Jong, Eric A.P. Steegers, Geriolda Topi, Eduardo M. Moreira, Mateus Justi Luvizotto |
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Přispěvatelé: | Epidemiology, Erasmus MC other, Obstetrics & Gynecology |
Rok vydání: | 2015 |
Předmět: |
0301 basic medicine
Saturated fat Medicine (miscellaneous) Physiology Weight Gain 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Macronutrient composition Humans 030212 general & internal medicine Carbohydrate intake 030109 nutrition & dietetics Nutrition and Dietetics business.industry Pregnancy Outcome Feeding Behavior Maternal Nutritional Physiological Phenomena medicine.disease Diet Pregnancy Complications Systematic review Gestation Observational study Female medicine.symptom business Energy Intake Weight gain |
Zdroj: | American Journal of Clinical Nutrition American Journal of Clinical Nutrition, 103(1), 83-99. American Society for Nutrition |
ISSN: | 1938-3207 0002-9165 |
Popis: | Background Abnormal gestational weight gain is associated with unfavorable pregnancy outcomes. Several risk factors have been identified, but the effect of macronutrient intake during pregnancy on gestational weight gain has not been systematically evaluated in both high-income countries and low- and middle-income countries. Objective We conducted a systematic review of the literature in 8 different databases (until 12 August 2015) to assess whether energy intake and macronutrient intake (i.e., protein, fat, and carbohydrate) during pregnancy were associated with gestational weight gain (following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines). Results Of 7623 identified references, we included 56 articles (46 observational studies and 10 trials, 28 of which were in high-income countries and 28 of which were in low- and middle-income countries). Eleven of the included articles were of high quality (20%). Results of 5 intervention and 7 high-quality observational studies suggested that higher energy intake during pregnancy is associated with higher gestational weight gain (n = 52). Results from observational studies were inconsistent for protein intake (n = 29) and carbohydrate intake (n = 18). Maternal fat intake (n = 25) might be associated with gestational weight gain as suggested by observational studies, although the direction of this association might depend on specific types of fat (e.g., saturated fat). Macronutrient intake was not consistently associated with the prevalence of inadequate or excessive gestational weight gain. Associations were comparable for high-income countries and low- and middle-income countries. Conclusions The current literature provides evidence that energy intake is associated with gestational weight gain, but the roles of individual macronutrients are inconsistent. However, there is a need for higher-quality research because the majority of these studies were of low quality. |
Databáze: | OpenAIRE |
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