Nutrition and Exercise Strategies to Prevent Excessive Pregnancy Weight Gain: A Meta-analysis
| Autor: | Cynthia K. Wautlet, Emmanuel Sampene, Nasia Safdar, Katherine A. Craemer, Kathleen M. Antony |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
obesity Psychological intervention Prenatal care Overweight lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine Medicine 030212 general & internal medicine exercise intervention lcsh:RG1-991 Pregnancy 030219 obstetrics & reproductive medicine business.industry Obstetrics Obstetrics and Gynecology weight gain medicine.disease Obesity nutrition intervention Meta-analysis Pediatrics Perinatology and Child Health Original Article pregnancy medicine.symptom business Weight gain Body mass index |
| Zdroj: | American Journal of Perinatology Reports, Vol 09, Iss 01, Pp e92-e120 (2019) AJP Reports |
| ISSN: | 2157-7005 2157-6998 |
| DOI: | 10.1055/s-0039-1683377 |
| Popis: | Objective To evaluate nutrition-only, exercise-only, and nutrition-plus-exercise interventions for optimizing gestational weight gain (GWG) based on the 2009 Institute of Medicine (IOM) guidelines. Study PubMed, Google Scholar, and 2015 Cochrane Review were searched. Analysis of variance was used to determine if significant GWG differences exist between strategies, with additional subanalyses on overweight (OV) or obese women based on 2009 IOM guidelines. Results Of 66 identified studies, 31 contributed data (n = 8,558). Compared with routine prenatal care, nutrition-only interventions were significantly associated with reduced GWG and are most likely to produce weight gain within IOM recommendations (p = 0.013). Exercise-only (p = 0.069) and nutrition-plus-exercise (p = 0.056) interventions trended toward GWG within IOM guidelines, but did not reach statistical significance. Supervised (p = 0.61) and unsupervised (p = 0.494) exercise programs had similar effectiveness. Subanalyses on OV or obese women produced similar results to studies that did not differentiate results based on body mass index: nutrition only (p = 0.011), exercise only (p = 0.308), and nutrition plus exercise (p = 0.129). Conclusion Preventing excessive GWG is crucial, especially for OV or obese women. In the current study, nutrition-based intervention is the health system strategy that showed significant impact on preventing excessive GWG compared with routine prenatal care. Among women who are OV or have obesity, nutrition-only interventions hold the most promise compared with routine prenatal care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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