A low intensity dietary intervention for reducing excessive gestational weight gain in an overweight and obese pregnant cohort

Autor: Karen Byth, Anita Wood, Therese M. McGee, Caron Blumenthal, Bonnie Dorise
Rok vydání: 2018
Předmět:
Adult
Dietary Fiber
050103 clinical psychology
medicine.medical_specialty
Asia
030309 nutrition & dietetics
Saturated fat
Emigrants and Immigrants
Overweight
Obesity
Maternal
03 medical and health sciences
Folic Acid
Dietary Fats
Unsaturated
Patient Education as Topic
Pregnancy
Dietary Carbohydrates
Humans
Medicine
0501 psychology and cognitive sciences
Medical nutrition therapy
Exercise
Retrospective Studies
0303 health sciences
business.industry
Obstetrics
05 social sciences
Australia
Infant
Newborn
Prenatal Care
Sodium
Dietary
medicine.disease
Dietary Fats
Obesity
Gestational Weight Gain
Diet
Calcium
Dietary
Psychiatry and Mental health
Clinical Psychology
Infant
Small for Gestational Age
Cohort
Small for gestational age
Female
Dietary Proteins
Diet
Healthy
medicine.symptom
Energy Intake
business
Weight gain
Zdroj: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 25:257-263
ISSN: 1590-1262
DOI: 10.1007/s40519-018-0566-2
Popis: Excessive gestational weight gain is associated with detrimental outcomes to both the mother and baby. Currently, the best approach to prevent excessive gestational weight gain in overweight and obese women is undetermined. The present study aimed to evaluate the effectiveness of a group-based outpatient dietary intervention in pregnancy to reduce excessive gestational weight gain. In this retrospective study, overweight and obese pregnant women who attended a single 90-min group education session were compared to women who received standard care alone. Total gestational weight gain, maternal and neonatal outcomes were compared between the intervention and control groups. Data were analysed using Student t, Mann–Whitney and Chi-squared tests as appropriate. A 24-h dietary recall was analysed and compared to the Australian National Nutrition Survey. A significant reduction in gestational weight gain was observed with this intervention (P = 0.010), as well as in the rate of small for gestational age births (P = 0.043). Those who attended the intervention had saturated fat and sodium intake levels that exceeded recommendations. Intake of pregnancy-specific micronutrients including folate, calcium and iron were poor from diet alone. A low-intensity antenatal dietary intervention may be effective in reducing excessive gestational weight gain, although multi-disciplinary interventions yield the best success. Further research is required to identify the optimal modality and frequency to limit excessive gestational weight gain. Dietary interventions tailored to ethnicity should also be explored. Level II, controlled trial without randomization.
Databáze: OpenAIRE
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