In a new trial, provision of antenatal dietary and lifestyle advice to pregnant women who are obese is associated with modest improvements in maternal diet. This intervention is, however, inadequate to affect pregnancy and birth outcomes, and challenges the notion that limiting gestational weight gain can improve pregnancy outcomes.
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References
Ng, M. et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 384, 766–781 (2014).
Scheil, W. et al. Pregnancy outcome in South Australia 2012. [online], (2014).
Dodd, J. M., Grivell, R. M., Nguyen A.-M., Chan, A. & Robinson, J. S. Maternal and perinatal health outcomes by body mass index category. Aust. NZ J. Obstet. Gynaecol. 51, 136–140 (2011).
Rooney, B. L., Mathiason, M. A. & Schauberger, C. W. Predictors of obesity in childhood, adolescence, and adulthood in a birth cohort. Matern. Child Health J. 15, 1166–1175 (2011).
National Institute of Health and Clinical Excellence. Weight management before, during and after pregnancy [online], (2010).
Poston, L. et al. Effect of a behavioural intervention in obese pregnant women (the UPBEAT study): a multicentre, randomised controlled trial. Lancet Diabetes Endocrinol. http://dx.doi.org/10.1016/S2213-8587(15)00227-2.
Dodd, J. M. et al. Antenatal lifestyle advice for women who are overweight or obese: the LIMIT randomised trial. BMJ 348, g1285 (2014).
Dodd, J. M. et al. Effects of antenatal lifestyle advice for women who are overweight or obese on maternal diet and physical activity: the LIMIT randomised trial. BMC Med. 12, 161 (2014).
Thangaratinam, S. et al. Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ 344, e2088 (2012).
Chiswick, C. et al. Effect of metformin on maternal and fetal outcomes in obese pregnant women (EMPOWaR): a randomised, double-blind, placebo-controlled trial. Lancet Diabetes Endocrinol. http://dx.doi.org/10.1016/S2213-8587(15)00219-3.
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J.M.D. is funded by an Australian National Health and Medical Research Council Practitioner Fellowship (ID 1078980).
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J.M.D. is the lead investigator of the LIMIT randomized trial and has no competing financial interests to declare.
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Dodd, J. Managing obesity during pregnancy—what are the options?. Nat Rev Endocrinol 11, 691–692 (2015). https://doi.org/10.1038/nrendo.2015.141
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DOI: https://doi.org/10.1038/nrendo.2015.141
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