55: Occurrence of pregnancy complications in women with BMI &gt;25 submitted to a healthy lifestyle and eating habits program

Petrella, Elisabetta; Facchinetti, Fabio; Bertarini, Valentina; Pignatti, Lucrezia; Neri, Isabella; Battistini, N.

doi:10.1016/j.ajog.2012.10.229

Cited by 8 publications

(3 citation statements)

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“…[16][17][18] Maternal exercise has 19 and an increase in aerobic and cardiovascular conditioning. 20 Engaging in exercise may be particularly important for nulliparous women, in much the same way, as we found that the incidence of hypertension and preterm delivery was reduced in overweight primigravidas. Exercise may also protect against preeclampsia by reducing maternal byproducts of oxidative stress, preventing endothelial dysfunction, and stimulating vascularity and placental growth.…”

Section: Discussionsupporting

confidence: 60%

The effect of regular daily walking on adverse pregnancy outcomes among overweight primigravidas: a prospective cohort study

Shady

Sallam

Ali

et al. 2017

Proc Obstet Gynecol

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Results: There were no significant differences between groups with regard to the basic criteria. The exercise program decreased the incidence of preeclampsia (OR=0.120; p=0.037), postdate (OR=0.274; p=0.008), excessive weight gain (OR=0.220; p=0.000), and cesarean delivery (OR=0.519; p=0.007). Conclusion:Regular maternal walking throughout the pregnancy may be a preventive tool for preeclampsia, postdate pregnancy, excessive weight gain and may decrease the incidence of cesarean delivery in primigravidas.

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Section: Discussionsupporting

confidence: 60%

The effect of regular daily walking on adverse pregnancy outcomes among overweight primigravidas: a prospective cohort study

Shady

Sallam

Ali

et al. 2017

Proc Obstet Gynecol

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show abstract

“… 37 In a study from Italy, therapeutic lifestyle changes, including to the diet (1,500 kcal/day) and the addition of mild physical activity (30 min/day, 3 times/week), could significantly reduce the risks of adverse perinatal outcomes such as GDM, gestational hypertension, and preterm delivery in women with BMI > 25 kg/m 2 . 38 Of note, our data showed that gestational weight gain is significantly greater in obese women without GDM than non-obese GDM women, implicating that some factors are modifiable by controlling weight through exercise and diet in these populations. Not only weight control during pregnancy, but also optimizing maternal BMI before pregnancy is important as our research showed.…”

Section: Discussionmentioning

confidence: 60%

Obesity Is Associated With Higher Risk of Adverse Maternal and Neonatal Outcomes Than Supervised Gestational Diabetes

et al. 2023

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Background Unlike gestational diabetic mellitus (GDM), which is strictly managed by most patients and physicians, obesity does not have proper management guidelines, and the importance of its management during pregnancy is often ignored. The aim of this study was to compare maternal and neonatal outcomes according to obesity and GDM, alone or in combination. Methods This was a retrospective cohort study of 3,078 consecutive pregnant women who experienced prenatal care and delivery of a live singleton neonate between January 2016 and December 2020 at our institution. Study participants were categorized into 4 mutually exclusive groups, as follows: group 1, no GDM without obesity; group 2, GDM without obesity; group 3, no GDM with obesity; and group 4, GDM with obesity. Results Compared to group 2, group 3 had higher rates of pre-eclampsia, cesarean section including emergent cesarean section rate. Also, neonates in group 3 were heavier and had lower glucose levels compared to those in group 2. Of note, there was no significant difference in maternal or neonatal outcomes except the rate of large-for-gestational-age (LGA) between group 1 and group 2. Among the GDM groups, group 4 had higher risks for pre-eclampsia, cesarean section, and LGA infant status than group 2. Conclusion Our data showed that obese women without GDM face higher risk of adverse pregnancy outcomes than women with supervised GDM and non-obese women. We also confirmed that adverse pregnancy outcomes associated with GDM were mainly attributable to obesity among women receiving GDM education.

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“…Among these, some habits and behaviours have been emphasized, including smoking (Gao et al, 2006;Kaneita et al, 2007), alcohol abuse (Nulman et al, 2004), combined use of tobacco and alcohol (Jackson et al, 2007) and the misuse of drugs (Abdel-Latif et al, 2007;Chiriboga et al, 2007;Shankaran et al, 2004, Smith et al, 2008. Other habits, such as eating behaviours and habits (Davenport, Ruchat, Giroux, Sopper, & Mottola, 2013;Forno, Young, Kumar, Simhan, & Celedón, 2014;Petrella et al, 2013), sleep quality (Hedman, Pohjasvaara, Tolonen, Suhonen-Malm, & Myllyla, 2002;Lee & Gay, 2004;Skouteris, Germano, Wertheim, Paxton, & Milgrom, 2008), and leisure-time physical activity (Davies et al, 2003;Domingues, Barros, & Matijasevich, 2008;Evenson, Siega-Riz, Savitz, Leiferman, & Thorp, 2002;Foxcroft et al, 2011;Hegaard et al, 2011;Leiferman & Evenson, 2003;Liu, Laditka, Mayer-Davis, & Pate, 2008;Mudd et al, 2015;Pereira et al, 2007;Saftlas, Sackett, Wang, Woolson, & Bracken, 2004) are relevant to consider when assessing lifestyle during pregnancy because all of these factors may affect women's quality of life and foetal health.…”

Section: Lifestyle Habits During Pregnancymentioning

confidence: 99%

Impacto do estilo de vida na adaptação individual e relacional e nos resultados obstétricos de mulheres adultas após o parto

2018

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O objetivo deste estudo foi analisar e comparar retrospetivamente o estilo de vida (EV) de mulheres antes e durante a gravidez; descrever a adaptação individual e relacional na transição para a maternidade e os resultados obstétricos; e avaliar a associação entre hábitos de EV e estes indicadores. A amostra foi composta por 98 mães, a maioria casadas ou em união de facto, com ensino secundário ou superior, nulíparas e que planearam a gravidez. A bateria de avaliação incluiu um questionário sociodemográfico, a Escala de Avaliação das Emoções, o Inventário de Sintomas Psicopatológicos e escalas de adjetivos para avaliar os domínios conjugal e parental. Os resultados mostraram uma mudança positiva no EV durante a gravidez em comparação ao período precedente. Foi encontrada uma associação significativa entre a adoção de hábitos de vida saudáveis e menor sintomatologia psicopatológica e maior reatividade emocional positiva. Estes resultados salientam a importância da avaliação de diferentes componentes do EV e a sua associação com diversos indicadores individuais e relacionais para uma melhor compreensão da adaptação das mulheres na transição para a maternidade.

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55: Occurrence of pregnancy complications in women with BMI >25 submitted to a healthy lifestyle and eating habits program

Cited by 8 publications

References 0 publications

The effect of regular daily walking on adverse pregnancy outcomes among overweight primigravidas: a prospective cohort study

The effect of regular daily walking on adverse pregnancy outcomes among overweight primigravidas: a prospective cohort study

Obesity Is Associated With Higher Risk of Adverse Maternal and Neonatal Outcomes Than Supervised Gestational Diabetes

Impacto do estilo de vida na adaptação individual e relacional e nos resultados obstétricos de mulheres adultas após o parto

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