Effect of dietary counseling on preventing excessive weight gain during pregnancy

Abdelaziz, Shaimaa B.; Hegazy, Ibrahim; Mohamed, Dalia A.; Kasem, Mohammed; Hagag, Suzan

doi:10.1016/j.puhe.2017.10.014

Cited by 23 publications

(38 citation statements)

References 31 publications

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“…The result that the women who received nutrition advice and were working were more likely to consume a diet rich in pulses or fruits (high-mixed) is highly convincing. Congruent to our findings, another study found in a randomized controlled intervention trial that pregnant and lactating women who received nutrition-related counseling had a higher likelihood of consuming a diverse diet (42). This spotlights the fact that women's empowerment (employment) is a key driver for attaining maternal and child health and nutritional goals (43).…”

Section: Discussionsupporting

confidence: 50%

Dietary Patterns and Determinants of Pregnant and Lactating Women From Marginalized Communities in India: A Community-Based Cross-Sectional Study

et al. 2020

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Section: Discussionsupporting

confidence: 50%

Dietary Patterns and Determinants of Pregnant and Lactating Women From Marginalized Communities in India: A Community-Based Cross-Sectional Study

et al. 2020

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“…Sixteen diet only studies reported a total of 3681 participants ( Table S2 ). Four interventions delivered basic healthy eating advice [ 46 , 47 , 60 , 61 ], four were based on a low-GI diet [ 36 , 38 , 44 , 62 ], and six involved calorie-restriction [ 37 , 63 , 64 , 65 , 66 , 67 ]. Ilmonen et al [ 68 ] delivered dietary advice with a probiotic and Bosaues et al [ 51 ] advised women to increase their fish intake in addition to general dietary advice.…”

Section: Resultsmentioning

confidence: 99%

“…Meta-analysis was not possible for studies classified as ‘other’ because of the vast differences between their designs. Studies were excluded from the meta-analyses for no true control [ 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ] or insufficient data [ 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ]. Due to different definitions and measurements for GWG, GWG was classified into sub groups (i) >24 weeks, (ii) 12–24 weeks, and (iii) <12 weeks.…”

Section: Methodsmentioning

confidence: 99%

Attenuating Pregnancy Weight Gain—What Works and Why: A Systematic Review and Meta-Analysis

et al. 2018

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Excessive maternal gestational weight gain (GWG) contributes to generational obesity. Our aim was to explore efficacy and intervention characteristics (trimester, duration, frequency, intensity, and delivery method) of interventions to prevent excessive GWG. CINAHL, Cochrane, EMBASE, LILACS, MEDLINE, PsycINFO, and Scopus were searched up to May 2018 (no date or language restrictions). Keywords and MeSH terms for diet, GWG, intervention, lifestyle, maternal, physical activity, and pregnancy were used to locate randomized-controlled trials (RCTs). The Cochrane Collaboration tool for assessing risk of bias was applied. Eighty-nine RCTs were included. Meta-analysis (60 trials) estimated that women in diet only (WMD: −3.27; 95% CI: −4.96, −1.58, p < 0.01), physical activity (PA) (WMD: −1.02; 95% CI: −1.56, −0.49, p < 0.01), and lifestyle interventions (combining diet and PA) (WMD: −0.84; 95% CI: −1.29, −0.39, p < 0.01) gained significantly less weight than controls. The three eHealth interventions favored neither intervention nor control (WMD: −1.06; 95% CI: −4.13, 2.00, p = 0.50). Meta-regression demonstrated no optimal duration, frequency, intensity, setting, or diet type. Traditional face to face delivery of weight management interventions during pregnancy can be successful. Delivery via eHealth has potential to extend its reach to younger women but needs further evaluation of its success.

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“…Nutrition education and counselling has been shown in a meta‐analysis of 37 studies to be an effective approach for improving maternal nutrition in pregnancy, particularly in reducing maternal anaemia, increasing infant birth weight, and decreasing preterm births (Girard & Olude, ). Findings from a randomized controlled trial also indicate that dietary counselling may be effective in decreasing the proportion of women with excessive weight gain during pregnancy through improvements in food knowledge, diversity of food choices, and attitudes to diet (Abdel‐Aziz, Hegazy, Mohamed, Abu El Kasem, & Hagag, ). Strategies aimed at improving nutrition and health behaviours before conception also have been explored.…”

Section: Discussionmentioning

confidence: 99%

Dietary guideline adherence during preconception and pregnancy: A systematic review

Caut

Leach

Steel

2019

Maternal & Child Nutrition

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The aim of this study is to determine the level of adherence to dietary guidelines among men and women during preconception, and pregnant women, and factors associated with adherence. Searches were conducted in CINAHL, AMED, EMBASE, and Maternity and Infant Care from inception to March 2018. Observational studies assessing the primary outcome (adherence to dietary guidelines and/or nutritional recommendations) and/or secondary outcome (factors associated with adherence) were eligible. Study quality was assessed using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross‐sectional studies. Men or women (aged ≥18 years) who identified as trying/intending to conceive or were pregnant. Eighteen studies were included. The quality of studies was fair (44%) to good (56%). Most studies indicated preconceptual and pregnant women do not meet recommendations for vegetable, cereal grain, or folate intake. Pregnant women did not meet iron or calcium intake requirements in 91% and 55% of included studies, respectively, and also exceeded fat intake recommendations in 55% of included studies. Higher level education was associated with improved guideline adherence in pregnant women, whereas older age and non‐smoking status were associated with greater guideline adherence in preconceptual and pregnant women. The findings of this review suggest that preconceptual and pregnant women may not be meeting the minimum requirements stipulated in dietary guidelines and/or nutritional recommendations. This could have potential adverse consequences for pregnancy and birth outcomes and the health of the offspring. Major knowledge gaps identified in this review, which warrant further investigation, are the dietary intakes of men during preconception, and the predictors of guideline adherence.

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Effect of dietary counseling on preventing excessive weight gain during pregnancy

Cited by 23 publications

References 31 publications

Dietary Patterns and Determinants of Pregnant and Lactating Women From Marginalized Communities in India: A Community-Based Cross-Sectional Study

Dietary Patterns and Determinants of Pregnant and Lactating Women From Marginalized Communities in India: A Community-Based Cross-Sectional Study

Attenuating Pregnancy Weight Gain—What Works and Why: A Systematic Review and Meta-Analysis

Dietary guideline adherence during preconception and pregnancy: A systematic review

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