Nutrition and Exercise Prevent Excess Weight Gain in Overweight Pregnant Women

Mottola, Michelle F.; Giroux, Isabelle; Gratton, Robert; Hammond, Jo-Anne; Hanley, Anthony J.; Harris, Stewart; McManus, Ruth; Davenport, Margie H.; Sopper, Maggie M.

doi:10.1249/mss.0b013e3181b5419a

Cited by 145 publications

(174 citation statements)

References 30 publications

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“…Although shifting the occurrence of a large for gestational age baby to a normal range has benefits for maternal outcomes, elevated birth weight is not always observed and therefore cannot always be assumed in human studies or animal models of maternal over-nutrition. Indeed, birth weight data in the above mentioned studies [24][25][26][27] and our recent review of maternal high-fat feeding and offspring development show birth weight is often similar between offspring groups or in fact lower in offspring of obese mothers compared with controls. 28 A major limitation of human studies is the degree to which a mechanistic understanding may be achieved without invasive procedures in children.…”

Section: Maternal Obesity And/over-nutrition Predisposes Offspring Tomentioning

confidence: 97%

“…Increasing attention towards interventions that may be used to improve maternal health could, therefore, impact substantially on offspring health both in the short and long term. A number of early reviews, 19,[22][23][24][25] in addition to two recent studies, 26,27 have identified altering maternal carbohydrate intake as well as maternal physical activity levels as potential strategies for positively regulating maternal weight gain and offspring birth weight among other pregnancy outcomes. However, longitudinal studies that describe the potential long-term benefits of these interventions for offspring health are lacking.…”

Section: Maternal Obesity And/over-nutrition Predisposes Offspring Tomentioning

confidence: 99%

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Maternal over-nutrition and offspring obesity predisposition: targets for preventative interventions

Rooney

Ozanne

2011

Int J Obes

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Obesity now represents one of the major health care issues of the 21st century. Its prevalence has increased exponentially in both the developed and developing world during the last couple of decades. Such a rapid rise can therefore not be explained by a change in genotype, but must result from environmental factors and their interaction with our genes. There is clear evidence to show that current environmental factors such as current diet and level of physical activity can influence our risk of obesity. However, there is growing evidence to suggest that factors acting during very early life can influence long-term energy balance. One such factor that is emerging as an important player is maternal obesity and/or over-nutrition during pregnancy and lactation. Early life may therefore represent a critical period during which intervention strategies could be developed to reduce the prevalence of obesity.

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Section: Maternal Obesity And/over-nutrition Predisposes Offspring Tomentioning

confidence: 97%

Section: Maternal Obesity And/over-nutrition Predisposes Offspring Tomentioning

confidence: 99%

Maternal over-nutrition and offspring obesity predisposition: targets for preventative interventions

Rooney

Ozanne

2011

Int J Obes

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“…Recent findings from intervention studies show that gestational weight gain can be kept at a healthy level in both healthy-weight women (BMI 18.5-24.9) [6] and overweight women [11]. In other words, excess gestational weight gain is preventable [12].…”

Section: Introductionmentioning

confidence: 99%

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Olander

Atkinson

Edmunds

et al. 2011

Sexual & Reproductive Healthcare

109

149

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. (2011). The views of pre-and post-natal women and health professionals regarding gestational weight gain: an exploratory study. Sexual & Reproductive Healthcare, 2(1), pp. 43-48. doi: 10.1016/j.srhc.2010.10.004 This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent Study DesignIn total, five focus groups were conducted with pregnant women (n=9), post-natal women (n=14) and health professionals (including midwives, n=7). The focus groups were transcribed verbatim and analysed thematically. Main Outcome MeasuresThe women's views regarding weight gain in pregnancy and what the health professionals' thoughts were concerning the current provision of care they provide to their patients regarding gestational weight gain. ResultsThe women expressed a lack of concern regarding their weight in pregnancy, and reported not receiving any information regarding what constitutes healthy gestational weight gain. The pregnant women reported not monitoring their weight and assumed they would lose weight post-natally through breastfeeding. The health professionals reported being aware of the women's beliefs, however lacked information to give to the women relating to healthy weight gain. ConclusionsIt is likely that the women lacked concern and knowledge regarding gestational weight gain due to not receiving information from their midwives and other health professionals regarding this issue. The health professionals were in turn unsure of what to advise women regarding appropriate gestational weight gain. By ensuring midwives and other health professionals have the knowledge and skills to discuss weight with pregnant women, the women in turn may be more motivated and confident in maintaining a healthy weight at this time.3

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“…Esto ocurre desde la semana 6-8 de gestación, alcanzando el valor máximo al final del segundo trimestre, donde se estabiliza 10 . La adaptación estructural del corazón necesaria para asumir este mayor volumen sanguíneo se traduce, en condiciones normales, en un incremento del diámetro telediastólico del ventrículo izquierdo (DTDVI) y mayor distensibilidad del ventrículo, con lo que se consigue el necesario aumento del gasto cardiaco sin elevar las presiones intracavitarias ni la presión sistémica 2 .…”

Section: Cambios Cardiovasculares Durante El Embarazounclassified

“…En este sentido, son muchos los estudios que informan de posibles mejoras en la salud de estas gestantes a través de la práctica regular de ejercicio físico moderado durante el embarazo [3][4][5][6][7][8][9][10] .…”

Section: Introductionunclassified

Efectos de un programa de ejercicio físico supervisado sobre la estructura cardiaca durante la gestación. Ensayo clínico aleatorizado

Perales¹,

Luaces²,

Moro³

et al. 2012

Progresos de Obstetricia y Ginecología

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Recibido el 11 de julio de 2011; aceptado el 11 de enero de 2012 Accesible en línea el 22 de marzo de 2012 PALABRAS CLAVE Embarazo; Ejercicio físico; Sistema cardiovascularResumen Objetivo: Analizar la seguridad del ejercicio aeróbico para el sistema cardiovascular de las mujeres gestantes y valorar las posibles mejoras cardiovasculares producidas.Sujetos y métodos: Se diseñó un ensayo clínico aleatorizado, no apareado, no enmascarado. El registro de datos se realizó en las semanas 20 y 34 de gestación. En la semana 20, se estudió a 45 gestantes del grupo de ejercicio (GE), de las cuales completaron el estudio 35. Del grupo de control (GC), en la semana 20 participaron 14, y completaron el estudio 9.Resultados: En la semana 20 hubo mejoras en el índice de masa corporal (GE: 25,1 AE 4,3/GC: 27,9 AE 4,5) (p = 0,04) y en la presión arterial sistólica (GE: 104,7 AE 10,9/GC: 112,5 AE 11,3) (p = 0,02). En el GC hubo presencia de hipertrofia concéntrica (n = 2, 14,3%). En la semana 34, el GE presentó un mayor volumen sistólico (GE: 52,33 AE 10,42/GC: 43,69 AE 9,48) (p = 0,03).Conclusión: El ejercicio aeróbico durante el embarazo es seguro para el sistema cardiovascular, mejorando incluso algunos parámetros.

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Nutrition and Exercise Prevent Excess Weight Gain in Overweight Pregnant Women

Abstract: NELIP reduces the risk of excessive pregnancy weight gain with minimal weight retention at 2 months postpartum in OW and OB women. This intervention may assist OW and OB women in successful weight control after childbirth.

Cited by 145 publications

References 30 publications

Maternal over-nutrition and offspring obesity predisposition: targets for preventative interventions

Maternal over-nutrition and offspring obesity predisposition: targets for preventative interventions

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Efectos de un programa de ejercicio físico supervisado sobre la estructura cardiaca durante la gestación. Ensayo clínico aleatorizado

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