Safety and efficacy of a lifestyle intervention for pregnant women to prevent excessive maternal weight gain: a cluster-randomized controlled trial

Rauh, Kathrin; Gabriel, Elisabeth; Kerschbaum, Eva; Schuster, Tibor; Kries, R. von; Amann-Gassner, Ulrike; Hauner, Hans

doi:10.1186/1471-2393-13-151

Cited by 94 publications

(140 citation statements)

References 75 publications

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“…Interventions that reduce excessive GWG by 50% would thus reduce the risk for GDM by 10%. As shown by recent meta-analyses, dietary and lifestyle interventions during pregnancy are effective in reducing GWG [43][44][45], with a trend towards a reduced risk of GDM [44,46]. Unfortunately, these studies did not explicitly address the avoidance of excessive GWG prior to GDM screening.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Excessive gestational weight gain prior to glucose screening and the risk of gestational diabetes: a meta-analysis

et al. 2015

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Aims/hypothesis Excessive gestational weight gain (GWG) may be a risk factor for gestational diabetes mellitus (GDM). We aimed to study the association between excessive GWG (defined according to Institute of Medicine recommendations) prior to GDM screening, and GDM. Methods We systematically searched four electronic databases from 1990 until September 2014 for observational studies published in English or German that reported an association between excessive GWG and GDM as the outcome. Random effects meta-analyses were performed to provide a pooled estimate of the OR comparing the risk of GDM in women with and without excessive GWG. Results A total of eight studies involving 13,748 participants were included. The pooled analysis of unadjusted OR yielded a summary OR of 1.40 (95% CI 1.21, 1.61; p<0.001) with low between-study heterogeneity (I 2 =16.7%). A sensitivity analysis based on four studies reporting adjusted effect estimates revealed similar results (OR 1.42; 95% CI 1.20, 1.68; p<0.001; I 2 =0%). No evidence was found that the effect of GWG on GDM differs depending on maternal pre-pregnancy BMI category. A funnel plot did not indicate substantial publication bias. Conclusions/interpretation Avoiding excessive weight gain in pregnancy prior to the GDM screening test may be a potential strategy to reduce GDM risk. Meta-analysis registration www.crd.york.ac.uk/PROSPERO CRD42014008802

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Section: Strengths and Limitationsmentioning

confidence: 99%

Excessive gestational weight gain prior to glucose screening and the risk of gestational diabetes: a meta-analysis

et al. 2015

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“…Varios estudios indican la necesidad de una mayor capacitación en el uso de otras herramientas complementarias (29,30), como, por ejemplo, las intervenciones motivacionales (26). Por otra parte, aunque la combinación del consejo nutricional con otras modificaciones de los estilos de vida (incluyendo ejercicio físico) se han mostrado eficaces para el control del peso durante la gestación (9), solo en algunos de los estudios consultados se refiere el uso combinado de información nutricional y otras intervenciones comportamentales específicas (19). Tampoco queda claro si las matronas usan de forma generalizada las estrategias prácticas, basadas en el manejo de alimentos, a pesar de haber recomendaciones fuertes en este sentido (14).…”

Section: Discussionunclassified

“…Las intervenciones estaban enmarcadas en programas de consejo nutricional llevados a cabo por matronas, en los que se recomienda hacer un seguimiento continuo del control de peso y un asesoramiento permanente frente al estilo de vida de la mujer gestante. De esta forma, mejorar los recursos en la educación de las embarazadas ha mostrado tener un resultado positivo en su control nutricional (19,20). Sin embargo, existe escasa literatura especializada que investigue los conocimientos que las matronas tienen sobre la nutrición en las gestantes y las estrategias educativas que las matronas utilizan para tratar esta temática (16,21).…”

Section: Introductionunclassified

Percepción de embarazadas y matronas acerca de los consejos nutricionales durante la gestación

et al. 2016

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Palabras clave:Mujeres embarazadas. Matronas. Consejos de salud. Nutrición prenatal. Key words:Pregnant women. Midwives. Health councils. Prenatal nutrition. AbstractBackground: Women's nutritional status, the suitable profi t of weight and the ingestion of certain nutrients may have an important infl uence in health both for the mother and newborn in a short and long term. World Health Organization gives a number of nutritional recommendations which are transmitted during the pregnant women antenatal care by their midwives. Objectives: To analyze the main studies on the understanding of the pregnant women about the nutritional received councils and to identify the strategies used by the midwives for theirs implementation. Methodology: Literature review for low risk pregnant's conducted by midwives and receiving nutritional councils in Web of Science (WOS), CINAHL and PubMed. Using descriptors such as: pregnancy, pregnant, midwife, counselling, nutrition and their different combinations. The criteria incorporation was original article and review written in English, Spanish or Portuguese of last ten years and available in complete. Results: 184 references were found. Finally, only 11 focused on the issue addressed. There are multiple items with nutritional advice in pregnancy but a few that include educational strategies implemented by midwives to address dietary and nutritional recommendations and usefulness. Conclusion: Only a few studies researchs the midwives' knowledge about nutrition in pregnancy and the councils that they transmit to pregnants. In the same way, not many papers treats the pregnant perception about nutritional councils.

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“…En el agua también disminuye la demanda de oxígeno, en comparación con el ejercicio en el medio terrestre (38). La actividad en medio acuático requiere un aprendizaje de la respiración que se trabaja de un modo consciente y con control voluntario tanto del ritmo, intensidad y vías respiratorias, como en fases y en volumen, lo que lo hace muy útil para afrontar el trabajo del parto (11,39).…”

Section: Introductionunclassified

Influencia del programa SWEP (Study Water Exercise Pregnant) en los resultados perinatales: protocolo de estudio

et al. 2016

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Introduction: Moderate exercise training during the pregnancy benefits both the pregnant woman and the fetus. The research papers consulted have linked physical activity with the reduction of the number of cesareans, instrumental delivery and with a more physiological delivery. It also prevents excessive weight gain in women and decreases the risk of gestational diabetes and high blood pressure. Aims: The aim of this research is to know if an exercise program of moderate character with Water Study Exercise Pregnant (SWEP) method, performed in an aquatic environment, contributes to have more favorable results in the perinatal period, both for women and baby. Material and methods: The design is a randomized clinical trial. The sample will consist of 364 pregnant women, with a total universe of 6,579 births occurred in Granada (Spain) during 2014. The sample was divided into two groups, intervention group and control group. The activity will be carried out in the water sporting facilities of the Faculty of Sports Science of the University of Granada, which have two pools suitable for our purposes: a 25-meter polyvalent pool and a 12.5-meter pool for training. Results: The exercise program designed specifically for the project called SWEP is performed from 20 to 37 weeks of gestation (SG), and it consists of three weekly sessions, with duration of 60 minutes each. Sessions will include three phases: warm-up phase, the main phase in which the exercise is divided into an aerobic phase and strength training and endurance training phase and a final phase of stretching and relaxation. The variables that will be studied are: a) Maternal: weight, BMI, blood pressure, O'Sullivan test, postpartum depression, level of self-rated health, sleep quality and perceived exertion during physical activity; b) fetal: weight, Apgar scores, head circumference and GA (Gestational age); c) peripartum: time dilation, expulsion and delivery, type of delivery, episiotomy, type of feed received by the RN and time of exclusive breastfeeding; and d) descriptive: age, occupation, education level, type of exercise done before and OF (obstetric formula). Conclusion: With aquatic moderate physical activity during pregnancy (method SWEP), we intended to improve the variables above.

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Safety and efficacy of a lifestyle intervention for pregnant women to prevent excessive maternal weight gain: a cluster-randomized controlled trial

Cited by 94 publications

References 75 publications

Excessive gestational weight gain prior to glucose screening and the risk of gestational diabetes: a meta-analysis

Excessive gestational weight gain prior to glucose screening and the risk of gestational diabetes: a meta-analysis

Percepción de embarazadas y matronas acerca de los consejos nutricionales durante la gestación

Influencia del programa SWEP (Study Water Exercise Pregnant) en los resultados perinatales: protocolo de estudio

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