Effect of dietary counseling on preventing excessive weight gain during pregnancy

Excessive gestational weight gain (EGWG) is associated with short- and long-term health problems among mothers and their offspring. The aim of this study was to assess the effect of dietary counseling on EGWG. Randomized controlled intervention trial. The study was conducted at the antenatal care (A...

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Veröffentlicht in:Public health (London) 2018-01, Vol.154, p.172-181
Hauptverfasser: Abdel-Aziz, S.B., Hegazy, I.S., Mohamed, D.A., Abu EL Kasem, M.M.A., Hagag, S.S.
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container_start_page 172
container_title Public health (London)
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creator Abdel-Aziz, S.B.
Hegazy, I.S.
Mohamed, D.A.
Abu EL Kasem, M.M.A.
Hagag, S.S.
description Excessive gestational weight gain (EGWG) is associated with short- and long-term health problems among mothers and their offspring. The aim of this study was to assess the effect of dietary counseling on EGWG. Randomized controlled intervention trial. The study was conducted at the antenatal care (ANC) clinic, Center for Social and Preventive Medicine, Pediatrics Hospital, Cairo University, during the period from July 2015 to April 2016. A total of 200 primigravidae aged between 20 and 30 years were included and randomized into intervention and control groups. Based on data analysis from phase 1, nutritional practices of the studied participants were identified and tailored nutrition counseling sessions designed. Follow-up of the studied participants throughout ANC visits was done to enforce the healthy dietary intake and encourage weight gain according to the recommendations to avoid EGWG. The intervention resulted in a significantly higher proportion of women in the intervention group who gained gestational weight within the Institute of Medicine recommendations compared to women in the control group (42.7% vs 13.9%, respectively) (P-value
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The aim of this study was to assess the effect of dietary counseling on EGWG. Randomized controlled intervention trial. The study was conducted at the antenatal care (ANC) clinic, Center for Social and Preventive Medicine, Pediatrics Hospital, Cairo University, during the period from July 2015 to April 2016. A total of 200 primigravidae aged between 20 and 30 years were included and randomized into intervention and control groups. Based on data analysis from phase 1, nutritional practices of the studied participants were identified and tailored nutrition counseling sessions designed. Follow-up of the studied participants throughout ANC visits was done to enforce the healthy dietary intake and encourage weight gain according to the recommendations to avoid EGWG. The intervention resulted in a significantly higher proportion of women in the intervention group who gained gestational weight within the Institute of Medicine recommendations compared to women in the control group (42.7% vs 13.9%, respectively) (P-value &lt;0.001); this was detected between the 25th and 35th weeks of gestation. Dietary counseling had significantly improved the frequency of consumption of different food items and knowledge, attitude, and practice mean scores of the intervention group in comparison with the control group (P-value &lt;0.001). The results of the present study demonstrated that dietary counseling given to pregnant women reduced the proportion of EGWG and improved dietary practices. There is a strong need for effective intervention strategies targeting EGWG to prevent adverse pregnancy outcomes. •The prevalence of obesity has increased among women of childbearing age.•Behavioral interventions such as weight awareness and dietary pattern improvement may mitigate pregnancy complications.•We assessed the effect of dietary counseling during pregnancy to decrease the proportion of EGWG.•The results demonstrated that dietary counseling given to pregnant women reduced EGWG and improved dietary practices.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2017.10.014</identifier><identifier>PMID: 29248827</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Behavioral intervention ; Body weight gain ; Control groups ; Control methods ; Counseling ; Data analysis ; Data processing ; Diet ; Dietary counseling ; Dietary intake ; Excessive gestational weight gain ; Food consumption ; Gestation ; Health problems ; Healthy food ; Intervention ; Medicine ; Mothers ; Nutrition ; Nutrition therapy ; Offspring ; Pediatrics ; Pregnancy ; Pregnancy outcomes ; Prenatal care ; Randomization ; Weight control ; Weight gain</subject><ispartof>Public health (London), 2018-01, Vol.154, p.172-181</ispartof><rights>2017 The Royal Society for Public Health</rights><rights>Copyright © 2017 The Royal Society for Public Health. 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The aim of this study was to assess the effect of dietary counseling on EGWG. Randomized controlled intervention trial. The study was conducted at the antenatal care (ANC) clinic, Center for Social and Preventive Medicine, Pediatrics Hospital, Cairo University, during the period from July 2015 to April 2016. A total of 200 primigravidae aged between 20 and 30 years were included and randomized into intervention and control groups. Based on data analysis from phase 1, nutritional practices of the studied participants were identified and tailored nutrition counseling sessions designed. Follow-up of the studied participants throughout ANC visits was done to enforce the healthy dietary intake and encourage weight gain according to the recommendations to avoid EGWG. The intervention resulted in a significantly higher proportion of women in the intervention group who gained gestational weight within the Institute of Medicine recommendations compared to women in the control group (42.7% vs 13.9%, respectively) (P-value &lt;0.001); this was detected between the 25th and 35th weeks of gestation. Dietary counseling had significantly improved the frequency of consumption of different food items and knowledge, attitude, and practice mean scores of the intervention group in comparison with the control group (P-value &lt;0.001). The results of the present study demonstrated that dietary counseling given to pregnant women reduced the proportion of EGWG and improved dietary practices. 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source Applied Social Sciences Index & Abstracts (ASSIA); Elsevier ScienceDirect Journals Complete
subjects Behavioral intervention
Body weight gain
Control groups
Control methods
Counseling
Data analysis
Data processing
Diet
Dietary counseling
Dietary intake
Excessive gestational weight gain
Food consumption
Gestation
Health problems
Healthy food
Intervention
Medicine
Mothers
Nutrition
Nutrition therapy
Offspring
Pediatrics
Pregnancy
Pregnancy outcomes
Prenatal care
Randomization
Weight control
Weight gain
title Effect of dietary counseling on preventing excessive weight gain during pregnancy
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