Effect of lifestyle intervention on dietary habits, physical activity, and gestational weight gain in obese pregnant women: a randomized controlled trial

Maternal obesity and excessive gestational weight gain (GWG) are major short- and long-term risk factors for maternal and fetal complications. The objective was to study whether a lifestyle intervention based on a brochure or on active education can improve dietary habits, increase physical activity...

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Veröffentlicht in:The American journal of clinical nutrition 2010-02, Vol.91 (2), p.373-380
Hauptverfasser: GUELINCKX, Isabelle, DEVLIEGER, Roland, MULLIE, Patrick, VANSANT, Greet
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container_title The American journal of clinical nutrition
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creator GUELINCKX, Isabelle
DEVLIEGER, Roland
MULLIE, Patrick
VANSANT, Greet
description Maternal obesity and excessive gestational weight gain (GWG) are major short- and long-term risk factors for maternal and fetal complications. The objective was to study whether a lifestyle intervention based on a brochure or on active education can improve dietary habits, increase physical activity (PA), and reduce GWG in obese pregnant women. In this randomized controlled trial, 195 white, obese pregnant women [age: 29 + or - 4 y; body mass index (in kg/m(2)); 33.6 + or - 4.2] were randomly assigned into 3 groups: a group that received nutritional advice from a brochure, a group that received the brochure and lifestyle education by a nutritionist, and a control group. Nutritional habits were evaluated every trimester through 7-d food records. PA was evaluated with the Baecke questionnaire. Energy intake did not change during pregnancy and was comparable in all groups. Fat intake, specifically saturated fat intake, decreased and protein intake increased from the first to the third trimester in the passive and active groups compared with an opposite change in the control group. Calcium intake and vegetable consumption increased during pregnancy in all groups. PA decreased in all groups, especially in the third trimester. No significant differences in GWG and obstetrical or neonatal outcome could be observed between the groups. Both lifestyle interventions improved the nutritional habits of obese women during pregnancy. Neither PA nor GWG was affected.
doi_str_mv 10.3945/ajcn.2009.28166
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Behavior Therapy - methods
Biological and medical sciences
Calcium
Diet
Exercise
Feeding Behavior - physiology
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Humans
Infant, Newborn
Life Style
Lifestyles
Motor Activity - physiology
Nutrition
Obesity
Obesity - physiopathology
Obesity - therapy
Pregnancy
Pregnancy Complications - physiopathology
Pregnancy Complications - therapy
Prenatal Nutritional Physiological Phenomena
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Weight Gain - physiology
Womens health
title Effect of lifestyle intervention on dietary habits, physical activity, and gestational weight gain in obese pregnant women: a randomized controlled trial
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