Greater Neonatal Fat‐Free Mass and Similar Fat Mass Following a Randomized Trial to Control Excess Gestational Weight Gain
Objective The objective of this study was to determine the effectiveness of controlling maternal gestational weight gain (GWG) in the second and third trimesters on neonate body composition. Methods Two hundred ten healthy women with overweight (25 > BMI < 30) or obesity (BMI ≥ 30) were random...
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| Veröffentlicht in: | Obesity (Silver Spring, Md.) Md.), 2018-03, Vol.26 (3), p.578-587 |
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| container_title | Obesity (Silver Spring, Md.) |
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| creator | Gallagher, Dympna Rosenn, Barak Toro‐Ramos, Tatiana Paley, Charles Gidwani, Sonia Horowitz, Michelle Crane, Janet Lin, Susan Thornton, John C. Pi‐Sunyer, Xavier |
| description | Objective
The objective of this study was to determine the effectiveness of controlling maternal gestational weight gain (GWG) in the second and third trimesters on neonate body composition.
Methods
Two hundred ten healthy women with overweight (25 > BMI < 30) or obesity (BMI ≥ 30) were randomly assigned to a lifestyle intervention (LI) program focused on controlling GWG through nutrition and activity behaviors or to usual obstetrical care (UC). Infant fat and fat‐free mass (FFM) at birth were measured by using air displacement plethysmography (PEA POD) and by using quantitative magnetic resonance (QMR).
Results
At baseline, there were no between‐group differences in maternal characteristics (mean [SD]): age: 33.8 (4.3) years, weight: 81.9 (13.7) kg, BMI: 30.4 (4.5), and gestational age at randomization: 14.9 (0.8) weeks. GWG was less in the LI group by 1.79 kg (P = 0.003) or 0.0501 kg/wk (P = 0.002). Compared with UC infants, LI infants had greater weight (131 ± 59 g P = 0.03), FFM (98 ± 45 g; P = 0.03) measured by PEA POD, and lean mass (105 ± 38 g; P = 0.006) measured by QMR. Fat mass and percent fat were not significantly different.
Conclusions
Intervening in women with overweight and obesity through behaviors promoting healthy diet and physical activity to control GWG resulted in neonates with similar fat and greater FFM. |
| doi_str_mv | 10.1002/oby.22079 |
| format | Article |
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The objective of this study was to determine the effectiveness of controlling maternal gestational weight gain (GWG) in the second and third trimesters on neonate body composition.
Methods
Two hundred ten healthy women with overweight (25 > BMI < 30) or obesity (BMI ≥ 30) were randomly assigned to a lifestyle intervention (LI) program focused on controlling GWG through nutrition and activity behaviors or to usual obstetrical care (UC). Infant fat and fat‐free mass (FFM) at birth were measured by using air displacement plethysmography (PEA POD) and by using quantitative magnetic resonance (QMR).
Results
At baseline, there were no between‐group differences in maternal characteristics (mean [SD]): age: 33.8 (4.3) years, weight: 81.9 (13.7) kg, BMI: 30.4 (4.5), and gestational age at randomization: 14.9 (0.8) weeks. GWG was less in the LI group by 1.79 kg (P = 0.003) or 0.0501 kg/wk (P = 0.002). Compared with UC infants, LI infants had greater weight (131 ± 59 g P = 0.03), FFM (98 ± 45 g; P = 0.03) measured by PEA POD, and lean mass (105 ± 38 g; P = 0.006) measured by QMR. Fat mass and percent fat were not significantly different.
Conclusions
Intervening in women with overweight and obesity through behaviors promoting healthy diet and physical activity to control GWG resulted in neonates with similar fat and greater FFM.</description><identifier>ISSN: 1930-7381</identifier><identifier>EISSN: 1930-739X</identifier><identifier>DOI: 10.1002/oby.22079</identifier><identifier>PMID: 29464905</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Body composition ; Body fat ; Body Mass Index ; Clinical trials ; Diet ; Female ; Gestational Age ; Humans ; Infant ; Infant, Newborn ; Intervention ; Lifestyles ; Maternal & child health ; Metabolism ; Newborn babies ; Nutrition research ; Obesity ; Pregnancy ; Pregnancy Complications - physiopathology ; Weight control ; Weight Gain - physiology ; Womens health</subject><ispartof>Obesity (Silver Spring, Md.), 2018-03, Vol.26 (3), p.578-587</ispartof><rights>2018 The Obesity Society</rights><rights>2018 The Obesity Society.</rights><rights>Copyright Blackwell Publishing Ltd. Mar 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4439-75fbc8c6455cf54a43597075075429f35718b2f47934a1ddbe4ba536cf4e12cc3</citedby><cites>FETCH-LOGICAL-c4439-75fbc8c6455cf54a43597075075429f35718b2f47934a1ddbe4ba536cf4e12cc3</cites><orcidid>0000-0003-1769-9754 ; 0000-0003-4153-3316</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Foby.22079$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Foby.22079$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29464905$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gallagher, Dympna</creatorcontrib><creatorcontrib>Rosenn, Barak</creatorcontrib><creatorcontrib>Toro‐Ramos, Tatiana</creatorcontrib><creatorcontrib>Paley, Charles</creatorcontrib><creatorcontrib>Gidwani, Sonia</creatorcontrib><creatorcontrib>Horowitz, Michelle</creatorcontrib><creatorcontrib>Crane, Janet</creatorcontrib><creatorcontrib>Lin, Susan</creatorcontrib><creatorcontrib>Thornton, John C.</creatorcontrib><creatorcontrib>Pi‐Sunyer, Xavier</creatorcontrib><title>Greater Neonatal Fat‐Free Mass and Similar Fat Mass Following a Randomized Trial to Control Excess Gestational Weight Gain</title><title>Obesity (Silver Spring, Md.)</title><addtitle>Obesity (Silver Spring)</addtitle><description>Objective
The objective of this study was to determine the effectiveness of controlling maternal gestational weight gain (GWG) in the second and third trimesters on neonate body composition.
Methods
Two hundred ten healthy women with overweight (25 > BMI < 30) or obesity (BMI ≥ 30) were randomly assigned to a lifestyle intervention (LI) program focused on controlling GWG through nutrition and activity behaviors or to usual obstetrical care (UC). Infant fat and fat‐free mass (FFM) at birth were measured by using air displacement plethysmography (PEA POD) and by using quantitative magnetic resonance (QMR).
Results
At baseline, there were no between‐group differences in maternal characteristics (mean [SD]): age: 33.8 (4.3) years, weight: 81.9 (13.7) kg, BMI: 30.4 (4.5), and gestational age at randomization: 14.9 (0.8) weeks. GWG was less in the LI group by 1.79 kg (P = 0.003) or 0.0501 kg/wk (P = 0.002). Compared with UC infants, LI infants had greater weight (131 ± 59 g P = 0.03), FFM (98 ± 45 g; P = 0.03) measured by PEA POD, and lean mass (105 ± 38 g; P = 0.006) measured by QMR. Fat mass and percent fat were not significantly different.
Conclusions
Intervening in women with overweight and obesity through behaviors promoting healthy diet and physical activity to control GWG resulted in neonates with similar fat and greater FFM.</description><subject>Adult</subject><subject>Body composition</subject><subject>Body fat</subject><subject>Body Mass Index</subject><subject>Clinical trials</subject><subject>Diet</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intervention</subject><subject>Lifestyles</subject><subject>Maternal & child health</subject><subject>Metabolism</subject><subject>Newborn babies</subject><subject>Nutrition research</subject><subject>Obesity</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - physiopathology</subject><subject>Weight control</subject><subject>Weight Gain - physiology</subject><subject>Womens health</subject><issn>1930-7381</issn><issn>1930-739X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kd1qFDEYhgdRbK0eeAMS8EQPts3vzOREqEt3FaoFrahH4ZvMN9uUzKQms9YVD7wEr9ErMe3URQUhkJA8PHk_3qJ4yOg-o5QfhGazzzmt9K1il2lBZ5XQH25vzzXbKe6ldE6pLKlid4sdrmUpNVW7xbdlRBgxktcYBhjBkwWMP7__WERE8gpSIjC05K3rnYd49TZdLoL34dINKwLkTSZC775iS06jy4YxkHkYxhg8OfpiMeNLTCOMLv_gyXt0q7ORLMEN94s7HfiED272veLd4uh0_mJ2fLJ8OT88nlkphZ5VqmtsbUuplO2UBCmUrmil8pJcd0JVrG54JystJLC2bVA2oERpO4mMWyv2imeT92Ld9NhazOHAm4voeogbE8CZv18Gd2ZW4bNRNc8JVBY8uRHE8GmdhzG9Sxa9hwHDOhlOacVYqaTO6ON_0POwjnnwa6oWnCtZZ-rpRNkYUorYbcMwaq46NblTc91pZh_9mX5L_i4xAwcTcOk8bv5vMifPP07KXys2rKw</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Gallagher, Dympna</creator><creator>Rosenn, Barak</creator><creator>Toro‐Ramos, Tatiana</creator><creator>Paley, Charles</creator><creator>Gidwani, Sonia</creator><creator>Horowitz, Michelle</creator><creator>Crane, Janet</creator><creator>Lin, Susan</creator><creator>Thornton, John C.</creator><creator>Pi‐Sunyer, Xavier</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1769-9754</orcidid><orcidid>https://orcid.org/0000-0003-4153-3316</orcidid></search><sort><creationdate>201803</creationdate><title>Greater Neonatal Fat‐Free Mass and Similar Fat Mass Following a Randomized Trial to Control Excess Gestational Weight Gain</title><author>Gallagher, Dympna ; Rosenn, Barak ; Toro‐Ramos, Tatiana ; Paley, Charles ; Gidwani, Sonia ; Horowitz, Michelle ; Crane, Janet ; Lin, Susan ; Thornton, John C. ; Pi‐Sunyer, Xavier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4439-75fbc8c6455cf54a43597075075429f35718b2f47934a1ddbe4ba536cf4e12cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Body composition</topic><topic>Body fat</topic><topic>Body Mass Index</topic><topic>Clinical trials</topic><topic>Diet</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intervention</topic><topic>Lifestyles</topic><topic>Maternal & child health</topic><topic>Metabolism</topic><topic>Newborn babies</topic><topic>Nutrition research</topic><topic>Obesity</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - physiopathology</topic><topic>Weight control</topic><topic>Weight Gain - physiology</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gallagher, Dympna</creatorcontrib><creatorcontrib>Rosenn, Barak</creatorcontrib><creatorcontrib>Toro‐Ramos, Tatiana</creatorcontrib><creatorcontrib>Paley, Charles</creatorcontrib><creatorcontrib>Gidwani, Sonia</creatorcontrib><creatorcontrib>Horowitz, Michelle</creatorcontrib><creatorcontrib>Crane, Janet</creatorcontrib><creatorcontrib>Lin, Susan</creatorcontrib><creatorcontrib>Thornton, John C.</creatorcontrib><creatorcontrib>Pi‐Sunyer, Xavier</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity (Silver Spring, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gallagher, Dympna</au><au>Rosenn, Barak</au><au>Toro‐Ramos, Tatiana</au><au>Paley, Charles</au><au>Gidwani, Sonia</au><au>Horowitz, Michelle</au><au>Crane, Janet</au><au>Lin, Susan</au><au>Thornton, John C.</au><au>Pi‐Sunyer, Xavier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Greater Neonatal Fat‐Free Mass and Similar Fat Mass Following a Randomized Trial to Control Excess Gestational Weight Gain</atitle><jtitle>Obesity (Silver Spring, Md.)</jtitle><addtitle>Obesity (Silver Spring)</addtitle><date>2018-03</date><risdate>2018</risdate><volume>26</volume><issue>3</issue><spage>578</spage><epage>587</epage><pages>578-587</pages><issn>1930-7381</issn><eissn>1930-739X</eissn><abstract>Objective
The objective of this study was to determine the effectiveness of controlling maternal gestational weight gain (GWG) in the second and third trimesters on neonate body composition.
Methods
Two hundred ten healthy women with overweight (25 > BMI < 30) or obesity (BMI ≥ 30) were randomly assigned to a lifestyle intervention (LI) program focused on controlling GWG through nutrition and activity behaviors or to usual obstetrical care (UC). Infant fat and fat‐free mass (FFM) at birth were measured by using air displacement plethysmography (PEA POD) and by using quantitative magnetic resonance (QMR).
Results
At baseline, there were no between‐group differences in maternal characteristics (mean [SD]): age: 33.8 (4.3) years, weight: 81.9 (13.7) kg, BMI: 30.4 (4.5), and gestational age at randomization: 14.9 (0.8) weeks. GWG was less in the LI group by 1.79 kg (P = 0.003) or 0.0501 kg/wk (P = 0.002). Compared with UC infants, LI infants had greater weight (131 ± 59 g P = 0.03), FFM (98 ± 45 g; P = 0.03) measured by PEA POD, and lean mass (105 ± 38 g; P = 0.006) measured by QMR. Fat mass and percent fat were not significantly different.
Conclusions
Intervening in women with overweight and obesity through behaviors promoting healthy diet and physical activity to control GWG resulted in neonates with similar fat and greater FFM.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>29464905</pmid><doi>10.1002/oby.22079</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1769-9754</orcidid><orcidid>https://orcid.org/0000-0003-4153-3316</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1930-7381 |
| ispartof | Obesity (Silver Spring, Md.), 2018-03, Vol.26 (3), p.578-587 |
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| source | Wiley Free Content; MEDLINE; Wiley Online Library All Journals |
| subjects | Adult Body composition Body fat Body Mass Index Clinical trials Diet Female Gestational Age Humans Infant Infant, Newborn Intervention Lifestyles Maternal & child health Metabolism Newborn babies Nutrition research Obesity Pregnancy Pregnancy Complications - physiopathology Weight control Weight Gain - physiology Womens health |
| title | Greater Neonatal Fat‐Free Mass and Similar Fat Mass Following a Randomized Trial to Control Excess Gestational Weight Gain |
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