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

BMC Pregnancy and Childbirth

Hans Hauner⁴  Ulrike Amann-Gassner⁴  Ruediger von Kries¹  Tibor Schuster³  Eva Kerschbaum⁵  Elisabeth Gabriel⁵  Kathrin Rauh² 

[1] Institute of Social Pediatrics and Adolescent Medicine, Ludwig-Maximilians-Universität München, Munich, Germany;Competence Center for Nutrition, Freising, Germany;Institute for Medical Statistics and Epidemiology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany;Else Kroener-Fresenius-Center for Nutritional Medicine, Klinikum rechts der Isar, Uptown München Campus D, Technische Universität München, Munich, Germany;Else Kroener-Fresenius-Center for Nutritional Medicine, Chair of Nutritional Medicine, Technische Universität München, Freising-Weihenstephan, Germany

关键词: Feasibility study;    Obesity prevention and management;    Pregnancy;    Lifestyle intervention;    Gestational weight gain (GWG);   

Others  :  1137949
DOI  :  10.1186/1471-2393-13-151

 received in 2012-12-18, accepted in 2013-07-10,  发布年份 2013

【 摘 要 】

Background

Excessive gestational weight gain (GWG) is associated with short- and long-term health problems among mothers and their offspring. There is a strong need for effective intervention strategies targeting excessive GWG to prevent adverse outcomes.

Methods

We performed a cluster-randomized controlled intervention trial in eight gynecological practices evaluating the feasibility and effectiveness of a lifestyle intervention presented to all pregnant women; 250 healthy, pregnant women were recruited for the study. The intervention program consisted of two individually delivered counseling sessions focusing on diet, physical activity, and weight monitoring. The primary outcome was the proportion of pregnant women exceeding weight gain recommendations of the Institute of Medicine (IOM). Secondary outcome variables were maternal weight retention and short-term obstetric and neonatal outcomes.

Results

The intervention resulted in a lower proportion of women exceeding IOM guidelines among women in the intervention group (38%) compared with the control group (60%) (odds ratio (OR): 0.5; 95% confidence interval (CI): 0.3 to 0.9) without prompting an increase in the proportion of pregnancies with suboptimal weight gain (19% vs. 21%). Participants in the intervention group gained significantly less weight than those in the control group. Only 17% of the women in the intervention group showed substantial weight retention of more than 5 kg compared with 31% of those in the control group at month four postpartum (pp) (OR: 0.5; 95% CI: 0.2 to 0.9). There were no significant differences in obstetric and neonatal outcomes.

Conclusions

Lifestyle counseling given to pregnant women reduced the proportion of pregnancies with excessive GWG without increasing suboptimal weight gain, and may exert favorable effects on pp weight retention.

Trial registration

German Clinical Trials Register DRKS00003801.

【 授权许可】

   
2013 Rauh et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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