Obesity in pregnancy: could lifestyle interventions work?

BMC Medicine

Lucilla Poston¹ 

[1] Division of Women’s Health, King’s College London, London, UK

关键词: Pregnancy;    Physical activity;    Randomised controlled trial;    Obesity;    Intervention;    Diet;   

Others  :  1121397
DOI  :  10.1186/s12916-014-0201-7

 received in 2014-10-03, accepted in 2014-10-03,  发布年份 2014

【 摘 要 】

The increased prevalence of obesity has led to major health care issues in obstetric practice. Nevertheless, despite a major international effort, there is little evidence for interventions which can improve clinical outcome. Two reports from the LIMIT randomised controlled trial of more than 2,000 overweight and obese women, recently reported in BMC Medicine, show how a lifestyle intervention in Australian women changes dietary and physical activity behaviours without any evidence of harm to the health of the newborn infant and with some suggestion of benefit. The improvements in maternal lifestyle, albeit modest, may account for a previously reported reduction in the number of macrosomic infants born to LIMIT participants randomised to the intervention arm of the trial.

Please see related articles: http://www.biomedcentral.com/1741-7015/12/161 webcite and http://www.biomedcentral.com/1741-7015/12/163 webcite.

【 授权许可】

   
2014 Poston; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Thangaratignam S, Rogozinska E, Jolly K, Glinkowski E, Roseboom T, Tomlinson JW, Kunz R, Mol BW, Coomarasamy A, Khan KS: Effects of interventions in pregnancy on maternal weight and obstetric outcomes; meta-analysis of randomized evidence. BMJ 2012, 344:e2088.
• [2]Dodd JM: The effects of antenatal dietary and lifestyle advice for women who are overweight or obese on maternal diet and physical activity: the LIMIT randomised trial. BMC Med 2014, 12:161. BioMed Central Full Text
• [3]Dodd JM, Turnbull D, McPhee AJ, Deussen AR, Grivell RM, Yelland LN, Crowther CA, Wittert G, Owens JA, Robinson JS: The effects of antenatal dietary and lifestyle advice for women who are overweight or obese on neonatal health outcomes: the LIMIT randomised trial. BMC Med 2014, 12:163. BioMed Central Full Text
• [4]Dodd JM, Turnbull DA, McPhee A, Deussen AR, Grivell RM, Yelland LN, Crowther CA, Witter G, Owens JA, Robinson JS: Antenatal lifestyle advice for women who are overweight or obese; the LIMIT randomised trial. BMJ 2014, 348:g1285.
• [5]Zhang C, Tobias K, Chavaro JE, Bao W, Wang D, Ley SH, Hu FB: Adherence to healthy lifestyle and risk of gestational diabetes mellitus; prospective cohort study. BMJ 2014, 349:g5450.