scholarly journals Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

2020 ◽  
Vol 21 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Alka Pawalia ◽  
Sivachidambaram Кulandaivelan ◽  
Satya Savant ◽  
Vikram Singh Yadav
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Diet Group ◽  
Control Group ◽  
Weight Retention ◽  
Indian Women ◽  
Behavioural Interventions ◽  
Gestational Weight ◽  
Supervised Exercise

AbstractThe aim of this study was to measure the adequacy of gestational weight gain (GWG) in Indian women using various behavioural interventions during pregnancy, which primarily aim to observe the effects on obesity markers and weight retention.In this experimental study, one hundred and forty pregnant women underwent interventions in 5 groups, control (C), diet (D), home exercise (HE), supervised exercise (SE) and supervised exercise with diet (SED), from pregnancy through delivery with 2 months follow-up post-delivery. The outcome measures were GWG and baby birth weight.A one-way ANOVA indicated no differences in the mean GWG between groups (12.39±4.71 kg, p=0.947). The control group had the most (50%) and both the supervised exercise groups had the fewest (32%) women who gained above the recommended GWG, followed by the diet group (33.3%). The D and HE groups had the most women who gained within the GWG range, while both the SE and SED groups had the most women who gained below the GWG range. However, these results did not affect the birth weight between the groups (mean 2.96 kg±0.40, p=0.203). In women with normal BMIs, (18.5-22.9 kg/m2), the diet group had the most effective maintenance of adequate GWG, with 15%, 55%, and 30% of the women gaining above, within, and below the recommended GWG, respectively. The SE and SED groups had the least postpartum weight retention (PPWR) at 2 months, followed by the HM, D and C groups; i.e., the results showed a trend in the desired direction clinically, although they were not statistically significant (p=0.12).Supervised exercise can be effectively used as a pregnancy intervention to prevent excess GWG in Indian women. Diet counselling was found to be the next best intervention in combination with exercise, as well as for women with normal BMI.

scholarly journals Gestational weight gain and its effect on fetomaternal outcome

2020 ◽  
Vol 9 (11) ◽  
pp. 4477
Author(s):  
Khushboo Singh ◽  
Alka Goel ◽  
Anupriya Narain
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Mode Of Delivery ◽  
Normal Pregnancy ◽  
Statistical Correlation ◽  
Asia Pacific ◽  
Hypertensive Disorder ◽  
Indian Women ◽  
Gestational Weight

Background: In normal pregnancy, variable amount of weight gain is a constant phenomenon. The study aims to find an association between gestational weight gain and fetomaternal outcome. GWG (using institute of medicines guidelines meant for US population) and pregnancy outcomes among Asian Indians across different BMI categories (according to WHO Asia Pacific BMI cut points) were studied.Methods: 300 women were split into the three groups based on their gestational weight gain. Namely, below recommended GWG, recommended GWG and above recommended GWG group. Comparison of various fetomaternal outcomes was done between these groups.Results: In women, who had higher than recommended GWG, 30.5% developed GDM, 23.2% had gestational hypertensive disorder, 36.6% developed hypothyroidism, 12.2% had pre-term birth and 15.9% had low birth weight. In recommended GWG category, these were 5.4%, 4.5%, 30.6%, 7.2% and 17.1% respectively; and in below recommended category, these were 14%, 1.9%, 22.4%,12.1% and 24.3% respectively.Conclusions: GWG generally follows the BMI pattern at the time of entering into pregnancy, higher the BMI more the GWG. More GWG was associated with GDM, Gestational hypertensive disorders and poor APGAR at birth. Below recommended GWG was associated with higher occurrence of GDM. No statistical correlation, between GWG and mode of delivery, NICU stay, preterm birth and birth weight was observed. Larger study is required to establish the applicability of IOM Guidelines for GWG on Indian women.

scholarly journals Leptin and Ghrelin in Excessive Gestational Weight Gain—Association between Mothers and Offspring

2019 ◽  
Vol 20 (10) ◽  
pp. 2398 ◽  
Author(s):  
Jolanta Patro-Małysza ◽  
Marcin Trojnar ◽  
Katarzyna E. Skórzyńska-Dziduszko ◽  
Żaneta Kimber-Trojnar ◽  
Dorota Darmochwał-Kolarz ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Body Length ◽  
Head Circumference ◽  
Maternal Serum ◽  
Control Group ◽  
Gestational Weight ◽  
Neonatal Birth Weight ◽  
Serum Ghrelin

Two-thirds of pregnant women exceed gestational weight gain recommendations. Excessive gestational weight gain (EGWG) appears to be associated with offspring’s complications induced by mechanisms that are still unclear. The aim of this study was to investigate whether umbilical cord leptin (UCL) and ghrelin (UCG) concentrations are altered in full-term neonates born to EGWG mothers and whether neonatal anthropometric measurements correlate with UCL and UCG levels and maternal serum ghrelin and leptin as well as urine ghrelin concentrations. The study subjects were divided into two groups, 28 healthy controls and 38 patients with EGWG. Lower UCL and UCG levels were observed in neonates born to healthy mothers but only in male newborns. In the control group UCG concentrations correlated positively with neonatal birth weight, body length and head circumference. In the control group maternal serum ghrelin levels correlated negatively with neonatal birth weight, body length and head circumference as well as positively with chest circumference. In the EGWG group UCG concentrations correlated negatively with neonatal birth weight and birth body length. UCL correlated positively with birth body length in EGWG group and negatively with head circumference in the control group. In conclusion, EGWG is associated with disturbances in UCL and UCG concentrations.

scholarly journals Asupan zat gizi makro dan kenaikan berat badan selama hamil terhadap luaran kehamilan

2018 ◽  
Vol 15 (2) ◽  
pp. 66
Author(s):  
Imelda Fitri ◽  
Rizki Natia Wiji
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Weight Gain ◽  
Control Group ◽  
Case Group ◽  
Chi Square ◽  
Gestational Weight ◽  
Low Weight ◽  
Chi Square Test

Background: Based on neonatal nursing installation data at Arifin Achmad Regional Hospital in Riau Province, newborns with low birth weight have always been the highest cases.Objective: This study aimed to examine the effect of macronutrient status (carbohydrate, protein, fat) and gestational weight gain on pregnancy outcomes.Method: The design used in this study was case-control. The study sample was 74 respondents, the case group was 37 mothers with babies born with low birth weight and the control group was 37 mothers with babies born with normal birth weight. Macronutrient intake was collected with a food frequency questionnaire (FFQ). Data were analyzed by using the Chi-Square test (p<0,05).Results: Intake of low carbohydrate has 3 times risk for low birth weight (OR=3.46; 95%CI:1.25-9.47), intake of low fat has 5 times risk for low birth weight (OR=5.11; 95%CI:1.88-13.93), and intake of low protein has a 12 times risk for low birth weight (OR=12.21; 95%CI:3,97-37,94). A gestational weight gain is not following the IOM recommendations increased the risk of giving birth to a low weight baby (OR=3,96; 95%CI:1,49-10,53).Conclusion: Pregnant women with a low intake of carbohydrates, proteins, fats, and weight gain are not following the recommended increased the risk of giving birth to a low weight baby.

scholarly journals Maternal nutritional adequacy and gestational weight gain and their associations with birth outcomes among Vietnamese women

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nga Thuy Tran ◽  
Lam Thi Nguyen ◽  
Yatin Berde ◽  
Yen Ling Low ◽  
Siew Ling Tey ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Birth Outcomes ◽  
Maternal Nutrition ◽  
Nutrition Status ◽  
Control Group ◽  
Gestational Weight ◽  
Vietnamese Women

Abstract Background During pregnancy, a mother’s nutritional needs increase to meet the added nutrient demands for fetal growth and development. An enhanced understanding of adequate nutrition and sufficient weight gain during pregnancy can guide development of policies and strategies for maternal nutrition care, actions that will ultimately promote better pregnancy outcomes. In a sample of pregnant women in Vietnam, this study characterized maternal nutrition status and gestational weight gain at a mid-pregnancy baseline, then examined the association of these variables with specific birth outcomes. Methods The study used baseline data from a randomized, controlled trial that compared pregnant Vietnamese women who received a nutritional intervention group with those who received only standard dietary counseling (control group). At baseline (26–29 weeks gestation), mothers’ dietary reports were collected, and intake of 10 macro- and micronutrients was estimated; data for baseline gestational weight gain was collected for all pregnant women enrolled into the study (n = 228). This analysis also used weights, lengths, and head circumferences at birth for infants of mothers in the control group. Results At baseline, 95% of the pregnant women had concurrent inadequacies for more than five nutrients, and nearly half had concurrent inadequacies for more than ten nutrients. Almost two-thirds of the pregnant women did not meet recommendations for gestational weight gain. We found a significant, inverse association between the number of nutrient inadequacies and gestational weight gain (overall p ≤ 0.045). After adjusting for potential confounders, gestational weight gain was positively associated with birth weight, length at birth, birth weight-for-age z-score and length-for-age z-score (all p ≤ 0.006). Conclusions Our findings raise concern over the high proportion of pregnant women in Vietnam who have multiple concurrent nutrient inadequacies and who fall short of meeting recommended gestational weight gain standards. To ensure better birth outcomes in this population, policies and strategies to improve the status of maternal nutrition are greatly needed. Trial registration The trial was retrospectively registered at clinicaltrials.gov on December 20, 2013, registration identifier: NCT02016586.

scholarly journals Maternal dietary glycaemic load during pregnancy and gestational weight gain, birth weight and postpartum weight retention: a study within the Danish National Birth Cohort

2012 ◽  
Vol 109 (8) ◽  
pp. 1471-1478 ◽  
Author(s):  
Vibeke K. Knudsen ◽  
Berit L. Heitmann ◽  
Thorhallur I. Halldorsson ◽  
Thorkild I. A. Sørensen ◽  
Sjurdur F. Olsen
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Birth Outcome ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Obese Women ◽  
Gestational Weight ◽  
Glycaemic Load ◽  
Postpartum Weight

Dietary glycaemic index and glycaemic load (GL) have been related to obesity and other health outcomes. The objective of the present study was to examine the associations between maternal dietary GL and gestational weight gain, birth weight, the risk of giving birth to a child large-for-gestational age (LGA) or small-for-gestational age and postpartum weight retention (PPWR). Data were derived from the Danish National Birth Cohort (1996–2002), including data on gestational and lifestyle factors in pregnancy and 18 months postpartum. Dietary data were collected using a validated FFQ. Information on birth outcome was obtained through registers. A total of 47 003 women were included. The associations between the GL and birth outcome, gestational weight gain, assessed between weeks 12 and 30 of gestation, and PPWR were analysed by linear and logistic regression. Birth weight increased by 36 g from the lowest to highest GL quintile (95 % CI 19, 53 g), and an increased risk of LGA of 14 % was detected in the highest GL quintile compared with the lowest GL quintile. Among normal-weight and overweight women, higher gestational weight gain rates were detected in the highest GL quintile (26 g/week (95 % CI 19, 34) and 30 g/week (95 % CI 13, 46), respectively). The association between the GL and PPWR was most pronounced among pre-pregnant obese women, with an increase in weight retention of 1·3 (95 % CI 0·2, 2·8) kg from the lowest to highest GL quintile. The GL may play a role for excessive gestational weight gain and PPWR, which may be more pronounced among overweight and obese women.

Abstract #534 Influence of Gestational Weight Gain and Pre-Pregnancy Body Mass Index on Birth Weight

2019 ◽  
Vol 25 ◽  
pp. 268-269
Author(s):  
Bolanle Okunowo ◽  
Ifedayo Odeniyi ◽  
Oluwarotimi Olopade ◽  
Olufemi Fasanmade ◽  
Omololu Adegbola ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Body Mass ◽  
Gestational Weight

Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants

2016 ◽  
Vol 20 (8) ◽  
pp. 1559-1568 ◽  
Author(s):  
Teresa A. Hillier ◽  
Kathryn L. Pedula ◽  
Kimberly K. Vesco ◽  
Caryn E.S. Oshiro ◽  
Keith K. Ogasawara
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Child Obesity ◽  
Normal Birth Weight ◽  
Normal Birth ◽  
Gestational Weight ◽  
Maternal Glucose

Composition of gestational weight gain impacts maternal fat retention and infant birth weight

2003 ◽  
Vol 189 (5) ◽  
pp. 1423-1432 ◽  
Author(s):  
Nancy F Butte ◽  
Kenneth J Ellis ◽  
William W Wong ◽  
Judy M Hopkinson ◽  
E.O'Brian Smith
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Gestational Weight ◽  
Infant Birth

scholarly journals Lower education predicts poor response to dietary intervention in pregnancy, regardless of neighbourhood affluence: secondary analysis from the ROLO randomised control trial

2017 ◽  
Vol 20 (16) ◽  
pp. 2959-2969 ◽  
Author(s):  
Eileen C O’Brien ◽  
Goiuri Alberdi ◽  
Aisling A Geraghty ◽  
Fionnuala M McAuliffe
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Dietary Intervention ◽  
Randomised Control Trial ◽  
Control Group ◽  
Education Session ◽  
Neighbourhood Deprivation ◽  
Gestational Weight ◽  
Dietary Education ◽  
In Pregnancy

AbstractObjectiveTo determine if response to a low glycaemic index (GI) dietary intervention, measured by changes in dietary intake and gestational weight gain, differed across women of varying socio-economic status (SES).DesignSecondary data analysis of the ROLO randomised control trial. The intervention consisted of a two-hour low-GI dietary education session in early pregnancy. Change in GI was measured using 3 d food diaries pre- and post-intervention. Gestational weight gain was categorised as per the 2009 Institute of Medicine guidelines. SES was measured using education and neighbourhood deprivation.SettingThe National Maternity Hospital, Dublin, Ireland.SubjectsWomen (n 625) recruited to the ROLO randomised control trial.ResultsThe intervention significantly reduced GI and excess gestational weight gain (EGWG) among women with third level education residing in both disadvantaged (GI, mean (sd), intervention v. control: −3·30 (5·15) v. −0·32 (4·22), P=0·024; EGWG, n (%), intervention v. control: 7 (33·6) v. 22 (67·9); P=0·022) and advantaged areas (GI: −1·13 (3·88) v. 0·06 (3·75), P=0·020; EGWG: 41 (34·1) v. 58 (52·6); P=0·006). Neither GI nor gestational weight gain differed between the intervention and control group among women with less than third level education, regardless of neighbourhood deprivation.ConclusionsA single dietary education session was not effective in reducing GI or gestational weight gain among less educated women. Multifaceted, appropriate and practical approaches are required in pregnancy interventions to improve pregnancy outcomes for less educated women.

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