Nutrition and Exercise Prevent Excess Weight Gain in Overweight Pregnant Women

被引:120
作者
Mottola, Michelle F. [1 ,2 ]
Giroux, Isabelle [3 ]
Gratton, Robert [4 ]
Hammond, Jo-Anne [5 ]
Hanley, Anthony [6 ]
Harris, Stewart [5 ]
McManus, Ruth [7 ]
Davenport, Margie H. [1 ]
Sopper, Maggie M. [1 ]
机构
[1] Univ Western Ontario, R Samuel McLaughlin Fdn, Exercise & Pregnancy Lab, Fac Hlth Sci,Sch Kinesiol, London, ON N6A 3K7, Canada
[2] Univ Western Ontario, Dept Anat & Cell Biol, London, ON N6A 3K7, Canada
[3] Brescia Univ Coll, Dept Nutr & Food Sci, London, ON, Canada
[4] Univ Western Ontario, Dept Obstet Gynecol, Schulich Sch Med & Dent, London, ON N6A 3K7, Canada
[5] Univ Western Ontario, Dept Family Med, London, ON N6A 3K7, Canada
[6] Univ Toronto, Dept Nutr Sci, Toronto, ON, Canada
[7] Univ Western Ontario, Dept Endocrinol, London, ON N6A 3K7, Canada
关键词
INTERVENTION; HEALTHY LIFESTYLE; OBESE; GESTATION; BODY-MASS INDEX; RANDOMIZED CONTROLLED-TRIAL; MATERNAL OBESITY; FETAL ORIGINS; RISK; PREPREGNANCY; TERM; RESTRICTION; OUTCOMES;
D O I
10.1249/MSS.0b013e3181b5419a
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
MOTTOLA, M. F., I. GIROUX, R. GRATTON, J. HAMMOND, A. HANLEY, S. HARRIS, R. MCMANUS, M. H. DAVENPORT, and M. M. SOPPER. Nutrition and Exercise Prevent Excess Weight Gain in Overweight Pregnant Women. Med. Sci. Sports Exerc., Vol. 42, No. 2, pp. 265-272, 2010. Purpose: To determine the effect of a Nutrition and Exercise Lifestyle Intervention Program (NELIP) for overweight (OW) and obese (OB) pregnant women on pregnancy weight gain, birth weight, and maternal weight retention at 2 months postpartum. Methods: This is a single-arm intervention matched by prepregnant body mass index, age, and parity to a historical cohort (4: 1). Women with a prepregnancy body mass index of >= 25.0 kg.m(-2) (N = 65) participated in a NELIP starting at 16-20 wk of pregnancy, continuing until delivery. NELIP consisted of an individualized nutrition plan with total energy intake of approximately 2000 kcal.d(-1) (8360 kJ.d(-1)) and 401/-55% of total energy intake from carbohydrate. Exercise consisted of a walking program (30% HR reserve), three to four times per week, using a pedometer to count steps. Matched historical cohort (MC; N 260) was from a large local perinatal database. Results: Weight gained by women on the NELIP was 6.8 +/- 4.1 kg (0.38 +/- 0.2 kg.wk(-1)), with a total pregnancy weight gain of 12.0 +/- 5.7 kg. Excessive weight gain occurred before NELIP began at 16 wk of gestation. Eighty percent of the women did not exceed recommended pregnancy weight gain on NELIP. Weight retention at 2 months postpartum was 2.2 +/- 5.6 kg with no difference between the OW and the OB women on NELIP. Mean birth weight was not different between NELIP (3.59 +/- 0.5 kg) and MC (3.56 +/- 0.6 kg, P > 0.05). Conclusions: NELIP reduces the risk of excessive pregnancy weight gain with minimal weight retention at 2 months postpartum in OW and OB women. This intervention may assist OW and OB women in successful weight control after childbirth.
引用
收藏
页码:265 / 272
页数:8
相关论文
共 41 条
[1]   Effect of prepregnancy body mass index categories on obstetrical and neonatal outcomes [J].
Abenhaim H.A. ;
Kinch R.A. ;
Morin L. ;
Benjamin A. ;
Usher R. .
Archives of Gynecology and Obstetrics, 2007, 275 (1) :39-43
[2]   Design of the New Life(style) study: a randomised controlled trial to optimise maternal weight development during pregnancy. [ISRCTN85313483] [J].
Althuizen, Ellen ;
van Poppel, Mireille N. M. ;
Seidell, Jacob C. ;
van der Wijden, Carla ;
van Mechelen, Willem .
BMC PUBLIC HEALTH, 2006, 6 (1)
[3]  
[Anonymous], 2005, OBSTET GYNECOL, V106, P671
[4]  
[Anonymous], 2000, World Health Organ Tech Rep Ser, V41, P8
[5]  
[Anonymous], [No title captured]
[6]   A lifestyle intervention of weight-gain restriction: diet and exercise in obese women with gestational diabetes mellitus [J].
Artal, Raul ;
Catanzaro, Rosemary B. ;
Gavard, Jeffrey A. ;
Mostello, Dorothea J. ;
Friganza, Joann C. .
APPLIED PHYSIOLOGY NUTRITION AND METABOLISM, 2007, 32 (03) :596-601
[7]  
Artenisio AC, 1999, DIABETES NUTR METAB, V12, P264
[8]   Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain [J].
Brawarsky, P ;
Stotland, NE ;
Jackson, RA ;
Fuentes-Afflick, E ;
Escobar, GJ ;
Rubashkin, N ;
Haas, JS .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2005, 91 (02) :125-131
[9]   The short- and long-term implications of maternal obesity on the mother and her offspring [J].
Catalano, P. M. ;
Ehrenberg, H. M. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2006, 113 (10) :1126-1133
[10]   Increasing maternal obesity and gain during pregnancy - The obstetric problems of plentitude [J].
Catalano, Patrick M. .
OBSTETRICS AND GYNECOLOGY, 2007, 110 (04) :743-744