TY - JOUR

T1 - Dietary interventions in overweight and obese pregnant women

T2 - a systematic review of the content, delivery, and outcomes of randomized controlled trials

AU - Flynn, Angela C

AU - Dalrymple, Kathryn

AU - Barr, Suzanne

AU - Poston, Lucilla

AU - Goff, Louise M

AU - Rogozińska, Ewelina

AU - van Poppel, Mireille N M

AU - Rayanagoudar, Girish

AU - Yeo, SeonAe

AU - Barakat Carballo, Ruben

AU - Perales, Maria

AU - Bogaerts, Annick

AU - Cecatti, Jose Guilherme

AU - Dodd, Jodie

AU - Owens, Julie A

AU - Devlieger, Roland

AU - Teede, Helena

AU - Haakstad, Lene

AU - Motahari-Tabari, Narges

AU - Tonstad, Serena

AU - Luoto, Riitta

AU - Guelfi, Kym

AU - Petrella, Elisabetta

AU - Phelan, Suzanne

AU - Scudeller, Tânia T

AU - Hauner, Hans

AU - Renault, Kristina Martha

AU - Sagedal, Linda Reme

AU - Stafne, Signe Nilssen

AU - Vinter, Christina Anne

AU - Astrup, Arne

AU - Geiker, Nina Rica Wium

AU - McAuliffe, Fionnuala M

AU - Mol, Ben Willem J

AU - Thangaratinam, Shakila

AU - i-WIP (International Weight Management in Pregnancy) Collaborative Group

N1 - CURIS 2016 NEXS 281

PY - 2016

Y1 - 2016

N2 - Context: Interventions targeting maternal obesity are a healthcare and public health priority.Objective: The objective of this review was to evaluate the adequacy and effectiveness of the methodological designs implemented in dietary intervention trials for obesity in pregnancy.Data sources: A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration.Study selection: Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women, were identified.Data synthesis: There was significant variability in the content, delivery, and dietary assessment methods of the dietary interventions examined. A number of studies demonstrated improved dietary behavior in response to diet and/or lifestyle interventions. Nine studies reduced gestational weight gain.Conclusion: This review reveals large methodological variability in dietary interventions to control gestational weight gain and improve clinical outcomes in overweight and obese pregnant women. This lack of consensus limits the ability to develop clinical guidelines and apply the evidence in clinical practice.

AB - Context: Interventions targeting maternal obesity are a healthcare and public health priority.Objective: The objective of this review was to evaluate the adequacy and effectiveness of the methodological designs implemented in dietary intervention trials for obesity in pregnancy.Data sources: A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration.Study selection: Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women, were identified.Data synthesis: There was significant variability in the content, delivery, and dietary assessment methods of the dietary interventions examined. A number of studies demonstrated improved dietary behavior in response to diet and/or lifestyle interventions. Nine studies reduced gestational weight gain.Conclusion: This review reveals large methodological variability in dietary interventions to control gestational weight gain and improve clinical outcomes in overweight and obese pregnant women. This lack of consensus limits the ability to develop clinical guidelines and apply the evidence in clinical practice.

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

KW - Antenatal intervention

KW - Dietary assessment

KW - Maternal obesity

U2 - 10.1093/nutrit/nuw005

DO - 10.1093/nutrit/nuw005

M3 - Review

C2 - 27083868

VL - 74

SP - 312

EP - 328

JO - Nutrition Reviews

JF - Nutrition Reviews

SN - 0029-6643

IS - 5

ER -