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Combined dietary-exercise intervention for gestational weight gain and birthweight: a meta-analysis

Paul N Morison1, Montserrat Bacardi-Gascon1, Manuel Lopez-Corrales1

  • 1Autonomous University of Baja California, Medical and Psychology School, Calzada Universidad, Parque Industrial Internacional Tijuana, Baja California, México.

Asia Pacific Journal of Clinical Nutrition
|July 26, 2018
PubMed

Insights

Intensive diet and exercise interventions effectively reduce excessive gestational weight gain and the risk of large for gestational age newborns. This finding supports enhanced prenatal care strategies for improved maternal and infant outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health Nutrition

Background:

  • Excessive gestational weight gain is linked to adverse perinatal outcomes, including large for gestational age (LGA) newborns.
  • Effective interventions are needed to manage gestational weight gain and mitigate associated risks.

Purpose of the Study:

  • To systematically review and meta-analyze the impact of intensive diet and exercise interventions on gestational weight gain.
  • To assess the effect of these interventions on the incidence of large for gestational age newborns.

Main Methods:

  • A systematic literature search was conducted on PubMed and the Cochrane database.
  • Ten clinical trials were included, analyzed using a random-effect model and sensitivity analysis.
  • Quality of evidence was assessed using the GRADE method.

Main Results:

  • Intensive interventions significantly reduced gestational weight gain compared to standard prenatal care (p<0.00001) with moderate evidence quality.
  • A significant decrease in large for gestational age newborns was observed (p=0.03) with moderate evidence quality.

Conclusions:

  • Intensive diet and exercise interventions are effective in reducing both gestational weight gain and the incidence of large for gestational age newborns.
  • These findings support the implementation of structured lifestyle interventions in prenatal care.
Abstract

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