Weight gain and nutritional intake in obese pregnant women: Some clues for intervention

de Jersey, Susan J., Ross, Lynda J., Himstedt, Kellie, McIntyre, H. David and Callaway, Leonie K. (2011) Weight gain and nutritional intake in obese pregnant women: Some clues for intervention. Nutrition & Dietetics, 68 1: 53-59. doi:10.1111/j.1747-0080.2010.01470.x


Author de Jersey, Susan J.
Ross, Lynda J.
Himstedt, Kellie
McIntyre, H. David
Callaway, Leonie K.
Title Weight gain and nutritional intake in obese pregnant women: Some clues for intervention
Journal name Nutrition & Dietetics   Check publisher's open access policy
ISSN 1446-6368
1747-0080
Publication date 2011-03
Sub-type Article (original research)
DOI 10.1111/j.1747-0080.2010.01470.x
Volume 68
Issue 1
Start page 53
End page 59
Total pages 7
Place of publication Richmond VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2012
Language eng
Formatted abstract
Aim: Maternal obesity is associated with increased risk of adverse outcomes for mothers and offspring. Strategies to better manage maternal obesity are urgently needed; however, there is little evidence to assist the development of nutrition interventions during antenatal care. The present study aimed to assess maternal weight gain and dietary intakes of overweight and obese women participating in an exercise trial. Results will assist the development of interventions for the management of maternal overweight and obesity.

Methods:
Fifty overweight and obese pregnant women receiving antenatal care were recruited and provided dietary and weight data at baseline (12 weeks), 28 weeks, 36 weeks gestation and 6 weeks post-partum. Data collected were compared with current nutritional and weight gain recommendations. Associations used Pearson’s correlation coefficient, and ANOVA assessed dietary changes over time, P < 0.05.

Results
: Mean prepregnancy body mass index was 34.4 ± 6.6 kg/m2. Gestational weight gain was 10.6 ± 6 kg with a wide range (-4.1 to 23.0 kg). 52% of women gained excessive weight (>11.5 kg for overweight and >9 kg for obese women). Gestational weight gain correlated with post-partum weight retention (P < 0.001). Dietary intakes did not change significantly during pregnancy. No women achieved dietary fat or dietary iron recommendations, only 11% achieved adequate dietary folate, and 38% achieved adequate dietary calcium. Very few women achieved recommended food group servings for pregnancy, with 83% consuming excess servings of non-core foods.

Conclusion: Results provide evidence that early intervention and personalised support for obese pregnant women may help achieve individualised goals for maternal weight gain and dietary adequacy, but this needs to be tested in a clinical setting.
Keyword Nutrition
Obesity
Pregnant women
Weight gain
Women's health
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Health Services Publications
Official 2012 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 10 times in Scopus Article | Citations
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Created: Sun, 13 Mar 2011, 00:06:49 EST