Dietary interventions in overweight and obese pregnant women: a systematic review of the content, delivery, and outcomes of randomized controlled trials
Date
2016
Authors
Flynn, A.C.
Dalrymple, K.
Barr, S.
Poston, L.
Goff, L.M.
Rogozińska, E.
Poppel, M.N.M.V.
Rayanagoudar, G.
Yeo, S.A.
Carballo, R.B.
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Journal article
Citation
Nutrition Reviews, 2016; 74(5):312-328
Statement of Responsibility
Angela C. Flynn, Kathryn Dalrymple, Suzanne Barr ... Jodie Dodd, Julie Owens ... Ben W. Mol ... et al.
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Abstract
Interventions targeting maternal obesity are a healthcare and public health priority.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.A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration.Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women, were identified.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.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.
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Dissertation Note
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© The Author(s) 2016. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved.