Physical activity and gestational weight gain: a meta-analysis of intervention trials

Streuling, Ina; Beyerlein, Andreas; Rosenfeld, Eva; Hofmann, Heidelore; Schulz, Thorsten; Kries, Rüdiger von

doi:10.1111/j.1471-0528.2010.02801.x

Cited by 182 publications

(180 citation statements)

References 51 publications

Supporting

Mentioning

164

Contrasting

Unclassified

Order By: Relevance

“…These reviews were based mainly on observational studies and physical activity levels were usually assessed using a questionnaire. However, a recent meta-analysis of intervention trials found lower mean GWG among the intervention group than the controls (65) . On the whole, it seems that future research may need to use objective measures of physical activity to accurately examine the relationship between physical activity levels and GWG.…”

Section: Discussionmentioning

confidence: 99%

Prediction of gestational weight gain – a biopsychosocial model

Heery

Kelleher

Wall

et al. 2014

Public Health Nutr.

View full text Add to dashboard Cite

Objective: To examine the influence of health behaviours and psychological well-being on gestational weight gain using a biopsychosocial model. Design: A prospective cohort study of pregnant women consecutively recruited at their first antenatal care visit. A self-administered questionnaire was used to collect data on health behaviours and psychological well-being in early pregnancy. Linear regression and logistic regression were used to identify predictors of total weight gain in kilograms and weight gain outside the current Institute of Medicine recommendations, respectively. Setting: A maternity hospital in the Republic of Ireland. Subjects: Data on 799 women were analysed. Results: Pre-pregnant BMI ≥30·0 kg/m 2 , short stature, parity >0, decreased food intake and absence of health insurance predicted lower absolute gestational weight gain, while foreign nationality, consumption of takeaway meals more than once weekly and increased food intake predicted higher absolute gestational weight gain. Overweight and obesity, foreign nationality, increased food intake and height > 170 cm were risk factors for excessive weight gain, while antenatal depression was protective against excessive weight gain. Notably, physical activity measures were not related to the gestational weight gain outcomes. Pre-pregnancy overweight and increased food intake were the strongest predictors of excessive gestational weight gain. Conclusions: None of the psychological well-being measures examined, with the exception of antenatal depression, was associated with any of the weight gain outcomes. The behavioural predictors of gestational weight gain were increased food intake and takeaway consumption. Public health promotions should target pre-pregnancy BMI and pregnancy-associated change in food intake.

show abstract

Section: Discussionmentioning

confidence: 99%

Prediction of gestational weight gain – a biopsychosocial model

Heery

Kelleher

Wall

et al. 2014

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…Furthermore, physical activity during pregnancy was associated with an improved health-related quality of life, lower postpartum Body Mass Index (BMI) and fewer depressive symptoms (Montoya Arizabaleta et al, 2010, Vernon et al, 2010. In a current meta-analysis by Streuling et al (2010) with randomized controlled trials on healthy pregnant women, with increased physical activity as the only intervention, the authors conclude that physical exercise during pregnancy might be successful in restricting gestational weight gain (Streuling et al, 2010).…”

Section: Introductionmentioning

confidence: 96%

Physical activity and psychological well-being in obese pregnant and postpartum women attending a weight-gain restriction programme

et al. 2014

View full text Add to dashboard Cite

Objective: The objective of the study was to compare the differences in psychological wellbeing and quality of life during pregnancy and postpartum of obese physically active women and obese physically inactive women enrolled in a weight gain restriction program. We also wanted to explore whether physical activity influences weight change or health status during pregnancy.Design: A prospective intervention study. Setting: Antenatal care clinic.Participants: A total of 74 obese pregnant women in a physically active group and 79 obese women in a physically inactive group. Measurements:The women kept diaries of their physical activity during pregnancy and answered the Beck Anxiety Inventory, the Edinburgh Postnatal Depression Scale and Medical Study Short-Form Health Survey in gestational week 15 and 35 and 11 weeks postpartum.Physical activity was measured in metabolic equivalents. Findings:The physically active women experienced fewer depressive symptoms and estimated an improved quality of life during their pregnancies as measured by physical functioning, bodily pain, social functioning, role limitations due to emotional problems and general mental health as compared with the physically inactive women. There were no differences between the groups in gestational weight gain or weight change from early pregnancy to postpartum or in prevalence of complications.Key conclusions: Physical activity among obese pregnant women provides better psychological wellbeing and improved quality of life, but does not prevent weight change. Implications for practice:Staff at Antenatal Care Clinics that face obese pregnant women, should encourage and emphasize the benefits of being physically active throughout pregnancy.

show abstract

“…Interventions based on increasing physical activity (17,18); dietary advice (19); or by a combination of physical activity, supplementary weight monitoring, and nutritional counselling have been shown to be effective in reducing total GWG (20). A recent meta-analyses suggested that dietary measures might be most effective (21).…”

Section: Introductionmentioning

confidence: 99%

Late pregnancy reversal from excessive gestational weight gain lowers risk of childhood overweight-A cohort study

Kries

Chmitorz

Rasmussen

et al. 2013

Obesity

View full text Add to dashboard Cite

Objective: Whether reversal to adequate gestational weight gain (GWG) in the third trimester reverses the risk for childhood overweight associated with excessive GWG is assessed. Design and Methods: In a retrospective cohort study in 6,665 mother-child pairs, pre-pregnancy weight and the temporal course of GWG were collected from medical records. Overweight as defined by International Obesity Task Force was assessed at a mean age of 5.8 years. Main exposures were exceeding week-specific cut-off values for GWG in the third trimester or any previous trimester. Logistic regression models, adjusted for possible confounding factors, were used to predict the risk of childhood overweight from excessive GWG in the third trimester with stratification by excessive GWG in previous trimesters. Results: In the final model, women who avoided excessive GWG in the third trimester had children with a 31% (odds ratio [OR]: 0.69, 95% confidence interval [CI]: 0.59, 0.82) lower probability being overweight. A similar association was observed for reversing from excessive GWG in the first or second trimester to normal GWG in the third trimester: 27% (OR: 0.73, 95% CI: 0.53, 0.99). Conclusions: Avoidance of excessive GWG in the third trimester is associated with lower risk of childhood overweight even in case of excessive GWG in the first or second trimester.

show abstract

Physical activity and gestational weight gain: a meta-analysis of intervention trials

Cited by 182 publications

References 51 publications

Prediction of gestational weight gain – a biopsychosocial model

Prediction of gestational weight gain – a biopsychosocial model

Physical activity and psychological well-being in obese pregnant and postpartum women attending a weight-gain restriction programme

Late pregnancy reversal from excessive gestational weight gain lowers risk of childhood overweight-A cohort study

Contact Info

Product

Resources

About