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Can a Lifestyle intervention for pregnant women with obesity have positive effects on weight gain during pregnancy?

Poster (konferens)
Författare Åsa Premberg
Ragnar Hanås
Marie Berg
Karin Haby
Publicerad i Abstract Book, NNC Nordic Nutrition Conference, Gothenburg, 20-22th of June, 2016
Publiceringsår 2016
Publicerad vid Institutionen för vårdvetenskap och hälsa
Institutionen för kliniska vetenskaper, Avdelningen för pediatrik
Språk en
Länkar www.foodandnutritionresearch.net/in...
Ämnesord Pregnancy Obesity Lifestyle intervention
Ämneskategorier Omvårdnad

Sammanfattning

Background and aims: Maternal obesity is increasing and 13% of women assigned to antenatal care (AC) in Sweden have BMI≥30. The risk of complications during pregnancy and delivery, and for the child, increases with increasing BMI and is aggravated by high gestational weight gain (GWG). It is crucial to reduce the burden of adverse maternal and foetal outcomes by minimizing GWG. In this study - Mighty Mums (MM) - a coordinated project with standardized care, given by midwives and supported by dietician and aiming at reducing GWG in obese pregnant women, is evaluated. Methods: All study participants (n=1165) received standard AC, and the intervention group (n=465) additionally received two extra sessions with the midwife and optional offer of activities towards a more healthy life style: food advice, prescription of physical activity, meetings with a dietician, active guidance to local health centers, pedometers, walking poles. A log was used throughout pregnancy to register weight, activity, food, thoughts and feelings. The control groups consisted of women (n=104) getting standard AC followed prospectively, and women (n=700) from adjacent geographical areas followed retrospectively using register data. Results: A previously presented analysis of a pilot group of 50+50 women showed significant effect on GWG (8.6±4.9 kg vs. 12.5±5.1kg) in the intervention group, and a significantly lower weight at the postnatal checkup vs. the first contact with AC (-0.2 ± 5.7 kg vs. +2.0 ± 4.5 kg). A greater proportion of MM also managed to restrict their GWG to less than 7 kg (36% vs. 16%). The result from the full scale study will be presented and discussed at the conference. Conclusion: Our pilot study showed that it is possible to guide the woman in AC towards lifestyle changes that decrease GWG, with a modest and economically realistic effort with simple measures, and we expect similar results from the full study.

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