Cheryce L. Harrison|Catherine B Lombard|Boyd J Strauss|Helena Teede
Optimizing healthy gestational weight gain in women at high risk of gestational diabetes: A randomized controlled trial
Monash University|Monash University|Monash University|Northern Health
optimizing gestational weight gain gwg early pregnancy clinical public health importance especially higher risk pregnanciesin robustly designed randomized controlled trial 228 pregnant women risk developing gestational diabetes mellitus gdm allocated either control written health information intervention foursession lifestyle program women received standard maternal care measures completed 1215 2628 weeks gestation measures included anthropometrics weight height physical activity pedometer international physical activity questionnaire questionnaires risk perception gdm screeningthe mean sd age 317 45 324 47 years body mass index bmi 303 59 304 56 kgm2 similar control intervention groups respectively 28 weeks gwg significantly different control intervention groups 69 33 vs 60 28 kg p 005 stratified according baseline bmi overweight women control group gained significantly weight compared overweight women intervention group 78 34 vs 60 22 kg p 005 yet obese women gwg similar groups physical activity levels declined 28 weeks gestation overall p 001 however intervention group retained 20 higher step count compared controls 5203 3368 vs 4140 2420 stepsday p 005 overall gdm prevalence 228 corrected trend toward less cases intervention group p 01results indicate lowintensity lifestyle intervention integrated antenatal care optimizes healthy gwg attenuates physical activity decline early pregnancy efficacy limiting weight gain greatest overweight women highrisk ethnically diverse women