The effects of antenatal dietary and lifestyle advice for women who are overweight or obese on maternal diet and physical activity: The LIMIT randomised trial

BMC Medicine

Volumn 12, Issue 1, 2014, Pages

  Dodd, Jodie M ^a,b   Cramp, Courtney ^a   Sui, Zhixian ^a   Yelland, Lisa N ^a,c,d   Deussen, Andrea R ^a   Grivell, Rosalie M ^a,b   Moran, Lisa J ^a   Crowther, Caroline A ^a,e   Turnbull, Deborah ^d   McPhee, Andrew J ^b   Wittert, Gary ^d   Owens, Julie A ^a   Robinson, Jeffrey S ^a  

^a UNIVERSITY OF ADELAIDE   (Australia)

^b WOMEN S AND CHILDREN S HOSPITAL   (Australia)

^c Women's and Children's Health Research Institute   (Australia)

^d UNIVERSITY OF ADELAIDE   (Australia)

^e UNIVERSITY OF AUCKLAND   (New Zealand)

Author keywords

Diet composition; Dietary and lifestyle intervention; Overweight and obesity; Physical activity; Pregnancy; Randomised trial

Indexed keywords

SATURATED FATTY ACID; TRACE ELEMENT;

ADULT; ARTICLE; BODY MASS; CALORIC INTAKE; CONTROLLED STUDY; DIET THERAPY; DIETARY FIBER; DIETARY INTAKE; FEEDING BEHAVIOR; FEMALE; FOOD FREQUENCY QUESTIONNAIRE; FOOD INTAKE; FRUIT; GESTATIONAL AGE; GLYCEMIC INDEX; GLYCEMIC LOAD; HUMAN; INTENTION TO TREAT ANALYSIS; LIFESTYLE; LIFESTYLE MODIFICATION; MACRONUTRIENT; MAJOR CLINICAL STUDY; MATERNAL NUTRITION; MEDICAL INFORMATION; OBESITY; OUTCOME ASSESSMENT; PATIENT COUNSELING; PHYSICAL ACTIVITY; PREGNANCY; PREGNANT WOMAN; PRENATAL CARE; PUERPERIUM; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; STANDARD; VEGETABLE; WALKING; AUSTRALIA; DIET; EXERCISE; MALE; NEW ZEALAND; NEWBORN; PREGNANCY COMPLICATIONS; PREGNANCY OUTCOME; RISK REDUCTION; TREATMENT OUTCOME;

ADULT; AUSTRALIA; DIET; EXERCISE; FEMALE; HUMANS; INFANT, NEWBORN; LIFE STYLE; MALE; NEW ZEALAND; OBESITY; PREGNANCY; PREGNANCY COMPLICATIONS; PREGNANCY OUTCOME; PRENATAL CARE; RISK REDUCTION BEHAVIOR; TREATMENT OUTCOME;

EID: 84908075988     PISSN: None     EISSN: 17417015     Source Type: Journal    
DOI: 10.1186/s12916-014-0161-y     Document Type: Article

References (77)

1. Obesity: preventing and managing the global epidemic. WHO Technical Report Series Number 894 2000, World Health Organisation, Geneva.
2. Callaway LK, Prins JB, Chang AM, McIntyre HD. The prevalence and impact of overweight and obesity in an Australian obstetric population. MJA 2006, 184:56-59. 16411868.
3. Dodd JM, Grivell RM, Nguyen A-M, Chan A, Robinson JS. Maternal and perinatal health outcomes by body mass index category. ANZJOG 2011, 51:136-140. 21466515.
4. NICE Guidelines: Weight management before, during and after pregnancy. []., http://www.nice.org.uk/guidance/ph27/resources/guidance-weight-management-before-during-and-after-pregnancy-pdf
5. ACOG Committee opinion number 315, september 2005: obesity in pregnancy. Obstet Gynecol 2005, 106:671-675. 10.1097/00006250-200509000-00054.
6. Chu SY, Kim SY, Bish CL: Prepregnancy obesity prevalence in the United States, 2004-2005. Maternal Child Health J 2008, Epub..
7. Scheil W, Scott J, Catcheside B, Sage L. Pregnancy outcome in South Australia 2010. Pregnancy Outcome Unit, SA Health 2012, Government of South Australia, Adelaide.
8. Dodd JM, Grivell RM, Crowther CA, Robinson JS. Antenatal interventions for overweight or obese pregnant women: a systematic review of randomised trials. Br J Obstet Gynaecol 2010, 117:1316-1326. 10.1111/j.1471-0528.2010.02540.x.
9. Oteng-Ntim E, Varma R, Croker H, Poston L, Doyle P. Lifestyle interventions for overweight and obese pregnant women to improve pregnancy outcome: systematic review and meta-analysis. BMC Med 2012, 10:47. 10.1186/1741-7015-10-47, 22574949.
10. Thangaratinam S, Rogozinska E, Jolly K, Glinkowski S, Roseboom T, Tomlinson JW, Kunz R, Mol BW, Coomarasamy A, Khan KS. Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ 2012, 344:e2088. 10.1136/bmj.e2088, 22596383.
11. Wirt A, Collins CE. Diet quality-what is it and does it matter?. Public Health Nutr 2009, 12:2473-2492. 10.1017/S136898000900531X, 19335941.
12. Wolongevicz DM, Zhu L, Pencina MJ, Kimokoti RW, Newby PK, D'Agostino RB, Millen BE. Diet quality and obesity in women: the Framingham Nutrition Studies. Br J Nutr 2010, 103:1223-1229. 19930766.
13. Tsigga M, Filis V, Hatzopoulou K, Kotzamanidis C, Grammatikopoulou MG. Healthy Eating Index during pregnancy according to pre-gravid and gravid weight status. Public Health Nutr 2011, 14:290-296. 10.1017/S1368980010001989, 20642871.
14. Moran LJ, Sui Z, Cramp CS, Dodd JM: A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum. Int J Obes 2013, 7. May;37(5):704-11. doi:10.1038/ijo.2012.129. Epub 2012 Aug 7..
15. Fazio Ede S, Nomura RM, Dias MC, Zugaib M. Dietary intake of pregnant women and maternal weight gain after nutritional counseling. Rev Bras Ginecol Obstet 2011, 33:87-92. 10.1590/S0100-72032011000200006, 21779651.
16. Laraia BA, Bodnar LM, Siega-Riz AM. Pregravid body mass index is negatively associated with diet quality during pregnancy. Public Health Nutr 2007, 10:920-926. 10.1017/S1368980007657991, 17381955.
17. Rifas-Shiman SL, Rich-Edwards JW, Kleinman KP, Oken E, Gillman MW. Dietary quality during pregnancy varies by maternal characteristics in Project Viva: a US cohort. J Am Diet Assoc 2009, 109:1004-1011. 10.1016/j.jada.2009.03.001, 19465182.
18. Jenkins DJ, Wolever TM. Slow release carbohydrate and the treatment of diabetes. Proc Nutr Soc 1981, 40:227-235. 10.1079/PNS19810033, 6264489.
19. Jenkins DJ, Wolever TM, Taylor RH, Barker H, Fielden H, Baldwin JM, Bowling AC, Newman HC, Jenkins AL, Goff DV. Glycemic index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr 1981, 34:362-366. 6259925.
20. Wolever TM, Jenkins DJ. Application of glycaemic index to mixed meals. Lancet 1985, 2:944. 10.1016/S0140-6736(85)90872-4, 2865437.
21. Thomas DE, Elliott EJ, Baur L. Low glycaemic index or low glycaemic load diets for overweight and obesity. Cochrane Database Syst Rev 2007, 3:CD005105. 17636786.
22. Walsh JM, McGowan CA, Mahony R, Foley ME, McAuliffe FM. Low glycaemic index diet in pregnancy to prevent macrosomia (ROLO Study): randomised control trial. BMJ 2012, 345:e5605. 10.1136/bmj.e5605, 22936795.
23. Knudsen VK, Heitmann BL, Halldorsson TI, Sørensen TI, Olsen SF. Maternal dietary glycaemic load during pregnancy and gestational weight gain, birth weight and postpartum weight retention: a study within the Danish National Birth Cohort. Br J Nutr 2013, 109:1471-1478. 10.1017/S0007114512003443, 22906835.
24. Moses RG, Luebcke M, Davis WS, Coleman KJ, Tapsell LC, Petocz P, Brand-Miller JC. Effect of a low-glycemic-index diet during pregnancy on obstetric outcomes. Am J Clin Nutr 2006, 84:807-812. 17023707.
25. Grant SM, Wolever TM, O'Connor DL, Nisenbaum R, Josse RG. Effect of a low glycaemic index diet on blood glucose in women with gestational hyperglycaemia. Diabetes Res Clin Pract 2011, 91:15-22. 10.1016/j.diabres.2010.09.002, 21094553.
26. Moses RG, Casey SA, Quinn EG, Cleary JM, Tapsell LC, Milosavljevic M, Petocz P, Brand-Miller JC: Pregnancy and Glycemic Index Outcomes Study: effects of low glycemic index compared with conventional dietary advice on selected pregnancy outcomes. Am J Clin Nutr 2013, [Epub ahead of print]..
27. Rhodes ET, Pawlak DB, Takoudes TC, Ebbeling CB, Feldman HA, Lovesky MM, Cooke EA, Leidig MM, Ludwig DS. Effects of a low-glycemic load diet in overweight and obese pregnant women: a pilot randomized controlled trial. Am J Clin Nutr 2010, 92:1306-1315. 10.3945/ajcn.2010.30130, 20962162.
28. Clapp JF. Long-term outcome after exercising throughout pregnancy: fitness and cardiovascular risk. Am J Obstet Gynecol 2008, 199:489. e481-486, 18667190.
29. Adamu B, Sani MU, Abdu A. Physical exercise and health: a review. Niger J Med 2006, 15:190-196. 17111741.
30. Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS, Frederick IO, Williams MA. A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract 2004, 66:203-215. 10.1016/j.diabres.2004.03.010, 15533588.
31. Oken E, Ning Y, Rifas-Shiman SL, Radesky JS, Rich-Edwards JW, Gillman MW. Associations of physical activity and inactivity before and during pregnancy with glucose tolerance. Obstet Gynecol 2006, 108:1200-1207. 10.1097/01.AOG.0000241088.60745.70, 17077243.
32. Sorensen TK, Williams MA, Lee IM, Dashow EE, Thompson ML, Luthy DA. Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension 2003, 41:1273-1280. 10.1161/01.HYP.0000072270.82815.91, 12719446.
33. Melzer K, Schutz Y, Boulvain M, Kayser B. Physical activity and pregnancy: cardiovascular adaptations, recommendations and pregnancy outcomes. Sports Med 2010, 40:493-507. 10.2165/11532290-000000000-00000, 20524714.
34. Clapp JF. Exercise and pregnancy: a clinical update. Clin Sports Med 2000, 19:273-286. 10.1016/S0278-5919(05)70203-9, 10740759.
35. Clapp JF, Kim H, Burciu B, Lopez B. Beginning regular exercise in early pregnancy: effect on fetoplacental growth. Am J Obstet Gynecol 2000, 183:1484-1488. 10.1067/mob.2000.107096, 11120515.
36. ACOG Committee Opinion. Exercise during pregnancy and the postpartum period. Number 267, January 2002. American College of Obstetricians and Gynecologists. Int J Gynaecol Obstet 2002, 77:79-81. 10.1016/S0020-7292(02)80004-2.
37. ACOG Committee Opinion no. 549: obesity in pregnancy. Obstet Gynecol 2013, 121:213-217.
38. Davis JN, Hodges VA, Gillham MB. Physical activity compliance: differences between overweight/obese and normal-weight adults. Obesity (Silver Spring) 2006, 14:2259-2265. 10.1038/oby.2006.265.
39. Gaston A, Cramp A. Exercise during pregnancy: a review of patterns and determinants. J Sci Med Sport 2011, 14:299-305. 10.1016/j.jsams.2011.02.006, 21420359.
40. Poston L, Briley AL, Barr S, Bell R, Croker H, Coxon K, Essex HN, Hunt C, Hayes L, Howard LM, Khazaezadeh N, Kinnunen T, Nelson SM, Oteng-Ntim E, Robson SC, Sattar N, Seed PT, Wardle J, Sanders TA, Sandall J. Developing a complex intervention for diet and activity behaviour change in obese pregnant women (the UPBEAT trial); assessment of behavioural change and process evaluation in a pilot randomised controlled trial. BMC Pregnancy Childbirth 2013, 13:148. 10.1186/1471-2393-13-148, 23855708.
41. Dodd JM, Turnbull DA, McPhee AJ, Deussen AR, Grivell RM, Yelland LN, Crowther CA, Wittert G, Owens JA, Robinson JS. Antenatal lifestyle advice for women who are overweight or obese: the LIMIT randomised trial. BMJ 2014, 348:g1285. 10.1136/bmj.g1285, 24513442.
42. Dodd JM, Turnbull DA, McPhee AJ, Wittert G, Crowther CA, Robinson JS. Limiting weight gain in overweight and obese women during pregnancy to improve health outcomes: the LIMIT randomised controlled trial. BMC Pregnancy Childbirth 2011, 11:79. 10.1186/1471-2393-11-79, 22026403.
43. Australian Guide to Healthy Eating. []., http://www.eatforhealth.gov.au/guidelines/australian-guide-healthy-eating
44. Royal College of Obstetricians and Gynaecologists RCOG: Recreational Exercise and Pregnancy: Information for You. RCOG Press; 2006..
45. Artal R, O'Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med 2003, 37:6-12. discussion 12, 10.1136/bjsm.37.1.6, 12547738.
46. Willett WC, Reynolds RD, Cottrell-Hoehner S, Sampson L, Browne ML. Validation of a semi-quantitative food frequency questionnaire: comparison with a 1-year diet record. J Am Diet Assoc 1987, 87:43-47. 3794132.
47. Fawzi WW, Rifas-Shiman SL, Rich-Edwards JW, Willett WC, Gillman MW. Calibration of a semi-quantitative food frequency questionnaire in early pregnancy. Ann Epidemiol 2004, 14:754-762. 10.1016/j.annepidem.2004.03.001, 15519898.
48. Rumbold AR, Crowther CA, Haslam RR, Dekker GA, Robinson JS. Vitamins C and E and the risks of preeclampsia and perinatal complications. N Engl J Med 2006, 354:1796-1806. 10.1056/NEJMoa054186, 16641396.
49. NUTTAB: Australian food composition tables: Food Standards Australia New Zealand, Canberra. 2010, []., http://www.foodstandards.gov.au/science/monitoringnutrients/nutrientables/pages/default.aspx
50. Guenther PM, Reedy J, Krebs-Smith SM. Development of the Healthy Eating Index-2005. J Am Diet Assoc 2008, 108:1896-1901. 10.1016/j.jada.2008.08.016, 18954580.
51. Pick ME, Edwards M, Moreau D, Ryan EA. Assessment of diet quality in pregnant women using the Healthy Eating Index. J Am Diet Assoc 2005, 105:240-246. 10.1016/j.jada.2004.11.028, 15668682.
52. Wendel-Vos GC, Schuit AJ, Saris WH, Kromhout D. Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 2003, 56:1163-1169. 10.1016/S0895-4356(03)00220-8, 14680666.
53. Scholten RR, Oyen WJ, Van der Vlugt MJ, Van Dijk AP, Hopman MT, Lotgering FK, Spaanderman ME. Impaired fetal growth and low plasma volume in adult life. Obstet Gynecol 2011, 18:1314-1322. 10.1097/AOG.0b013e3182383781.
54. Althuizen E, van Poppel MNM, de Vries JH, Seidell JC, van Mechelen W. Postpartum behaviour as predictor of weight change from before pregnancy to one year postpartum. BMC Public Health 2011, 11:165. 10.1186/1471-2458-11-165, 21410953.
55. Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DRJ, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS. Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 2011, 2011:1575-1581. 10.1249/MSS.0b013e31821ece12.
56. Meltzer HM, Brantsaeter AL, Ydersbond TA, Alexander J, Haugen M. Methodological challenges when monitoring the diet of pregnant women in a large study: experiences from the Norwegian Mother and Child Cohort Study. Matern Child Nutr 2008, 4:14-27. 10.1111/j.1740-8709.2007.00104.x, 18171404.
57. Socio-Economic Indexes for Areas. []., http://www.abs.gov.au/websitedbs/censushome.nsf/home/seifa2011?opendocument&navpos=260
58. Mangou A, Grammatikopoulou MG, Mirkopoulou D, Sailer N, Kotzamanidis C, Tsigga M. Associations between diet quality, health status and diabetic complications in patients with type 2 diabetes and comorbid obesity. Endocrinol Nutr 2012, 59:109-116. 10.1016/j.endonu.2011.10.003, 22197574.
59. Nicklas TA, O'Neil CE, Fulgoni VL. Diet quality is inversely related to cardiovascular risk factors in adults. J Nutr 2012, 142:2112-2118. 10.3945/jn.112.164889, 23077187.
60. Shah BS, Freeland-Graves JH, Cahill JM, Lu H, Graves GR. Diet quality as measured by the healthy eating index and the association with lipid profile in low-income women in early postpartum. J Am Diet Assoc 2010, 110:274-279. 10.1016/j.jada.2009.10.038, 20102856.
61. Guelinckx I, Devlieger R, Mullie P, Vansant G. Effect of a lifestyle intervention on dietary habits, physical activity, and gestational weight gain in obese pregnant women: a randomized controlled trial. Am J Clin Nutr 2010, 91:373-380. 10.3945/ajcn.2009.28166, 19955397.
62. Rae A, Bond D, Evans SF, North F, Roberman B, Walters B. A randomised controlled trial of dietary energy restriction in the management of obese women with gestational diabetes. ANZJOG 2000, 40:416-422. 11194427.
63. Wolff S, Legarth J, Vangsgaard K, Toubro S, Astrup A. A randomized trial of the effects of dietary counseling on gestational weight gain and glucose metabolism in obese pregnant women. Int J Obes 2008, 32:495-501. 10.1038/sj.ijo.0803710.
64. Pedersen J. Weight and length at birth of infants of diabetic mothers. Acta Endocrinol (Copenh) 1954, 16:330-342.
65. Catalano PM, Hauguel-De Mouzon S. Is it time to revisit the Pedersen hypothesis in the face of the obesity epidemic?. Am J Obstet Gynecol 2011, 204:479-487. 10.1016/j.ajog.2010.11.039, 21288502.
66. Doumouchtsis SK, Arulkumaran S. Are all brachial plexus injuries caused by shoulder dystocia?. Obstet Gynecol Surv 2009, 64:615-623. 10.1097/OGX.0b013e3181b27a3a, 19691859.
67. Okereke NC, Huston-Presley L, Amini SB, Kalhan S, Catalano PM. Longitudinal changes in energy expenditure and body composition in obese women with normal and impaired glucose tolerance. Am J Physiol Endocrinol Metab 2004, 287:E472-E479. 10.1152/ajpendo.00589.2003, 15113705.
68. Butte NF, King JC. Energy requirements during pregnancy and lactation. Public Health Nutr 2005, 8:1010-1027. 16277817.
69. Ley SH, Hanley AJ, Retnakaran R, Sermer M, Zinman B, O'Connor DL. Effect of macronutrient intake during the second trimester on glucose metabolism later in pregnancy. Am J Clin Nutr 2011, 94:1232-1240. 10.3945/ajcn.111.018861, 21955650.
70. Donahue SM, Rifas-Shiman SL, Gold DR, Jouni ZE, Gillman MW, Oken E. Prenatal fatty acid status and child adiposity at age 3 y: results from a US pregnancy cohort. Am J Clin Nutr 2011, 93:780-788. 10.3945/ajcn.110.005801, 21310834.
71. Moon RJ, Harvey NC, Robinson SM, Ntani G, Davies JH, Inskip HM, Godfrey KM, Dennison EM, Calder PC, Cooper C. Maternal plasma polyunsaturated fatty acid status in late pregnancy is associated with offspring body composition in childhood. J Clin Endocrinol Metab 2013, 98:299-307. 10.1210/jc.2012-2482, 23162098.
72. Evenson KR, Chasan-Taber L, Symons Downs D, Pearce EE. Review of self-reported physical activity assessments for pregnancy: summary of the evidence for validity and reliability. Paediatr Perinat Epidemiol 2012, 26:479-494. 10.1111/j.1365-3016.2012.01311.x, 22882792.
73. Chasan-Taber L, Evenson KR, Sternfeld B, Kengeri S. Assessment of recreational physical activity during pregnancy in epidemiologic studies of birthweight and length of gestation: methodologic aspects. Women Health 2007, 45:85-107. 10.1300/J013v45n04_05, 18032169.
74. Kinnunen TI, Tennant PW, McParlin C, Poston L, Robson SC, Bell R. Agreement between pedometer and accelerometer in measuring physical activity in overweight and obese pregnant women. BMC Public Health 2011, 11:501. doi:10.1186/1471-2458-11-501, 10.1186/1471-2458-11-501, 21703033.
75. Schmidt MD, Pekow P, Freedson PS, Markenson G, Chasan-Taber L. Physical activity patterns during pregnancy in a diverse population of women. J Women's Health 2006, 15:909-918. 10.1089/jwh.2006.15.909.
76. Chandonnet N, Saey D, Alméras N, Marc I. French Pregnancy Physical Activity Questionnaire compared with an accelerometer cut point to classify physical activity among pregnant obese women. PLoS One 2012, 7:e38818. 10.1371/journal.pone.0038818, 22701717.
77. McParlin C, Robson SC, Tennant PW, Besson H, Rankin J, Adamson AJ, Pearce MS, Bell R. Objectively measured physical activity during pregnancy: a study in obese and overweight women. BMC Pregnancy Childbirth 2010, 10:76. doi:10.1186/1471-2393-10-76, 21114834.