Dietary interventions in overweight and obese pregnant women: a systematic review of the content, delivery, and outcomes of randomized controlled trials

Angela C Flynn; Kathryn Dalrymple; Suzanne Barr; Lucilla Poston; Louise M Goff; Ewelina Rogozińska; Mireille N M van Poppel; Girish Rayanagoudar; SeonAe Yeo; Ruben Barakat Carballo; Maria Perales; Annick Bogaerts; Jose Guilherme Cecatti; Jodie Dodd; Julie A Owens; Roland Devlieger; Helena Teede; Lene Haakstad; Narges Motahari-Tabari; Serena Tonstad; Riitta Luoto; Kym Guelfi; Elisabetta Petrella; Suzanne Phelan; Tânia T Scudeller; Hans Hauner; Kristina Martha Renault; Linda Reme Sagedal; Signe Nilssen Stafne; Christina Anne Vinter; Arne Astrup; Nina Rica Wium Geiker; Fionnuala M McAuliffe; Ben Willem J Mol; Shakila Thangaratinam; i-WIP (International Weight Management in Pregnancy) Collaborative Group

doi:10.1093/nutrit/nuw005

Dietary interventions in overweight and obese pregnant women: a systematic review of the content, delivery, and outcomes of randomized controlled trials

Angela C Flynn, Kathryn Dalrymple, Suzanne Barr, Lucilla Poston, Louise M Goff, Ewelina Rogozińska, Mireille N M van Poppel, Girish Rayanagoudar, SeonAe Yeo, Ruben Barakat Carballo, Maria Perales, Annick Bogaerts, Jose Guilherme Cecatti, Jodie Dodd, Julie A Owens, Roland Devlieger, Helena Teede, Lene Haakstad, Narges Motahari-Tabari, Serena TonstadRiitta Luoto, Kym Guelfi, Elisabetta Petrella, Suzanne Phelan, Tânia T Scudeller, Hans Hauner, Kristina Martha Renault, Linda Reme Sagedal, Signe Nilssen Stafne, Christina Anne Vinter, Arne Astrup, Nina Rica Wium Geiker, Fionnuala M McAuliffe, Ben Willem J Mol, Shakila Thangaratinam, i-WIP (International Weight Management in Pregnancy) Collaborative Group

Obesity Research

60 Citations (Scopus)

Abstract

CONTEXT: Interventions targeting maternal obesity are a healthcare and public health priority.

OBJECTIVE: 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.

DATA SOURCES: A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration.

STUDY SELECTION: Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women, were identified.

DATA SYNTHESIS: 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.

CONCLUSION: 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.

Original language	English
Journal	Nutrition Reviews
Volume	74
Issue number	5
Pages (from-to)	312-328
Number of pages	17
ISSN	0029-6643
DOIs	https://doi.org/10.1093/nutrit/nuw005
Publication status	Published - 1 May 2016

Keywords

Journal Article
Research Support, Non-U.S. Gov't
Antenatal intervention
Dietary assessment
Maternal obesity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1093/nutrit/nuw005

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Flynn, A. C., Dalrymple, K., Barr, S., Poston, L., Goff, L. M., Rogozińska, E., van Poppel, M. N. M., Rayanagoudar, G., Yeo, S., Barakat Carballo, R., Perales, M., Bogaerts, A., Cecatti, J. G., Dodd, J., Owens, J. A., Devlieger, R., Teede, H., Haakstad, L., Motahari-Tabari, N., ... i-WIP (International Weight Management in Pregnancy) Collaborative Group (2016). Dietary interventions in overweight and obese pregnant women: a systematic review of the content, delivery, and outcomes of randomized controlled trials. Nutrition Reviews, 74(5), 312-328. https://doi.org/10.1093/nutrit/nuw005

Flynn, AC, Dalrymple, K, Barr, S, Poston, L, Goff, LM, Rogozińska, E, van Poppel, MNM, Rayanagoudar, G, Yeo, S, Barakat Carballo, R, Perales, M, Bogaerts, A, Cecatti, JG, Dodd, J, Owens, JA, Devlieger, R, Teede, H, Haakstad, L, Motahari-Tabari, N, Tonstad, S, Luoto, R, Guelfi, K, Petrella, E, Phelan, S, Scudeller, TT, Hauner, H, Renault, KM, Sagedal, LR, Stafne, SN, Vinter, CA, Astrup, A, Geiker, NRW, McAuliffe, FM, Mol, BWJ, Thangaratinam, S & i-WIP (International Weight Management in Pregnancy) Collaborative Group 2016, 'Dietary interventions in overweight and obese pregnant women: a systematic review of the content, delivery, and outcomes of randomized controlled trials', Nutrition Reviews, vol. 74, no. 5, pp. 312-328. https://doi.org/10.1093/nutrit/nuw005

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title = "Dietary interventions in overweight and obese pregnant women: a systematic review of the content, delivery, and outcomes of randomized controlled trials",

abstract = "CONTEXT: Interventions targeting maternal obesity are a healthcare and public health priority.OBJECTIVE: 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.DATA SOURCES: A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration.STUDY SELECTION: Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women, were identified.DATA SYNTHESIS: 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.CONCLUSION: 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.",

keywords = "Journal Article, Research Support, Non-U.S. Gov't, Antenatal intervention, Dietary assessment, Maternal obesity",

author = "Flynn, {Angela C} and Kathryn Dalrymple and Suzanne Barr and Lucilla Poston and Goff, {Louise M} and Ewelina Rogozi{\'n}ska and {van Poppel}, {Mireille N M} and Girish Rayanagoudar and SeonAe Yeo and {Barakat Carballo}, Ruben and Maria Perales and Annick Bogaerts and Cecatti, {Jose Guilherme} and Jodie Dodd and Owens, {Julie A} and Roland Devlieger and Helena Teede and Lene Haakstad and Narges Motahari-Tabari and Serena Tonstad and Riitta Luoto and Kym Guelfi and Elisabetta Petrella and Suzanne Phelan and Scudeller, {T{\^a}nia T} and Hans Hauner and Renault, {Kristina Martha} and Sagedal, {Linda Reme} and Stafne, {Signe Nilssen} and Vinter, {Christina Anne} and Arne Astrup and Geiker, {Nina Rica Wium} and McAuliffe, {Fionnuala M} and Mol, {Ben Willem J} and Shakila Thangaratinam and {i-WIP (International Weight Management in Pregnancy) Collaborative Group}",

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T2 - a systematic review of the content, delivery, and outcomes of randomized controlled trials

AU - Flynn, Angela C

AU - Dalrymple, Kathryn

AU - Barr, Suzanne

AU - Poston, Lucilla

AU - Goff, Louise M

AU - Rogozińska, Ewelina

AU - van Poppel, Mireille N M

AU - Rayanagoudar, Girish

AU - Yeo, SeonAe

AU - Barakat Carballo, Ruben

AU - Perales, Maria

AU - Bogaerts, Annick

AU - Cecatti, Jose Guilherme

AU - Dodd, Jodie

AU - Owens, Julie A

AU - Devlieger, Roland

AU - Teede, Helena

AU - Haakstad, Lene

AU - Motahari-Tabari, Narges

AU - Tonstad, Serena

AU - Luoto, Riitta

AU - Guelfi, Kym

AU - Petrella, Elisabetta

AU - Phelan, Suzanne

AU - Scudeller, Tânia T

AU - Hauner, Hans

AU - Renault, Kristina Martha

AU - Sagedal, Linda Reme

AU - Stafne, Signe Nilssen

AU - Vinter, Christina Anne

AU - Astrup, Arne

AU - Geiker, Nina Rica Wium

AU - McAuliffe, Fionnuala M

AU - Mol, Ben Willem J

AU - Thangaratinam, Shakila

AU - i-WIP (International Weight Management in Pregnancy) Collaborative Group

N1 - CURIS 2016 NEXS 281

PY - 2016/5/1

Y1 - 2016/5/1

N2 - CONTEXT: Interventions targeting maternal obesity are a healthcare and public health priority.OBJECTIVE: 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.DATA SOURCES: A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration.STUDY SELECTION: Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women, were identified.DATA SYNTHESIS: 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.CONCLUSION: 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.

AB - CONTEXT: Interventions targeting maternal obesity are a healthcare and public health priority.OBJECTIVE: 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.DATA SOURCES: A systematic review of the literature, consistent with PRISMA guidelines, was performed as part of the International Weight Management in Pregnancy collaboration.STUDY SELECTION: Thirteen randomized controlled trials, which aimed to modify diet and physical activity in overweight and obese pregnant women, were identified.DATA SYNTHESIS: 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.CONCLUSION: 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.

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

KW - Antenatal intervention

KW - Dietary assessment

KW - Maternal obesity

U2 - 10.1093/nutrit/nuw005

DO - 10.1093/nutrit/nuw005

M3 - Review

C2 - 27083868

SN - 0029-6643

VL - 74

SP - 312

EP - 328

JO - Nutrition Reviews

JF - Nutrition Reviews

IS - 5

ER -

Dietary interventions in overweight and obese pregnant women: a systematic review of the content, delivery, and outcomes of randomized controlled trials

Abstract

Keywords

UN SDGs

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