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The effect of weight management interventions that include a diet component on weight-related outcomes in pregnant and postpartum women: a systematic review protocol
| Content Provider | Scilit |
|---|---|
| Author | Spencer, Lisa Rollo, Megan Hauck, Yvonne Donald-Wicks, Lesley Mac Wood, Lisa Hutchesson, Melinda Giglia, Roslyn Smith, Roger Collins, Clare |
| Copyright Year | 2015 |
| Description | Journal: JBI Evidence Synthesis |
| Abstract | What are the effects of weight management interventions that include a diet component on weight-related outcomes in pregnant and postpartum women? The primary objective of this systematic review is to evaluate the effectiveness of weight management interventions which include a diet component and are aimed at limiting gestational weight gain and postpartum weight retention in women. The second objective of this systematic review is to investigate included intervention components with respect to effect on weight-related outcomes. This may include, but is not limited to: length of intervention, use of face-to-face counselling, group or individual consultations, use of other interventions components including exercise, use of goals and use of support tools like food diaries, coaching, including email or text message support. Around half of all women of reproductive age are either overweight or obese,1,2,3 with women aged 25-34 years having a greater risk of substantial weight gain compared with men of all ages.1,4 Excessive gestational weight gain (GWG) and postpartum weight retention (PPWR) may play a significant role in long term obesity. Having one child doubles the five- and 10-year obesity incidence for women, with many women who gain excessive weight during pregnancy remaining obese permanently.5 Excessive GWG and/or PPWR can also significantly contribute to short- and long-term adverse health outcomes for mother, baby and future pregnancies.6,7 Maternal obesity increases the risk of pregnancy related complications such as pre-eclampsia, gestational diabetes mellitus, stillbirth and the rate of caesarean section.8 Childhood obesity is a further long term complication of maternal obesity for offspring, which may persist in to adulthood.9 Excess GWG is also a risk factor for PPWR both in the short and long-term.10,11 Nehring et al. conducted a meta-analysis with over 65,000 women showing that, compared to women who gained weight within recommendations during pregnancy, women with GWG above Institute of Medicine weight gain recommendations,12 retained an additional 3.1 kg and 4.7kg after three and greater than or equal to 15 years postpartum, respectively.13 The health risk associated with PPWR is highlighted in a study of 151,025 Swedish women followed between 1992 and 2001.The study identified the risk of adverse pregnancy outcomes for those who gained three or more units of Body Mass Index (kg/m2) between consecutive pregnancies (an average of two years) was much higher compared with women whose BMI changed from -1.0 and 0.9 units.14 Long-term chronic disease risk may also be affected by PPWR as weight retention at the end of the first year post-partum has been found to be a predictor of maternal overweight 15 years later.15With around 14-20% of women retaining 5kg or more 12 months postpartum,16,5 the risk of developing conditions like diabetes, metabolic syndrome and cardiovascular disease may be increased.17 It becomes evident that... |
| Related Links | https://pdfs.journals.lww.com/jbisrir/2015/13010/The_effect_of_weight_management_interventions_that.9.pdf?token=method|ExpireAbsolute;source|Journals;ttl|1517612375648;payload|mY8D3u1TCCsNvP5E421JYK6N6XICDamxByyYpaNzk7FKjTaa1Yz22MivkHZqjGP4kdS2v0J76WGAnHACH69s21Csk0OpQi3YbjEMdSoz2UhVybFqQxA7lKwSUlA502zQZr96TQRwhVlocEp/sJ586aVbcBFlltKNKo+tbuMfL73hiPqJliudqs17cHeLcLbV/CqjlP3IO0jGHlHQtJWcICDdAyGJMnpi6RlbEJaRheGeh5z5uvqz3FLHgPKVXJzd2Nc6+hVLWbVoVuP9D9se6Sb6gmxJTAl1sn0iNdaPF5I=;hash|7rG2pL1h+x6ohqhQWWrSiw== |
| Ending Page | 98 |
| Page Count | 11 |
| Starting Page | 88 |
| ISSN | 26898381 |
| e-ISSN | 22024433 |
| DOI | 10.11124/jbisrir-2015-1812 |
| Journal | JBI Evidence Synthesis |
| Issue Number | 1 |
| Volume Number | 13 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2015-01-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: JBI Evidence Synthesis Reproductive Biology Weight Management |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nursing |
