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Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial

The antenatal lifestyle and excessive gestational weight gain (GWG) modify the risk of obstetric complications, maternal weight retention, and the risk of obesity for the next generation. The cluster-randomized controlled “Healthy living in pregnancy” (GeliS) study, recruiting 2286 women, was design...

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Autores principales: Günther, Julia, Hoffmann, Julia, Kunath, Julia, Spies, Monika, Meyer, Dorothy, Stecher, Lynne, Rosenfeld, Eva, Kick, Luzia, Rauh, Kathrin, Hauner, Hans
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6678299/
https://www.ncbi.nlm.nih.gov/pubmed/31269753
http://dx.doi.org/10.3390/jcm8070960
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author Günther, Julia
Hoffmann, Julia
Kunath, Julia
Spies, Monika
Meyer, Dorothy
Stecher, Lynne
Rosenfeld, Eva
Kick, Luzia
Rauh, Kathrin
Hauner, Hans
author_facet Günther, Julia
Hoffmann, Julia
Kunath, Julia
Spies, Monika
Meyer, Dorothy
Stecher, Lynne
Rosenfeld, Eva
Kick, Luzia
Rauh, Kathrin
Hauner, Hans
author_sort Günther, Julia
collection PubMed
description The antenatal lifestyle and excessive gestational weight gain (GWG) modify the risk of obstetric complications, maternal weight retention, and the risk of obesity for the next generation. The cluster-randomized controlled “Healthy living in pregnancy” (GeliS) study, recruiting 2286 women, was designed to examine whether a lifestyle intervention reduced the proportion of women with excessive GWG. Trained healthcare providers gave four counseling sessions covering a healthy diet, regular physical activity, and self-monitoring of GWG in the intervention group. In this secondary analysis, the effect on maternal dietary behavior was analyzed. Dietary behavior was assessed by means of a 58-item food frequency questionnaire in early and late pregnancy. The intervention resulted in a significant reduction in soft drink intake (p < 0.001) and an increase in the consumption of fish (p = 0.002) and vegetables (p = 0.023). With the exception of higher percentage energy from protein (p = 0.018), no effects of the intervention on energy and macronutrient intake were observed. There was no evidence for an overall effect on dietary quality measured with a healthy eating index. Some dietary variables were shown to be associated with GWG. In a routine prenatal care setting in Germany, lifestyle advice modified single aspects of dietary behavior, but not energy intake or overall dietary quality.
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spelling pubmed-66782992019-08-19 Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial Günther, Julia Hoffmann, Julia Kunath, Julia Spies, Monika Meyer, Dorothy Stecher, Lynne Rosenfeld, Eva Kick, Luzia Rauh, Kathrin Hauner, Hans J Clin Med Article The antenatal lifestyle and excessive gestational weight gain (GWG) modify the risk of obstetric complications, maternal weight retention, and the risk of obesity for the next generation. The cluster-randomized controlled “Healthy living in pregnancy” (GeliS) study, recruiting 2286 women, was designed to examine whether a lifestyle intervention reduced the proportion of women with excessive GWG. Trained healthcare providers gave four counseling sessions covering a healthy diet, regular physical activity, and self-monitoring of GWG in the intervention group. In this secondary analysis, the effect on maternal dietary behavior was analyzed. Dietary behavior was assessed by means of a 58-item food frequency questionnaire in early and late pregnancy. The intervention resulted in a significant reduction in soft drink intake (p < 0.001) and an increase in the consumption of fish (p = 0.002) and vegetables (p = 0.023). With the exception of higher percentage energy from protein (p = 0.018), no effects of the intervention on energy and macronutrient intake were observed. There was no evidence for an overall effect on dietary quality measured with a healthy eating index. Some dietary variables were shown to be associated with GWG. In a routine prenatal care setting in Germany, lifestyle advice modified single aspects of dietary behavior, but not energy intake or overall dietary quality. MDPI 2019-07-02 /pmc/articles/PMC6678299/ /pubmed/31269753 http://dx.doi.org/10.3390/jcm8070960 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Günther, Julia
Hoffmann, Julia
Kunath, Julia
Spies, Monika
Meyer, Dorothy
Stecher, Lynne
Rosenfeld, Eva
Kick, Luzia
Rauh, Kathrin
Hauner, Hans
Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial
title Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial
title_full Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial
title_fullStr Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial
title_full_unstemmed Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial
title_short Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial
title_sort effects of a lifestyle intervention in routine care on prenatal dietary behavior—findings from the cluster-randomized gelis trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6678299/
https://www.ncbi.nlm.nih.gov/pubmed/31269753
http://dx.doi.org/10.3390/jcm8070960
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