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Cited by 171Gestational Diabetes Research and ManagementObesity, Physical Activity, DietMaternal and Neonatal Healthcare

Nutrition and Exercise Prevent Excess Weight Gain in Overweight Pregnant Women

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MOTTOLA, MICHELLE F., GIROUX, ISABELLE, GRATTON, ROBERT, HAMMOND, JO-ANNE, HANLEY, ANTHONY, HARRIS, STEWART, MCMANUS, RUTH, DAVENPORT, MARGIE H. +1 more·2010·Medicine & Science in Sports & Exercise
DOI 10.1249/mss.0b013e3181b5419aPMC PMC2886034
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Abstract

PURPOSE: To determine the effect of a Nutrition and Exercise Lifestyle Intervention Program (NELIP) for overweight (OW) and obese (OB) pregnant women on pregnancy weight gain, birth weight, and maternal weight retention at 2 months postpartum. METHODS: This is a single-arm intervention matched by prepregnant body mass index, age, and parity to a historical cohort (4:1). Women with a prepregnancy body mass index of > or = 25.0 kg x m(-2) (N = 65) participated in a NELIP starting at 16-20 wk of pregnancy, continuing until delivery. NELIP consisted of an individualized nutrition plan with total energy intake of approximately 2000 kcal x d(-1) (8360 kJ x d(-1)) and 40%-55% of total energy intake from carbohydrate. Exercise consisted of a walking program (30% HR reserve), three to four times per week, using a pedometer to count steps. Matched historical cohort (MC; N = 260) was from a large local perinatal database. RESULTS: Weight gained by women on the NELIP was 6.8 +/- 4.1 kg (0.38 +/- 0.2 kg x wk(-1)), with a total pregnancy weight gain of 12.0 +/- 5.7 kg. Excessive weight gain occurred before NELIP began at 16 wk of gestation. Eighty percent of the women did not exceed recommended pregnancy weight gain on NELIP. Weight retention at 2 months postpartum was 2.2 +/- 5.6 kg with no difference between the OW and the OB women on NELIP. Mean birth weight was not different between NELIP (3.59 +/- 0.5 kg) and MC (3.56 +/- 0.6 kg, P > 0.05). CONCLUSIONS: NELIP reduces the risk of excessive pregnancy weight gain with minimal weight retention at 2 months postpartum in OW and OB women. This intervention may assist OW and OB women in successful weight control after childbirth.

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  • In Mottola et al. intervention, average gain was still over 12 kg as a result of excessive gain in early pregnancy.

    “For example, Mottola et al. 125 carried out an intervention based upon an individualised nutrition plan (2000 kcal day–1) coupled with a programme of walking three to four times per week. This reduced the likelihood of women exceeding recommended rates of pregnancy weight gain, although average gain was still over 12 kg as a result of excessive gain in early pregnancy.”

    From Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review (2022) · cites this paper as [125]

  • Mottola et al. intervention based upon individualised nutrition plan (2000 kcal day-1) coupled with walking three to four times per week reduced the likelihood of women exceeding recommended rates of pregnancy weight gain.

    “For example, Mottola et al. 125 carried out an intervention based upon an individualised nutrition plan (2000 kcal day–1) coupled with a programme of walking three to four times per week. This reduced the likelihood of women exceeding recommended rates of pregnancy weight gain, although average gain was still over 12 kg as a result of excessive gain in early pregnancy.”

    From Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review (2022) · cites this paper as [125]

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Authors
MOTTOLA, M. F., GIROUX, I., GRATTON, R., HAMMOND, J.-A., HANLEY, A., HARRIS, S., MCMANUS, R., DAVENPORT, M. H., & SOPPER, M. M.
Affiliations
  • Western University (CA)
  • Brescia University College (CA)
  • University of Toronto (CA)
ORCID
Venue
Medicine & Science in Sports & Exercise
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2010-02
Volume
42
Issue
2
Pages
265-272
ISSN
0195-9131 (ISSN-L)
DOI
10.1249/mss.0b013e3181b5419a
PMC
PMC2886034
OpenAlex
W2049066434
Cited by
171
References
35
Citations by year
2026: 2 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 6 · 2021: 3 · 2020: 10 · 2019: 14 · 2018: 8 · 2017: 10 · 2016: 6 · 2015: 19 · 2014: 17 · 2013: 22 · 2012: 20
FWCI
30.21
Type
journal article
Language
en
Open access
Locations
  • Medicine & Science in Sports & Exercise (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Scholarship@Western (Western University) (submittedVersion)
Funders
Canadian Institutes of Health Research (63145)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
gestational weight gain, overweight in pregnancy, maternal obesity, nutrition interventions, exercise intervention, walking, pedometers, postpartum weight retention, birth weight, energy intake, carbohydrate intake
MeSH terms
Adult, Diet, Female, Humans, Obesity, Ontario, Pregnancy, Pregnancy Outcome, Weight Gain, Exercise, Nutrition Assessment, Body Mass Index, Risk Reduction Behavior, Postpartum Period, Overweight

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