Pregnant women seeking effective strategies for managing weight gain during pregnancy may find valuable support from certified dietitians, according to a comprehensive study of over 100 research papers. The findings, published in JAMA Network Open, reveal that interventions led by allied health professionals, particularly dietitians, prove to be the most beneficial in controlling gestational weight gain (GWG).
Key Insights from the Study: Drawing upon a wealth of international evidence spanning three decades, the research team, led by maternal health expert Professor Shakila Thangaratinam from the University of Birmingham, underlined the significance of one-to-one sessions. The meta-analysis, encompassing 99 studies with almost 35,000 participants, identified that personalized sessions ranging from 6 to 20 were most effective.
These one-to-one sessions take into account practical aspects of pregnancy, addressing factors such as nausea, which may influence food and vegetable consumption, as well as considerations for cravings and fatigue.
Exercise Component and Prolonged Plans: While the study found robust evidence for the dietitian-led interventions, the evidence for the exercise component of weight management during pregnancy was comparatively less substantial. The researchers suggest that plans incorporating exercise need to be carried out over an extended period of 20 weeks for optimal effectiveness.
Professor Shakila Thangaratinam explained, "Weight gain during pregnancy is a normal process, but the old adage that expectant moms are 'eating for two' and don't need to worry about weight gain can lead to health consequences for mum and baby." Excessive gestational weight gain has been linked to increased risks of developing diabetes and other complications.
Expert Opinions on the Study: Cheryce L. Harrison, senior research fellow at Monash University in Melbourne, Australia, highlighted the importance of the study's secondary analysis. The meta-analysis aims to provide critical and pragmatic insights into the components of antenatal lifestyle interventions associated with optimized gestational weight gain within randomized clinical trials. This information is vital for the implementation of trials in antenatal care settings.
As the study brings together three decades of evidence, it emphasizes the pivotal role of experts, especially dietitians, in guiding expectant mothers toward healthy weight gain. The findings shed light on the need for personalized, practical approaches that consider the unique challenges of each pregnancy. This research acts as a shining light, encouraging a shift from outdated notions to evidence-based strategies for managing weight during this crucial period of life