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  • 标题:Association between Gestational Weight Gain, Gestational Diabetes Risk, and Obstetric Outcomes: A Randomized Controlled Trial Post Hoc Analysis
  • 本地全文:下载
  • 作者:David Simmons ; Roland Devlieger ; Andre Van Assche
  • 期刊名称:Nutrients
  • 电子版ISSN:2072-6643
  • 出版年度:2018
  • 卷号:10
  • 期号:11
  • 页码:1568-1580
  • DOI:10.3390/nu10111568
  • 出版社:MDPI Publishing
  • 摘要:Excess gestational weight gain (GWG) is associated with the development of gestational diabetes mellitus (GDM). Lifestyle trials have not achieved much GWG limitation, and have largely failed to prevent GDM. We compared the effect of substantial GWG limitation on maternal GDM risk. Pregnant women with a body mass index (BMI) ≥29 kg/m2 3 kg showed no significance difference in glycaemia or insulin resistance between HE and PA, and UC. We conclude that preventing even substantial increases in GWG after the first trimester has little effect on maternal glycaemia. We recommend randomized controlled trials of effective lifestyle interventions, starting in or before the first trimester.
  • 关键词:gestational diabetes mellitus; pregnancy; lifestyle intervention; randomised controlled trial; healthy eating; physical activity; overweight; motivational interviewing; prevention gestational diabetes mellitus ; pregnancy ; lifestyle intervention ; randomised controlled trial ; healthy eating ; physical activity ; overweight ; motivational interviewing ; prevention
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