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    Excess Gestational Weight Gain in Pregnancy and the Role of Lifestyle Intervention. 
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    Excess Gestational Weight Gain in Pregnancy and the Role of Lifestyle Intervention.

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    Accepted version (180.0Kb)
    Volume
    34
    Pagination
    e14 - e21
    DOI
    10.1055/s-0036-1583531
    Journal
    Semin Reprod Med
    Issue
    2
    Metadata
    Show full item record
    Abstract
    With increasingly adverse lifestyles, young women in many countries have rapid weight gain and rising obesity. In keeping with this, most pregnant women exceed recommended gestational weight gain (GWG) and then retain weight postpartum. The consequences of excess GWG include maternal risks during pregnancy, neonatal risks and maternal obesity and chronic disease longer term, presenting a significant public health and economic burden worldwide. This article discusses the adverse maternal and infant risks with excess GWG apparent from observational studies, summarizes the existing guidelines for optimal GWG and highlights the need for further research to identify optimal GWG recommendations across the different ethnicities and weight ranges.We also review the evidence for lifestyle interventions in pregnancy to prevent excess GWG and highlighting the work underway to integrate large scale meta-analyses of individual patient data from lifestyle intervention studies to inform clinical practice beyond current observational data. Finally, we address the need to implement lifestyle interventions into routine pregnancy care to improve short and long term maternal health outcomes.
    Authors
    Goldstein, R; Teede, H; Thangaratinam, S; Boyle, J
    URI
    http://qmro.qmul.ac.uk/xmlui/handle/123456789/12781
    Collections
    • Centre for Primary Care and Public Health [1554]
    Language
    eng
    Copyright statements
    (c) 2016 Thieme Medical Publishers
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