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Pregnant women who are overweight or obese are at greater risk of serious complications related to pregnancy and childbirth.
To prevent premature birth and babies of small gestational age, the Institute of Medicine (IOM) recommends that women who are overweight before pregnancy limit Their gestational weight gain (GWG) did not exceed 9 kg
.
Weight gain during pregnancy beyond this limit increases the risk of macrosomia and some pregnancy complications, including spontaneous preterm birth
Pregnant women who are overweight or obese are at greater risk of serious complications related to pregnancy and childbirth.
A total of 279 pre-pregnancy overweight or obese women (BMI: 28-45 kg/m 2 ), aged 18 to 45 years, were included in the study, all pregnant women were randomly assigned to 1 of 2 ad libitum diets : High protein low glycemic index diet (HPLGI: 25%–28% of energy from protein, glycemic index ≤ 55) and medium protein moderate glycemic index diet (MPMGI: 15%–18% of energy from protein and blood sugar index ~60)
.
Dietary interventions started at 15 weeks of gestation and throughout pregnancy
2
RESULTS: Of the 141 and 138 women randomly assigned to the HPLGI and MPMGI diets, 105 and 104, respectively, completed the intervention (75%)
.
In the available case analysis, women assigned the MPLGI diet had a GWG of 6.
Figure: Maternal Body Mass Gain Index
The results of this study demonstrate that a modest increase in dietary protein and a reduction in the glycemic index during the last 2 trimesters of pregnancy reduce GWG in overweight or obese women and limit the risk of complications and cesarean delivery
.
.
Original source:
Nina RW Geiker.
A high-protein low–glycemic index diet attenuates gestational weight gain in pregnant women with obesity: the “An optimized programming of healthy children” (APPROACH) randomized controlled trial.
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