Most Read Articles
Tristan Manalac, 4 days ago
The causes, presentations and management of anaphylaxis vary considerably with age, according to a recent Singapore study, which reported that children are more likely to present with food anaphylaxis, while drug anaphylaxis is more common in adults.
Pearl Toh, 3 days ago
Low-density lipoprotein cholesterol (LDL-C) levels remained high in many patients with stable or acute coronary heart disease (CHD) in Asia, despite having a very high risk of recurrent cardiovascular (CV) events, indicating that the use of lipid-lowering therapies and lipid monitoring were inadequate.
13 Sep 2018
Substituting diets high in carbohydrates with those high in monounsaturated fatty acids in the context of low saturated fatty acids do not appear to yield favourable effects on blood pressure, according to a meta-analysis.
2 days ago
There is a strong association between smoking duration and colorectal polyps, independent of smoking intensity, cessation and other potential confounders, reports a recent study. Such association is more robust with distal rather than proximal polyps, and with serrated polyps rather than adenomas.

Lifestyle changes safe, effective for curbing gestational weight gain in obese, overweight mothers

12 Sep 2018

Behavioural lifestyle interventions, such as those focused on diet and physical activity, safely and effectively limit excess gestational weight gain (GWG) in overweight and obese pregnant women, a recent prospective meta-analysis has shown.

The study included 1,150 women who were randomly assigned to the lifestyle intervention (n=579; mean age 30.4±5.6 years) or standard care (n=571; mean age 30.5±5.7 years). Excess GWG per week was significantly less common in the former than in the latter group (61.8 percent vs 75.0 percent; odds ratio [OR], 0.52; 95 percent CI, 0.40–0.67).

Moreover, women who received the lifestyle intervention vs standard care demonstrated 1.6-kg less mean total GWG.

In terms of secondary outcomes, researchers reported that there were significantly more women in the intervention arm with GWG below the Institute of Medicine guidelines (20.6 percent vs 14.2 percent; OR, 1.65; 1.20–2.27).

Complications of pregnancy were rare. There were only 15 cases of placental abruption, nine of which were in the intervention group. Six participants reported severe anaemia, three each belonged in either arm. Preterm premature rupture of membranes occurred in 21 participants and was more common in the standard care group (n=13).

In contrast, all six cases of postpartum haemorrhage were reported in the intervention arm, as was the single case of pulmonary embolism.

While preterm birth prior to 37 weeks was comparable between the treatment groups (lifestyle intervention vs standard care: 5.1 percent vs 3.9 percent; OR, 1.32; 0.75–2.34), delivery before 28 weeks was significantly less common in the intervention group.

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Most Read Articles
Tristan Manalac, 4 days ago
The causes, presentations and management of anaphylaxis vary considerably with age, according to a recent Singapore study, which reported that children are more likely to present with food anaphylaxis, while drug anaphylaxis is more common in adults.
Pearl Toh, 3 days ago
Low-density lipoprotein cholesterol (LDL-C) levels remained high in many patients with stable or acute coronary heart disease (CHD) in Asia, despite having a very high risk of recurrent cardiovascular (CV) events, indicating that the use of lipid-lowering therapies and lipid monitoring were inadequate.
13 Sep 2018
Substituting diets high in carbohydrates with those high in monounsaturated fatty acids in the context of low saturated fatty acids do not appear to yield favourable effects on blood pressure, according to a meta-analysis.
2 days ago
There is a strong association between smoking duration and colorectal polyps, independent of smoking intensity, cessation and other potential confounders, reports a recent study. Such association is more robust with distal rather than proximal polyps, and with serrated polyps rather than adenomas.