Most Read Articles
6 days ago
Electroretinogram-assessed localized retinal dysfunction in type 1 diabetes mellitus patients appears to occur even in the absence of clinical signs of diabetic retinopathy (DR), and this incidence is associated with ageing, according to a study.
Roshini Claire Anthony, 18 hours ago

Patients with mild hypertension who are at low risk for cardiovascular disease (CVD) do not appear to derive mortality or CVD benefit from antihypertensive treatments, raising questions on the need for treatment in this population, according to a recent study from England.

Pearl Toh, 3 days ago
A personalized computerized neurofeedback intervention for training attention and memory shows potential in cognitive training for healthy elderly men, who improved in cognitive performance after the training, although no significant improvements were seen in the overall study population.
6 days ago
Greater home blood pressure (BP) variability, particularly in home systolic (S)BP, correlates with higher carotid, aortic and peripheral but not coronary atherosclerosis burdens independent of the mean home BP, suggests a recent study.

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.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
6 days ago
Electroretinogram-assessed localized retinal dysfunction in type 1 diabetes mellitus patients appears to occur even in the absence of clinical signs of diabetic retinopathy (DR), and this incidence is associated with ageing, according to a study.
Roshini Claire Anthony, 18 hours ago

Patients with mild hypertension who are at low risk for cardiovascular disease (CVD) do not appear to derive mortality or CVD benefit from antihypertensive treatments, raising questions on the need for treatment in this population, according to a recent study from England.

Pearl Toh, 3 days ago
A personalized computerized neurofeedback intervention for training attention and memory shows potential in cognitive training for healthy elderly men, who improved in cognitive performance after the training, although no significant improvements were seen in the overall study population.
6 days ago
Greater home blood pressure (BP) variability, particularly in home systolic (S)BP, correlates with higher carotid, aortic and peripheral but not coronary atherosclerosis burdens independent of the mean home BP, suggests a recent study.