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Healthy Life Trajectories Initiative: Summary of the evidence base for pregnancy-related interventions to prevent overweight and obesity in children.

Obesity reviews : an official journal of the International Association for the Study of Obesity
August 1, 2019
Liesl Grobler et al. (3 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman Study
Study Details

Study Goal

The researchers aimed to identify dietary and lifestyle interventions in pregnant women that reduce the prevalence of overweight, obesity, or related risk factors in their children.

Results Summary

Dietary counseling alone was ranked as "beneficial" or "possibly beneficial" for reducing risk factors for childhood obesity. High protein supplementation was ranked "harmful" due to increased risk of small-for-gestational age infants.

Population

Pregnant women and their children.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
balanced energy/protein supplements
decrease
risk factors for childhood obesity
pregnant women
-
ranked beneficial or possibly beneficial
#1
dietary counseling alone
decrease
risk factors for childhood obesity
pregnant women
-
ranked beneficial or possibly beneficial
#2
low glycemic index dietary advice
decrease
risk factors for childhood obesity
pregnant women
-
ranked beneficial or possibly beneficial
#3
diet and exercise counseling
decrease
risk factors for childhood obesity
pregnant women
-
ranked beneficial or possibly beneficial
#4
diet counseling and supervised exercise
decrease
risk factors for childhood obesity
pregnant women
-
ranked beneficial or possibly beneficial
#5
high protein supplementation
increase
risk of small-for-gestational age (SGA) infants
normal-weight pregnant women
-
ranked harmful
#6
Abstract

This overview of systematic reviews (SRs) aimed to identify dietary and lifestyle interventions in pregnant women that reduce the prevalence of overweight, obesity, and/or risk factors thereof, in their children. Following identification of eligible SRs, a matrix of all included studies identified overlap between SRs. The most recent, comprehensive, high-quality SRs were selected for further dissagregation. We developed a Grading of Recommendations, Assessment, Development and Evaluations (GRADE)-based effectiveness matrix incorporating effect size and study quality to prioritise interventions as (1) beneficial or harmful, (2) possibly beneficial or possibly harmful, (3) no effect, (4) possibly no effect, or (5) uncertain effect. Of the 27 SRs identified, 16 SRs were excluded due to overlap. From 11 remaining SRs, five discrete interventions were ranked "beneficial" or "possibly beneficial" for reducing risk factors for childhood obesity: (1) balanced energy/protein supplements, (2) dietary counseling alone, (3) low glycemic index dietary advice, (4) diet and exercise counseling, (5) diet counseling and supervised exercise. High protein supplementation was ranked "harmful" as it increased the risk of small-for-gestational age (SGA) infants in normal-weight pregnant women. Evidence of the impact of pregnancy-related diet or lifestyle interventions, on childhood obesity was limited. Five dietary interventions, alone or in combination with exercise, showed beneficial effects on the risk factors for childhood obesity.

Medical Subject Headings (MeSH)
AdultChildDietEducation, NonprofessionalEvidence-Based PracticeExerciseFemaleHealth Knowledge, Attitudes, PracticeHealth PromotionHumansInfantMalePediatric ObesityPostnatal CarePregnancyPrenatal EducationRisk Reduction BehaviorSystematic Reviews as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations16
Citations/Year2.7
Relative Citation Ratio1.23
NIH Percentile58%
Research Impact Scores
APT Score0.50
Weight Score2.32
Normalized Score0.67
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Healthy Life Trajectories Initiative: Summary of the evidenc... | Panacea Index