Obesity, Reproduction and Pregnancy

ORP: Nutrition Prescription for Gestational Weight Gain (2014)

• Assessment
  In overweight and obese women who become pregnant, what is the optimal macronutrient and energy prescription for recommended gestational weight gain?

  • Conclusion
    Among overweight and obese women, evidence indicates that achievement of recommended weight gain during pregnancy appears to be supported by nutrition prescriptions specifying ranges of macronutrient distributions and caloric intake recommendations.  
  • Grade: II
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In overweight and obese women who become pregnant, what is the optimal macronutrient and energy prescription for recommended gestational weight gain?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Asbee SM, Jenkins TR, Butler JR, White J, Elliot M, Rutledge A. Preventing excessive weight gain during pregnancy through dietary and lifestyle counseling: A randomized control trial. Obstetrics & Gynecology. 2009; 113 (2p 1): 305-312. 
      • Asbee SM, Jenkins TR, Butler JR, White J, Elliot M, Rutledge A. Preventing excessive weight gain during pregnancy through dietary and lifestyle counseling: A randomized control trial. Obstetrics & Gynecology. 2009; 113 (2p 1): 305-312. 
      •  Guelinckx I, Devlieger R, Mullie P, Vansant G. Effect of lifestyle intervention on dietary habits, physical activity, and gestational weight gain in obese pregnant women: A randomized controlled trial. Am J Clin Nutr. 2010; 91: 373–380.
      •  Guelinckx I, Devlieger R, Mullie P, Vansant G. Effect of lifestyle intervention on dietary habits, physical activity, and gestational weight gain in obese pregnant women: A randomized controlled trial. Am J Clin Nutr. 2010; 91: 373–380.
      • Phelan S, Phipps MG, Abrams B, Darroch F, Schaffner A, Wing RR. Randomized trial of a behavioral intervention to prevent excessive gestational weight gain: The Fit for Delivery Study. Am J Clin Nutr. 2011; 93: 772-779.
      • Phelan S, Phipps MG, Abrams B, Darroch F, Schaffner A, Wing RR. Randomized trial of a behavioral intervention to prevent excessive gestational weight gain: The Fit for Delivery Study. Am J Clin Nutr. 2011; 93: 772-779.
      • Thornton YS, Smarkola C, Kopacz SM, Ishoof SB. Perinatal outcomes in nutritionally monitored obese pregnant women: A randomized clinical trial.J Natl Med Assoc. 2009 Jun; 101(6): 569-577.  
      • Thornton YS, Smarkola C, Kopacz SM, Ishoof SB. Perinatal outcomes in nutritionally monitored obese pregnant women: A randomized clinical trial.J Natl Med Assoc. 2009 Jun; 101(6): 569-577.  
      • Walsh JM, McGowan CA, Mahony R, Foley ME, McAuliffe FM. Low glycemic index in pregnancy to prevent macrosomia (ROLO study): Randomized controlled trial. BMJ. 2012, Aug 30; 345: e5605. 
      • Walsh JM, McGowan CA, Mahony R, Foley ME, McAuliffe FM. Low glycemic index in pregnancy to prevent macrosomia (ROLO study): Randomized controlled trial. BMJ. 2012, Aug 30; 345: e5605. 
      • Wolff S, Legarth J, Vangsgaard K, Toubro S, Astrup A. A randomized trial of the effects of dietary counseling on gestational weight gain and glucose metabolism in obese pregnant women. Int J Obes. 2008; 32: 495-501.
      • Wolff S, Legarth J, Vangsgaard K, Toubro S, Astrup A. A randomized trial of the effects of dietary counseling on gestational weight gain and glucose metabolism in obese pregnant women. Int J Obes. 2008; 32: 495-501.
  • Search Plan and Results: ORP: Nutrition Prescription Macronutrients and Energy 2013
     
  In overweight and obese women who become pregnant, what is the optimal micronutrient prescription for recommended gestational weight gain?

  • Conclusion

    No evidence was identified to evaluate the optimal micronutrient prescription for gestational weight gain in overweight or obese women who become pregnant.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: ORP: Nutrition Prescription Micronutrients 2013
     
  In overweight and obese women who become pregnant, what is the optimal fluid intake and/or hydration prescription for recommended gestational weight gain?

  • Conclusion

    No evidence was identified to evaluate the optimal fluid intake and hydration prescription for gestational weight gain in overweight or obese women who become pregnant.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: ORP: Nutrition Prescription Fluid Intake/Hydration 2013
     
  In overweight and obese women who become pregnant, what is the optimal fiber intake prescription for recommended gestational weight gain?

  • Conclusion
    No evidence was identified to evaluate the optimal fiber intake for gestational weight gain in overweight or obese women who become pregnant.
  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: ORP: Nutrition Prescription Fiber Intake 2013