Intake of Sweets, Snacks and Soft Drinks Predicts Weight Gain in Obese Pregnant Women: Detailed Analysis of the Results of a Randomised Controlled Trial
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Intake of Sweets, Snacks and Soft Drinks Predicts Weight Gain in Obese Pregnant Women : Detailed Analysis of the Results of a Randomised Controlled Trial. / Renault, Kristina M; Carlsen, Emma M; Nørgaard, Kirsten; Nilas, Lisbeth; Pryds, Ole; Secher, Niels J; Olsen, Sjurdur F; Halldorsson, Thorhallur I.
In: PLOS ONE, Vol. 10, No. 7, e0133041, 2015, p. 1-15.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Intake of Sweets, Snacks and Soft Drinks Predicts Weight Gain in Obese Pregnant Women
T2 - Detailed Analysis of the Results of a Randomised Controlled Trial
AU - Renault, Kristina M
AU - Carlsen, Emma M
AU - Nørgaard, Kirsten
AU - Nilas, Lisbeth
AU - Pryds, Ole
AU - Secher, Niels J
AU - Olsen, Sjurdur F
AU - Halldorsson, Thorhallur I
PY - 2015
Y1 - 2015
N2 - BACKGROUND: Lifestyle interventions targeting obese pregnant women often result in modest reduction in gestational weight gain, pregnancy complications and related risk factors. Examining adherence to the intervention can, however, provide valuable information on the importance of the different factors targeted.OBJECTIVE: To evaluate improvements and relevance of different dietary factors targeted with respect to gestational weight gain in a 3-arm Randomised Controlled Trial (n=342) among obese pregnant women with BMI≥30 kg/m2.METHODS: Randomisation 1:1:1 to either hypocaloric Mediterranean type of diet and physical activity intervention (D+PA); physical activity intervention alone (PA); or control (C). Diet was assessed at baseline (weeks 11-14) and endpoint (weeks 36-37) using a validated food frequency questionnaire.RESULTS: During the intervention women in the D+PA group significantly lowered their intakes of added sugars and saturated fat and increased their protein intake by ~1% of total energy compared to controls. Of these dietary variables only intakes of added sugar appeared to be related to GWG, while no association was observed for saturated fat or protein. Further analyses revealed that foods that contributed to intake of added sugars, including sweets, snacks, cakes, and soft drinks were strongly associated with weight gain, with women consuming sweets ≥2/day having 5.4 kg (95% CI 2.1-8.7) greater weight gain than those with a low (<1wk) intake. The results for soft drinks were more conflicting, as women with high weight gain tended to favour artificially sweetened soft drinks.CONCLUSION: In our sample of obese pregnant women, craving for sweets, snacks, and soft drinks strongly predicts GWG. Emphasis on reducing intakes of these foods may be more relevant for limiting gestational weight gain than encouraging strict compliance to more specific diets.TRIAL REGISTRATION: ClinicalTrials.gov NCT01345149.
AB - BACKGROUND: Lifestyle interventions targeting obese pregnant women often result in modest reduction in gestational weight gain, pregnancy complications and related risk factors. Examining adherence to the intervention can, however, provide valuable information on the importance of the different factors targeted.OBJECTIVE: To evaluate improvements and relevance of different dietary factors targeted with respect to gestational weight gain in a 3-arm Randomised Controlled Trial (n=342) among obese pregnant women with BMI≥30 kg/m2.METHODS: Randomisation 1:1:1 to either hypocaloric Mediterranean type of diet and physical activity intervention (D+PA); physical activity intervention alone (PA); or control (C). Diet was assessed at baseline (weeks 11-14) and endpoint (weeks 36-37) using a validated food frequency questionnaire.RESULTS: During the intervention women in the D+PA group significantly lowered their intakes of added sugars and saturated fat and increased their protein intake by ~1% of total energy compared to controls. Of these dietary variables only intakes of added sugar appeared to be related to GWG, while no association was observed for saturated fat or protein. Further analyses revealed that foods that contributed to intake of added sugars, including sweets, snacks, cakes, and soft drinks were strongly associated with weight gain, with women consuming sweets ≥2/day having 5.4 kg (95% CI 2.1-8.7) greater weight gain than those with a low (<1wk) intake. The results for soft drinks were more conflicting, as women with high weight gain tended to favour artificially sweetened soft drinks.CONCLUSION: In our sample of obese pregnant women, craving for sweets, snacks, and soft drinks strongly predicts GWG. Emphasis on reducing intakes of these foods may be more relevant for limiting gestational weight gain than encouraging strict compliance to more specific diets.TRIAL REGISTRATION: ClinicalTrials.gov NCT01345149.
KW - Adult
KW - Body Mass Index
KW - Carbonated Beverages
KW - Diet, Mediterranean
KW - Energy Intake
KW - Exercise
KW - Female
KW - Gestational Age
KW - Humans
KW - Life Style
KW - Obesity
KW - Pregnancy
KW - Snacks
KW - Sweetening Agents
KW - Weight Gain
U2 - 10.1371/journal.pone.0133041
DO - 10.1371/journal.pone.0133041
M3 - Journal article
C2 - 26192183
VL - 10
SP - 1
EP - 15
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 7
M1 - e0133041
ER -
ID: 161847021