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The lifestyle modification project: limiting pregnancy weight gain in obese women
Authors:Taraneh Shirazian  Basma S. Faris  Nathan S. Fox  Frederick Friedman Jr.  Andrei Rebarber
Affiliation:1. Department of Obstetrics, Gynecology and Reproductive Sciences, The Icahn School of Medicine at Mount Sinai, New York, NY, USA and taraneh.shirazian@mssm.edu;3. Department of Obstetrics, Gynecology and Reproductive Sciences, The Icahn School of Medicine at Mount Sinai, New York, NY, USA and;4. Department of Obstetrics, Gynecology and Reproductive Sciences, The Icahn School of Medicine at Mount Sinai, New York, NY, USA and;5. Department of Obstetrics and Gynecology, Mount Sinai School of Medicine, Maternal Fetal Medicine Associates, PLLC, New York, NY, USA
Abstract:
Objective: To assess the impact of a group lifestyle intervention on gestational weight gain in a cohort of obese pregnant women.

Methods: A cohort study comparing 60 pregnant women enrolled in an educational intervention with controls from the same institution who receive routine prenatal care. Subjects were matched with controls by pre-pregnancy body mass index, parity and ethnicity. Subjects participated in group and individual counseling sessions focused on diet, exercise and weight goals. The primary outcome was gestational weight gain.

Results: A greater number of patients in the intervention group met the Institute of Medicine weight gain recommendations (35 versus 24, p?=?0.0446). Mean gestational weight gain of participants was lower than the control group, but this was not statistically significant. Number of sessions attended was associated with a decrease in total weight gained.

Conclusion: Educational interventions targeting obese pregnant women may be an effective way to limit gestational weight gain. Participation in educational sessions likely influences total weight gain.
Keywords:Behavior modification  gestational weight gain  obesity
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