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Education on maternal nutrition and the importance of adequate weight gain during pregnancy may be beneficial in this population [ 24].
The initial reports of Barker and colleagues, relating low birth weight with increased cardiovascular risk in adulthood, were followed by studies showing that, as a group, low birth weight subjects persisted biologically different from those of adequate weight until adulthood.
The desired outcomes will be the achievement of adequate weight gain at the end of the pregnancy, glycaemic control at 24-28 weeks of pregnancy and healthy infant growth at one year of age.
Main outcome measures: 1) Achievement of adequate weight gain based on IOM 2009 recommendations and adequate glycaemic control at 24-28 weeks of pregnancy according to ADA 2011, and 2) healthy infant growth during the first year of age based on WHO standards.
Despite the well documented evidence on the importance of adequate weight management [ 8] as well as blood pressure [ 9, 10] and lipid control [ 11- 14], gaps currently still exist as evidenced by the large proportion of patients who are obese, with suboptimal blood pressure control and abnormal lipid levels.
In a post hoc analysis of those who were underweight at baseline (BMI <18.5, n=209 with 18 missing values), the food intervention led to a significant likelihood of adequate weight gain (that is, more than 5%) at two months compared with the control group (66/110 (60%) for the intervention group v 31/82 (38%) for controls; crude odds ratio 2.47, 1.37 to 4.44; P=0.003).
Similar(54)
A list of adequate prenatal physical exercise programmes, brochures including recommendations for a balanced diet in pregnancy as well as a chart for adequate weight gain according to baseline BMI category to self-monitor weight development are handed out.
However, the maintenance of an adequate weight loss seems to be crucial for long-term symptom relief [ 6].
In addition, the rates of mothers with BMI of more than 25 tended to increase, and the proportion of mothers with adequate weight gain during pregnancy also increased during the period.
Education on the importance of nutrition and adequate weight gain during pregnancy is vital.
Conversely, the state of evidence adduced in a case might establish a sufficient degree of probability high enough to cross the supposed threshold of proof on the mathematical conception of the standard of proof and yet lack adequate weight.
Related(20)
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