Next Article in Journal
Socio-Psychological Factors Associated with Young Australian Adults’ Consumption of Energy Dense and Nutrient Poor (EDNP) Foods
Previous Article in Journal
Reply to Byker Shanks et al. Measurement of Fruit and Vegetable Intake Incorporating a Diversity, Equity, and Inclusion Lens. Comment on “Di Noia, J.; Gellermann, W. Use of the Spectroscopy-Based Veggie Meter® to Objectively Assess Fruit and Vegetable Intake in Low-Income Adults. Nutrients 2021, 13, 2270”
 
 
Article

Be Healthy in Pregnancy (BHIP): A Randomized Controlled Trial of Nutrition and Exercise Intervention from Early Pregnancy to Achieve Recommended Gestational Weight Gain

1
Department of Pediatrics, McMaster University, Hamilton, ON L8S 4K1, Canada
2
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON L8S 4K1, Canada
3
Department of Kinesiology, McMaster University, Hamilton, ON L8S 4K1, Canada
4
Midwifery Research Centre, McMaster University, Hamilton, ON L8S 4K1, Canada
5
Department of Anatomy & Cell Biology, School of Kinesiology, University of Western Ontario, London, ON N6A 3K7, Canada
6
School of Nursing, McMaster University, Hamilton, ON L8S 4K1, Canada
7
Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON L8S 4K1, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Tim Green
Nutrients 2022, 14(4), 810; https://doi.org/10.3390/nu14040810
Received: 10 January 2022 / Revised: 3 February 2022 / Accepted: 8 February 2022 / Published: 15 February 2022
(This article belongs to the Section Nutrition in Women)
A randomized two-arm prospective superiority trial tested the efficacy of a novel structured and monitored nutrition (bi-weekly counselling for individualized energy and high dairy protein diet) and exercise program (walking goal of 10,000 steps/day) (intervention) compared to usual care (control) in pregnant women to achieve gestational weight gain (GWG) within current recommendations. Women recruited in communities in southern Ontario, Canada were randomized at 12–17 weeks gestation with stratification by site and pre-pregnancy BMI to intervention (n = 119) or control (n = 122). The primary outcome was the proportion of women who achieved GWG within the Institute of Medicine recommendations. Although the intervention compared to control group was more likely to achieve GWG within recommendations (OR = 1.51; 95% CI (0.81, 2.80)) and total GWG was lower by 1.45 kg (95% CI: (−11.9, 8.88)) neither reached statistical significance. The intervention group achieved significantly higher protein intake at 26–28 week (mean difference (MD); 15.0 g/day; 95% CI (8.1, 21.9)) and 36–38 week gestation (MD = 15.2 g/day; 95% CI (9.4, 21.1)) and higher healthy diet scores (22.5 ± 6.9 vs. 18.7 ± 8.5, p < 0.005) but step counts were similar averaging 6335 steps/day. Pregnancy and infant birth outcomes were similar between groups. While the structured and monitored nutrition with counselling improved diet quality and protein intake and may have benefited GWG, the exercise goal of 10,000 steps/day was unachievable. The results can inform future recommendations for diet and physical activity in pregnancy. View Full-Text
Keywords: nutrition; exercise; randomized controlled trial; gestational weight gain; pregnancy; infancy; developmental origins of health and disease; protein; dairy foods nutrition; exercise; randomized controlled trial; gestational weight gain; pregnancy; infancy; developmental origins of health and disease; protein; dairy foods
Show Figures

Figure 1

MDPI and ACS Style

Atkinson, S.A.; Maran, A.; Dempsey, K.; Perreault, M.; Vanniyasingam, T.; Phillips, S.M.; Hutton, E.K.; Mottola, M.F.; Wahoush, O.; Xie, F.; Thabane, L. Be Healthy in Pregnancy (BHIP): A Randomized Controlled Trial of Nutrition and Exercise Intervention from Early Pregnancy to Achieve Recommended Gestational Weight Gain. Nutrients 2022, 14, 810. https://doi.org/10.3390/nu14040810

AMA Style

Atkinson SA, Maran A, Dempsey K, Perreault M, Vanniyasingam T, Phillips SM, Hutton EK, Mottola MF, Wahoush O, Xie F, Thabane L. Be Healthy in Pregnancy (BHIP): A Randomized Controlled Trial of Nutrition and Exercise Intervention from Early Pregnancy to Achieve Recommended Gestational Weight Gain. Nutrients. 2022; 14(4):810. https://doi.org/10.3390/nu14040810

Chicago/Turabian Style

Atkinson, Stephanie A., Atherai Maran, Kendra Dempsey, Maude Perreault, Thuva Vanniyasingam, Stuart M. Phillips, Eileen K. Hutton, Michelle F. Mottola, Olive Wahoush, Feng Xie, and Lehana Thabane. 2022. "Be Healthy in Pregnancy (BHIP): A Randomized Controlled Trial of Nutrition and Exercise Intervention from Early Pregnancy to Achieve Recommended Gestational Weight Gain" Nutrients 14, no. 4: 810. https://doi.org/10.3390/nu14040810

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop