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Effects of a Lifestyle Intervention in Routine Care on Short- and Long-Term Maternal Weight Retention and Breastfeeding Behavior—12 Months Follow-up of the Cluster-Randomized GeliS Trial
Open AccessArticle

Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial

1
Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, Munich 80992, Bavaria, Germany
2
Competence Centre for Nutrition (KErn), Am Gereuth 4, Freising 85354, Bavaria, Germany
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(7), 960; https://doi.org/10.3390/jcm8070960
Received: 22 May 2019 / Revised: 24 June 2019 / Accepted: 27 June 2019 / Published: 2 July 2019
(This article belongs to the Special Issue Health in Preconception Pregnancy and Postpartum)
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Abstract

The antenatal lifestyle and excessive gestational weight gain (GWG) modify the risk of obstetric complications, maternal weight retention, and the risk of obesity for the next generation. The cluster-randomized controlled “Healthy living in pregnancy” (GeliS) study, recruiting 2286 women, was designed to examine whether a lifestyle intervention reduced the proportion of women with excessive GWG. Trained healthcare providers gave four counseling sessions covering a healthy diet, regular physical activity, and self-monitoring of GWG in the intervention group. In this secondary analysis, the effect on maternal dietary behavior was analyzed. Dietary behavior was assessed by means of a 58-item food frequency questionnaire in early and late pregnancy. The intervention resulted in a significant reduction in soft drink intake (p < 0.001) and an increase in the consumption of fish (p = 0.002) and vegetables (p = 0.023). With the exception of higher percentage energy from protein (p = 0.018), no effects of the intervention on energy and macronutrient intake were observed. There was no evidence for an overall effect on dietary quality measured with a healthy eating index. Some dietary variables were shown to be associated with GWG. In a routine prenatal care setting in Germany, lifestyle advice modified single aspects of dietary behavior, but not energy intake or overall dietary quality. View Full-Text
Keywords: lifestyle intervention; pregnancy; gestational weight gain (GWG); diet; exercise; dietary behavior; nutrition; obesity prevention lifestyle intervention; pregnancy; gestational weight gain (GWG); diet; exercise; dietary behavior; nutrition; obesity prevention
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Günther, J.; Hoffmann, J.; Kunath, J.; Spies, M.; Meyer, D.; Stecher, L.; Rosenfeld, E.; Kick, L.; Rauh, K.; Hauner, H. Effects of a Lifestyle Intervention in Routine Care on Prenatal Dietary Behavior—Findings from the Cluster-Randomized GeliS Trial. J. Clin. Med. 2019, 8, 960.

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