Igwg
Igwg
Igwg
The Issue
57% of pregnant women gain more
weight than recommended by the
Institute of Medicine
Those at greatest risk for complications
related to EGWG:
-overweight
-low-income
-no nutrition counseling/exercise
Todays Objectives
Attendees will be able to:
1.Identify several of the adverse
outcomes associated with
inappropriate gestational weight
gain (IGWG).
2. Explain to WIC participants
methods to prevent or manage
IGWG.
Part 1: Introduction
Institute of Medicine
Weight Gain
Recommendations
Misconception- Eating
for 2
Need to change the norm of eating
for 2
Pregnancy is a time when women feel
that they can gain weight freely
without criticism
Most behaviors that contribute to
EGWG are a direct, although
misguided, result of womens concern
to support a healthy pregnancy
Improving Pregnancy
Outcomes
Components leading to healthy
pregnancy outcome include healthy prepregnancy weight, appropriate
weight gain and physical activity
during pregnancy, consumption of a
wide variety of foods, appropriate
vitamin and mineral supplementation,
avoidance of alcohol and other harmful
substances, and safe food handling.
General Energy
Recommendations
Additional energy needs per day based on
trimester:
1st trimester- no higher than the EER for nonpregnant women
2nd trimester- extra 340 kcal
3rd trimester- extra 452 kcal
Part 3: Interventions
Dietary Counseling +
Probiotics
Can dietary counseling + probiotic
capsules affect maternal
anthropometric measurements?
Probiotics can help prevent weight
gain
3 groups:
1) Diet/probiotics
2) Diet/placebo
3) Control/placebo
Central
adiposity (waist circumference of 80 or
more cm) was lower in the diet/probiotics group
compared to the control/placebo and diet/placebo
group.
Behavioral Intervention
Study
Behavioral Intervention vs. Usual
Care
Examination of Dietary/PA
Habits
Cohort study evaluating current
diet/PA habits of pregnant women
and risk for EGWG.
Total energy intake, dairy, and
fried foods were directly associated
with excessive GWG.
Walking and vigorous physical
activities were inversely associated
with EGWG.
Implications- nutritionist should
have a patient-centered approach in
promoting behavior change, while
Part 4: Conclusion
Conclusion
Behavioral interventions to promote proper food intake
and PA has been shown to decrease risk for EGWG,
adiposity, and postpartum weight retention.
Efforts should be made to promote GWG within IOMs
recommendations to avoid adverse outcomes.
Pregnant women should be involved in setting personal
goals to prevent EGWG. They should maintain feedback
over a continued period of time.
In some studies only specific groups within the
intervention group- such as low-income, or normal
weight women- displayed the effects of gaining weight
within the IOMs recommendations.
Even getting close to the IOMs guidelines is success
Discussion
1. As a WIC nutritionist what are some
methods to help promote proper
gestational weight gain among your
clients?
1. Are there any specific negative
dietary/physical activity patterns among
the population that should be addressed
to improve outcomes?
References:
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References:
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