Obesity in pregnancy: why we must be concerned about maternal nutrition again

The causes of the nutritional transition in our country can be accounted for by the reduction in the number of malnourished people, on the one hand, and the explosive increase in the proportion of overweight and obesity in all age groups, on the other. It comes as no surprise then that more than hal...

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Main Authors: Marcelo Farías Jofré, Enrique Oyarzún Ebensperger
Format: Article
Language:English
Published: Medwave Estudios Limitada 2012-08-01
Series:Medwave
Subjects:
Online Access:http://dx.doi.org/10.5867/medwave.2012.07.5459
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author Marcelo Farías Jofré
Enrique Oyarzún Ebensperger
author_facet Marcelo Farías Jofré
Enrique Oyarzún Ebensperger
author_sort Marcelo Farías Jofré
collection DOAJ
description The causes of the nutritional transition in our country can be accounted for by the reduction in the number of malnourished people, on the one hand, and the explosive increase in the proportion of overweight and obesity in all age groups, on the other. It comes as no surprise then that more than half of Chilean pregnant women are overweight and obese at their first prenatal visit and thus have an almost inevitable tendency to gain excess gestational weight. The purpose of this article is to review the adverse effects of maternal overweight on women and their offspring, and the potential benefits of nutritional interventions in this area. Multiple population and experimental studies have demonstrated a two to three times greater likelihood of developing maternal and perinatal complications in pregnant women with overweight and obesity compared to women with normal nutritional status. Since the gestational period is critical for the development of an individual, metabolic changes in nutrients, hormones and inflammatory mediators could explain many of the adverse outcomes described in the medium and long term in children of mothers with excess weight during pregnancy. No significant effects on birth weight have been seen after employing various interventional strategies. However, both dietary interventions and those involving controlled physical activity during pregnancy have been found to limit total gestational weight gain. In consequence, it appears to be feasible to further evaluate potentially clinically significant differences, both at the maternal-fetal metabolic injury level during pregnancy, as well as later on in life in mothers and their offspring.
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spelling doaj.art-740a34b3d8bb402ebb6c6ee47e03ae652022-12-22T02:47:22ZengMedwave Estudios LimitadaMedwave0717-63842012-08-011207e5459Obesity in pregnancy: why we must be concerned about maternal nutrition againMarcelo Farías JofréEnrique Oyarzún EbenspergerThe causes of the nutritional transition in our country can be accounted for by the reduction in the number of malnourished people, on the one hand, and the explosive increase in the proportion of overweight and obesity in all age groups, on the other. It comes as no surprise then that more than half of Chilean pregnant women are overweight and obese at their first prenatal visit and thus have an almost inevitable tendency to gain excess gestational weight. The purpose of this article is to review the adverse effects of maternal overweight on women and their offspring, and the potential benefits of nutritional interventions in this area. Multiple population and experimental studies have demonstrated a two to three times greater likelihood of developing maternal and perinatal complications in pregnant women with overweight and obesity compared to women with normal nutritional status. Since the gestational period is critical for the development of an individual, metabolic changes in nutrients, hormones and inflammatory mediators could explain many of the adverse outcomes described in the medium and long term in children of mothers with excess weight during pregnancy. No significant effects on birth weight have been seen after employing various interventional strategies. However, both dietary interventions and those involving controlled physical activity during pregnancy have been found to limit total gestational weight gain. In consequence, it appears to be feasible to further evaluate potentially clinically significant differences, both at the maternal-fetal metabolic injury level during pregnancy, as well as later on in life in mothers and their offspring.http://dx.doi.org/10.5867/medwave.2012.07.5459obesitypregnancygestational weight gain
spellingShingle Marcelo Farías Jofré
Enrique Oyarzún Ebensperger
Obesity in pregnancy: why we must be concerned about maternal nutrition again
Medwave
obesity
pregnancy
gestational weight gain
title Obesity in pregnancy: why we must be concerned about maternal nutrition again
title_full Obesity in pregnancy: why we must be concerned about maternal nutrition again
title_fullStr Obesity in pregnancy: why we must be concerned about maternal nutrition again
title_full_unstemmed Obesity in pregnancy: why we must be concerned about maternal nutrition again
title_short Obesity in pregnancy: why we must be concerned about maternal nutrition again
title_sort obesity in pregnancy why we must be concerned about maternal nutrition again
topic obesity
pregnancy
gestational weight gain
url http://dx.doi.org/10.5867/medwave.2012.07.5459
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