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Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain.

Abstract：

OBJECTIVE:We sought to identify modifiable risk factors for excessive gestational weight gain (GWG). STUDY DESIGN:We assessed associations of diet and physical activity with excessive GWG among 1388 women from the Project Viva cohort study. RESULTS:Three hundred seventy-nine women (27%) were overweight (body mass index >or= 26 kg/m(2)) and 703 (51%) experienced excessive GWG, according to Institute of Medicine guidelines. In multivariable logistic regression models, we found that intake of total energy (odds ratio [OR], 1.10; 95% confidence interval [CI], 1.00-1.22, per 500 kcal/d), dairy (OR, 1.08; 95% CI, 1.00-1.17, per serving per day), and fried foods (OR, 3.47; 95% CI, 0.91-13.24, per serving per day) were directly associated with excessive GWG. First trimester vegetarian diet (OR, 0.46; 95% CI, 0.28-0.78) and midpregnancy walking (OR, 0.92; 95% CI, 0.83-1.01, per 30 minutes per day) and vigorous physical activity (OR, 0.76; 95% CI, 0.60-0.97, per 30 minutes per day) were inversely associated with excessive GWG. CONCLUSION:A healthful diet and greater physical activity are associated with reduced risk for excessive GWG.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Stuebe AM,Oken E,Gillman MW

doi

10.1016/j.ajog.2009.02.025

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

58.e1-8

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(09)00216-6

journal_volume

201

pub_type

杂志文章,多中心研究

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