{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T02:16:36Z","timestamp":1793499396330,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T00:00:00Z","timestamp":1371686400000},"content-version":"vor","delay-in-days":50,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"BRIDGES grant from the International Diabetes Federation"},{"name":"International Diabetes Federation","award":["LT07-121"],"award-info":[{"award-number":["LT07-121"]}]},{"DOI":"10.13039\/100012698","name":"Jack Brockhoff Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012698","id-type":"DOI","asserted-by":"crossref"}]},{"name":"NHMRC research fellow"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Optimizing gestational weight gain (GWG) in early pregnancy is of clinical and public health importance, especially in higher risk pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods:<\/jats:title>\n                    <jats:p>In a robustly designed, randomized controlled trial, 228 pregnant women at risk of developing gestational diabetes mellitus (GDM) were allocated to either control (written health information only) or intervention (four\u2010session lifestyle program). All women received standard maternal care. Measures were completed at 12\u201015 and 26\u201028 weeks gestation. Measures included anthropometrics (weight and height), physical activity (pedometer and International Physical Activity Questionnaire), questionnaires (risk perception), and GDM screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean (SD) age [31.7 (4.5) and 32.4 (4.7) years] and body mass index [BMI; 30.3 (5.9) and 30.4 (5.6) kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ] were similar between control and intervention groups, respectively. By 28 weeks, GWG was significantly different between control and intervention groups [6.9 (3.3) vs. 6.0 (2.8) kg,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05]. When stratified according to baseline BMI, overweight women in the control group gained significantly more weight compared to overweight women in the intervention group [7.8 (3.4) vs. 6.0 (2.2) kg,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05], yet in obese women, GWG was similar in both groups. Physical activity levels declined by 28 weeks gestation overall (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01); however, the intervention group retained a 20% higher step count compared to controls [5,203 (3,368) vs. 4,140 (2,420) steps\/day,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05]. Overall, GDM prevalence was 22%, with a trend toward less cases in the intervention group (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.1).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Results indicate that a low\u2010intensity lifestyle intervention, integrated with antenatal care, optimizes healthy GWG and attenuates physical activity decline in early pregnancy. Efficacy in limiting weight gain was greatest in overweight women and in high\u2010risk ethnically diverse women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.20163","type":"journal-article","created":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T07:48:06Z","timestamp":1371714486000},"page":"904-909","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":126,"title":["Optimizing healthy gestational weight gain in women at high risk of gestational diabetes: A randomized controlled trial"],"prefix":"10.1002","volume":"21","author":[{"given":"Cheryce L.","family":"Harrison","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine B.","family":"Lombard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boyd J.","family":"Strauss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena J.","family":"Teede","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,20]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2011.01292.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2007.00464.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.149"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-010-0596-5"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.06.008"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2008.07.005"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-936"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-10-47"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001036"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1079\/BJN19670045"},{"key":"e_1_2_6_12_2","volume-title":"Institute of Medicine and National Research Council Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight Gain During Pregnancy: Reexamining the Guidelines","author":"Rasmussen K","year":"2009"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181cfce4f"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c3215"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2011.01356.x"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2010.02338.x"},{"key":"e_1_2_6_17_2","unstructured":"WHO\/IASO\/IOTF. The Asia\u2010Pacific perspective: re\u2010defining obesity and its treatment. Avaiable from:http:\/\/www.wpro.who.int\/NR\/rdonlyres\/0A35147B\u2010B1D5\u201045A6\u20109FF2\u2010F7D86608A4DE\/0\/Redefiningobesity.pdf: Health Communications Australia Melbourne;2000."},{"key":"e_1_2_6_18_2","unstructured":"Dietary Guidelines For Australian Adults. National Health and Medical Research Council;2003. [updated (Last updated 2010)]. Available from:http:\/\/www.health.gov.au\/internet\/abhi\/publishing.nsf\/Content\/dietary\u2010guidelines\u2010lp."},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-011-0191-5"},{"key":"e_1_2_6_20_2","first-page":"8","article-title":"Measuring physical activity during pregnancy","author":"Harrison CL","year":"2011","journal-title":"Int J Behav Nutr Phys Act"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03296.x"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.2004.10609143"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_2_6_24_2","unstructured":"Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)\u2014short and long forms. The IPAQ Group 2005. 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