{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T20:07:35Z","timestamp":1791317255445,"version":"4.3.1"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,12]],"date-time":"2016-05-12T00:00:00Z","timestamp":1463011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Cybec Foundation"},{"name":"Alfred Research Trusts Small Project","award":["T11306"],"award-info":[{"award-number":["T11306"]}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Obese pregnant women have an increased risk of antenatal, intra\u2010 and post\u2010partum complications. At present, there is limited evidence to support specific nutritional management of obese women in pregnancy, and guidelines are infrequently translated into practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To implement an individually tailored nutrition program for obese pregnant women to reduce the rates of gestational diabetes mellitus (<jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>), improve diet quality, achieve weight gain targets, limit gestational weight gain (<jats:styled-content style=\"fixed-case\">GWG<\/jats:styled-content>) and reduce complications for mother and child.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective dietary intervention study was conducted at a hospital in Melbourne, Australia, using a parallel control group from the Birthing Outcomes System (<jats:styled-content style=\"fixed-case\">BOS<\/jats:styled-content>) database. Obese pregnant women were included if they were \u226421\u00a0weeks gestation and aged \u226518\u00a0years. The intervention group received one face\u2010to\u2010face dietitian\u2010delivered consultation, with reviews conducted over the phone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 92 and 125 obese pregnant women were enrolled into the dietary intervention group and <jats:styled-content style=\"fixed-case\">BOS<\/jats:styled-content> control group, respectively. The diet quality of intervention participants improved, without significant differences in <jats:styled-content style=\"fixed-case\">GWG<\/jats:styled-content> across groups. In the control group, 19.3% of women developed <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>, compared to 6.5% in the diet group (<jats:italic>P<\/jats:italic> 0.013). However, after adjusting for ethnicity and body mass index, the association between the diet group and <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> incidence was no longer significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates that a behavioural nutrition intervention, individually tailored for obese pregnant women can improve diet quality. A larger randomised controlled trial targeted at obese pregnant women, with comparable groups at baseline, is required to observe the effects of dietary improvement on <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> incidence, and other maternal and neonatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12474","type":"journal-article","created":{"date-parts":[[2016,5,12]],"date-time":"2016-05-12T08:56:44Z","timestamp":1463043404000},"page":"364-373","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["A behavioural nutrition intervention for obese pregnant women: Effects on diet quality, weight gain and the incidence of gestational diabetes"],"prefix":"10.1111","volume":"56","author":[{"given":"Rachelle S.","family":"Opie","sequence":"first","affiliation":[{"name":"Nutrition and Dietetics Department Alfred Health Melbourne Victoria Australia"},{"name":"College of Science, Health and Engineering School of Allied Health Department of Rehabilitation, Nutrition and Sport La Trobe University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"Neff","sequence":"additional","affiliation":[{"name":"Nutrition and Dietetics Department Alfred Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey C.","family":"Tierney","sequence":"additional","affiliation":[{"name":"Nutrition and Dietetics Department Alfred Health Melbourne Victoria Australia"},{"name":"College of Science, Health and Engineering School of Allied Health Department of Rehabilitation, Nutrition and Sport La Trobe University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,12]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Weight Managment Before, During and After Pregnancy: NICE Public Health Guidance 27","author":"National Institute for Health and Clinical Excellence","year":"2010"},{"key":"e_1_2_9_3_1","unstructured":"The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Management of Obesity in Pregnancy: C\u2010Obs 49. 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