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Women were randomized to Lifestyle Advice or Standard Care, and completed questionnaires assessing risk of depression (Edinburgh Postnatal Depression Scale), anxiety (Spielberger State\u2010Trait Anxiety Inventory), and quality of life (<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036) at trial entry, 28 and 36 weeks' gestation, and 4 months postpartum. Secondary trial outcomes assessed for this analysis were risk of depression, anxiety, maternal quality of life, and satisfaction with care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One or more questionnaires were completed by 976 of 1108 (90.8%) women receiving Lifestyle Advice and 957 of 1104 (89.7%) women receiving Standard Care. The risk of depression [adjusted risk ratio 1.01; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 0.82\u20131.24; <jats:italic>p<\/jats:italic> = 0.95], anxiety (adjusted risk ratio 1.09; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.93\u20131.27; <jats:italic>p<\/jats:italic> = 0.31), and health\u2010related quality of life were similar between the two groups. Women receiving Lifestyle Advice reported improved healthy food choice [Lifestyle Advice 404 (68.9%) vs. Standard Care 323 (51.8%); <jats:italic>p<\/jats:italic> &lt; 0.0001], and exercise knowledge [Lifestyle Advice 444 (75.8%) vs. Standard Care 367 (58.8%); <jats:italic>p<\/jats:italic> &lt; 0.0001], and reassurance about their health [Lifestyle Advice 499 (85.3%) vs. Standard Care 485 (77.9%); <jats:italic>p<\/jats:italic> = 0.0112], and health of their baby [Lifestyle Advice 527 (90.2%) vs. Standard Care 545 (87.6%); <jats:italic>p<\/jats:italic> = 0.0143].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lifestyle advice in pregnancy improved knowledge and provided reassurance without negatively impacting well\u2010being.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12832","type":"journal-article","created":{"date-parts":[[2015,11,30]],"date-time":"2015-11-30T15:16:40Z","timestamp":1448896600000},"page":"309-318","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["The effect of antenatal dietary and lifestyle advice for women who are overweight or obese on emotional well\u2010being: the <scp>LIMIT<\/scp> randomized trial"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6363-4874","authenticated-orcid":false,"given":"Jodie M.","family":"Dodd","sequence":"first","affiliation":[{"name":"Discipline of Obstetrics and Gynaecology The Robinson Research Institute University of Adelaide Adelaide South Australia Australia"},{"name":"Women's and Babies Division Department of Perinatal Medicine The Women's and Children's Hospital Adelaide South Australia 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Institute University of Adelaide Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2447-6519","authenticated-orcid":false,"given":"Rosalie M.","family":"Grivell","sequence":"additional","affiliation":[{"name":"Discipline of Obstetrics and Gynaecology The Robinson Research Institute University of Adelaide Adelaide South Australia Australia"},{"name":"Women's and Babies Division Department of Perinatal Medicine The Women's and Children's Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3803-8728","authenticated-orcid":false,"given":"Lisa N.","family":"Yelland","sequence":"additional","affiliation":[{"name":"Discipline of Obstetrics and Gynaecology The Robinson Research Institute University of Adelaide Adelaide South Australia Australia"},{"name":"Women's and Children's Health Research Institute North Adelaide South 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