{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:00:11Z","timestamp":1792098011690,"version":"4.4.0"},"reference-count":83,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005744","name":"Lastentautien Tutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005744","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003125","name":"Suomen Kulttuurirahasto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Obesity is a major global health challenge. Maternal health issues may increase the risk for obesity and associated conditions in the offspring, emphasizing the importance of successful interventions during pregnancy. However, systematic data are lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>A systematic literature review of the effectiveness of maternal interventions in preventing childhood obesity and associated metabolic comorbidities was conducted. The search was conducted by two independent reviewers using PubMed, Scopus, ScienceDirect, and reference screening for relevant studies published between 1990 and 2023. Interventions were included that were lifestyle\u2010based, but those with psychological components were also eligible for inclusion. Only studies with data on offspring anthropometrics and\/or metabolic comorbidities after age \u22652\u2009years were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Altogether 22 studies met the inclusion criteria, 14 with physical activity and dietary components, six with one or the other of these, and two with other interventions. Of the studies combining diet and physical activity, eight reported reductions in gestational weight gain and two less gestational diabetes. One study reported lower offspring body mass index in compliant participants and another lower resting pulse rate. Of the studies with only a dietary or physical activity component or other interventions, four reported lower gestational weight gain. One of these reported lower weight and skinfold thickness in the offspring and another lower fasting glucose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A limited number of studies have evaluated offspring outcomes beyond the neonatal period. Lifestyle\u2010based interventions including psychological components are particularly scarce. The research conducted demonstrated only a minor impact on childhood anthropometric and metabolic outcomes; however, the interpretation of these findings is hampered by a considerable risk of bias, largely due to missing offspring data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70034","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T12:35:07Z","timestamp":1754397307000},"page":"1808-1821","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Lifestyle\u2010based and psychological interventions during pregnancy and risk of obesity and obesity\u2010associated metabolic complications in the offspring: A scoping review"],"prefix":"10.1111","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6329-804X","authenticated-orcid":false,"given":"Tiina","family":"Pajuvirta","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere Center for Child, Adolescent and Maternal Health Research, Tampere University  Tampere Finland"},{"name":"Tampere University Hospital, Wellbeing Services County of Pirkanmaa  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linnea","family":"Aitokari","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere Center for Child, Adolescent and Maternal Health Research, Tampere University  Tampere Finland"},{"name":"Faculty of Medicine and Health Technology Celiac Disease Research Center, Tampere University  Tampere Finland"},{"name":"Valkeakoski Social and Health Care Centre, Wellbeing Services County of Pirkanmaa  Valkeakoski Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Eur\u00e9n","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere Center for Child, Adolescent and Maternal Health Research, Tampere University  Tampere Finland"},{"name":"Faculty of Medicine and Health Technology Celiac Disease Research Center, Tampere University  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3270-7660","authenticated-orcid":false,"given":"Sauli","family":"Palmu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere Center for Child, Adolescent and Maternal Health Research, Tampere University  Tampere Finland"},{"name":"Department of Pediatrics Tampere University Hospital, Wellbeing Services County of Pirkanmaa  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salla","family":"Kuusela","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Tampere University Hospital, Wellbeing Services County of Pirkanmaa  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3212-7826","authenticated-orcid":false,"given":"Hannele","family":"Laivuori","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere Center for Child, Adolescent and Maternal Health Research, Tampere University  Tampere Finland"},{"name":"Medical and Clinical Genetics University of Helsinki and Helsinki University Hospital  Helsinki Finland"},{"name":"Department of Obstetrics and Gynecology Tampere University Hospital, Wellbeing Services County of Pirkanmaa  Tampere Finland"},{"name":"Institute for Molecular Medicine Finland, Helsinki Institute of Life Science  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaija","family":"Nissinen","sequence":"additional","affiliation":[{"name":"Sein\u00e4joki University of Applied Sciences  Sein\u00e4joki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6707-7975","authenticated-orcid":false,"given":"Kaija","family":"Puura","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere Center for Child, Adolescent and Maternal Health Research, Tampere University  Tampere Finland"},{"name":"Department of Child Psychiatry Tampere University Hospital, Wellbeing Services County of Pirkanmaa  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4757-2164","authenticated-orcid":false,"given":"Kalle","family":"Kurppa","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere Center for Child, Adolescent and Maternal Health Research, Tampere University  Tampere Finland"},{"name":"Faculty of Medicine and Health Technology Celiac Disease Research Center, Tampere University  Tampere Finland"},{"name":"Department of Pediatrics Tampere University Hospital, Wellbeing Services County of Pirkanmaa  Tampere Finland"},{"name":"University Consortium of Sein\u00e4joki  Sein\u00e4joki Finland"},{"name":"Sein\u00e4joki Central Hospital  Sein\u00e4joki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1614362"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32129-3"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1090344"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/07853890.2015.1083118"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000334147"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-012-0344-x"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1871"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002744"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-1646"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14816"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.906781"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2017.00069"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-936"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19106122"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02801.x"},{"key":"e_1_2_13_17_1","article-title":"Diet or exercise, or both, for preventing excessive weight gain in pregnancy","volume":"6","author":"Muktabhant B","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j3119"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.4230"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2354"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015576"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40608-018-0194-4"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-022-03395-5"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-10-39"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0167759"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1602602"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-12-93"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1285"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-020-0560-4"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-1150"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2014-2675"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-018-0205-z"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-018-1065-3"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(15)00227-2"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12725"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11061688"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-0511"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2019.05.007"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqx043"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-021-00784-8"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01531.x"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2015.0177"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13131"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13168"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.09.029"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.2337\/db20-0487"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e5605"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12123602"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042973"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1810"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114508111461"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114509993898"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(96)70029-X"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182393f86"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02952-1"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2009-2255"},{"key":"e_1_2_13_59_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-30925-5"},{"key":"e_1_2_13_60_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-0709"},{"key":"e_1_2_13_61_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2012.162"},{"key":"e_1_2_13_62_1","doi-asserted-by":"publisher","DOI":"10.1159\/000506690"},{"key":"e_1_2_13_63_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e2088"},{"key":"e_1_2_13_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12628"},{"key":"e_1_2_13_65_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13061903"},{"key":"e_1_2_13_66_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-020-01075-7"},{"key":"e_1_2_13_67_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12924"},{"key":"e_1_2_13_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tem.2020.03.002"},{"key":"e_1_2_13_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.18084"},{"key":"e_1_2_13_70_1","doi-asserted-by":"publisher","DOI":"10.2196\/12532"},{"key":"e_1_2_13_71_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2024.1279931"},{"key":"e_1_2_13_72_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.18031"},{"key":"e_1_2_13_73_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43856-024-00491-1"},{"key":"e_1_2_13_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2018.07.015"},{"key":"e_1_2_13_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.12.010"},{"key":"e_1_2_13_76_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2023.05.034"},{"key":"e_1_2_13_77_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-020-00990-9"},{"key":"e_1_2_13_78_1","article-title":"Systematic review of interventions in early pregnancy among pregnant individuals at risk for hyperglycemia","volume":"7","author":"Calancie L","year":"2025","journal-title":"AJOG MFM"},{"key":"e_1_2_13_79_1","doi-asserted-by":"publisher","DOI":"10.3389\/ijph.2023.1605901"},{"key":"e_1_2_13_80_1","doi-asserted-by":"publisher","DOI":"10.2196\/14078"},{"key":"e_1_2_13_81_1","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.5197"},{"key":"e_1_2_13_82_1","doi-asserted-by":"publisher","DOI":"10.2196\/17189"},{"key":"e_1_2_13_83_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_13_84_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.70034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T07:31:46Z","timestamp":1758526306000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.70034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,5]]},"references-count":83,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/aogs.70034"],"URL":"https:\/\/doi.org\/10.1111\/aogs.70034","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,5]]},"assertion":[{"value":"2025-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}