{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T14:54:56Z","timestamp":1794322496675,"version":"4.9.0"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T00:00:00Z","timestamp":1474243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aims to determine whether the prescription of a detailed lifestyle programme in overweight\/obese pregnant women influences the occurrence of gestational diabetes (GDM), and if this kind of prescription increases the adherence to a healthier lifestyle in comparison to standard care. The study was designed as a randomized controlled trial, with open allocation, enrolling women at 9\u201312\u2009weeks of pregnancy with a BMI\u2009\u2265\u200925\u2009kg\/m<jats:sup>2<\/jats:sup>. The women assigned to the Intervention group (I\u2009=\u200996) received a hypocaloric, low\u2010glycaemic, low\u2010saturated fat diet and physical activity recommendations. Those assigned to the Standard Care group (SC\u2009=\u200995) received lifestyle advices regarding healthy nutrition and exercise. Follow\u2010up was planned at the 16<jats:sup>th<\/jats:sup>, 20<jats:sup>th<\/jats:sup>, 28<jats:sup>th<\/jats:sup> and 36<jats:sup>th<\/jats:sup> weeks. A total of 131 women completed the study (I\u2009=\u200969, SC\u2009=\u200962). The diet adherence was higher in the I (57.9%) than in the SC (38.7%) group. GDM occurred less frequently in the I (18.8%) than in the SC (37.1%, <jats:italic>P<\/jats:italic>\u2009=\u20090.019) group. The adherent women from either groups showed a lower GDM rate (12.5% vs. 41.8%, <jats:italic>P<\/jats:italic> &lt;\u20090.001). After correcting for confounders, the GDM rate was explained by allocation into the I group (<jats:italic>P<\/jats:italic>\u2009=\u20090.034) and a lower BMI category (<jats:italic>P<\/jats:italic>\u2009=\u20090.039). The rates of hypertension, preterm birth, induction of labour, large for gestational age babies and birthweight\u2009&gt;\u20094000\u2009g were significantly lower in I group. The incidence of small for gestational age babies was not different.<\/jats:p><jats:p>These findings demonstrate that the adherence to a personalized, hypocaloric, low\u2010glycaemic, low\u2010saturated fat diet started early in pregnancy prevents GDM occurrence, in women with BMI\u2009\u2265\u200925\u2009kg\/m<jats:sup>2<\/jats:sup>.<\/jats:p>","DOI":"10.1111\/mcn.12333","type":"journal-article","created":{"date-parts":[[2016,9,20]],"date-time":"2016-09-20T04:56:39Z","timestamp":1474347399000},"source":"Crossref","is-referenced-by-count":81,"title":["Adherence to a lifestyle programme in overweight\/obese pregnant women and effect on gestational diabetes mellitus: a randomized controlled trial"],"prefix":"10.1111","volume":"13","author":[{"given":"Raffaele","family":"Bruno","sequence":"first","affiliation":[{"name":"Mother\u2013Infant Department University of Modena and Reggio Emilia  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabetta","family":"Petrella","sequence":"additional","affiliation":[{"name":"Mother\u2013Infant Department University of Modena and Reggio Emilia  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Bertarini","sequence":"additional","affiliation":[{"name":"Mother\u2013Infant Department University of Modena and Reggio Emilia  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Pedrielli","sequence":"additional","affiliation":[{"name":"Mother\u2013Infant Department University of Modena and Reggio Emilia  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Neri","sequence":"additional","affiliation":[{"name":"Mother\u2013Infant Department University of Modena and Reggio Emilia  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Facchinetti","sequence":"additional","affiliation":[{"name":"Mother\u2013Infant Department University of Modena and Reggio Emilia  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/71.5.1233s"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200201000-00030"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200509000-00054"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010443.pub2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12224"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e3181da213e"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1600759"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.suppl_1.S82"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.suppl_1.S71"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-2336"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.12.1984"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00989.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.03.002"},{"key":"e_1_2_9_15_1","first-page":"148","article-title":"Mediterranean diet: not only food","volume":"78","author":"Da Vico L.","year":"2012","journal-title":"Monaldi Archives for Chest Disease"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1446"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/154.5.466"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0000000000000121"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.114.083634"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.2009.28166"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009021.pub2"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000242568.75785.68"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-014-9948-6"},{"key":"e_1_2_9_24_1","unstructured":"ISS(2011)Istituto Superiore di Sanit\u00e0: Linee Guida per la gravidanza fisiologica[Online]. 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