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- Title
Lifestyle After Bariatric Surgery: a Multicenter, Prospective Cohort Study in Pregnant Women.
- Authors
Guelinckx, I.; Devlieger, R.; Donceel, P.; Bel, S.; Pauwels, S.; Bogaerts, A.; Thijs, I.; Schurmans, K.; Deschilder, P.; Vansant, G.
- Abstract
Background: To ensure a good pregnancy outcome after bariatric surgery, a healthy life-style and a multidisciplinary prenatal follow-up is recommended. The aim of this prospective multicenter trial was to compare diet quality and physical activity (PA) of pregnant women with bariatric surgery with current lifestyle recommendations. Methods: Pregnant women (>18 years, prepregnancy BMI 28 ± 6 kg/m², 39 % nulliparae, 25 % smokers) with a history of bariatric surgery were recruited and allocated to two groups according to surgery type: restrictive ( N = 18) and bypass group ( N = 31). One 7-day dietary record and one Kaiser questionnaire on PA were collected during the first and second trimester. Dietary quality was assessed using the Healthy Eating Index. Results: The diet quality did not change during pregnancy (restrictive group p = 0.050; bypass group p = 0.975) and was comparable between groups (first trimester p = 0.426; second trimester p = 0.937). During the first trimester, 15 % of the pregnant women had a healthy diet quality, 82 % had a diet that needed improvement, and 3 % had a poor diet quality. This was independent of surgery type and was comparable in the second trimester ( p = 0.525). No difference between groups was observed for the PA level, but the PA level in the bypass group significantly decreased from the first to the second trimester ( p = 0.033). Conclusions: Nutritional advice and lifestyle coaching in this high-risk population seems recommendable since only 15 % of the pregnant women had a healthy diet quality, 25 % was smoking at the beginning of pregnancy, and the reported PA levels were low.
- Subjects
BARIATRIC surgery; LIFESTYLES; LONGITUDINAL method; PREGNANCY complications; TREATMENT effectiveness; FOLLOW-up studies (Medicine); COMPARATIVE studies
- Publication
Obesity Surgery, 2012, Vol 22, Issue 9, p1456
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-012-0675-3