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https://hdl.handle.net/2440/131675
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Type: | Journal article |
Title: | Weight management across preconception, pregnancy, and postpartum: a systematic review and quality appraisal of international clinical practice guidelines |
Author: | Harrison, C.L. Teede, H. Khan, N. Lim, S. Chauhan, A. Drakeley, S. Moran, L. Boyle, J. |
Citation: | Obesity Reviews, 2021; 22(10):e13310-1-e13310-23 |
Publisher: | Wiley |
Issue Date: | 2021 |
ISSN: | 1467-7881 1467-789X |
Statement of Responsibility: | Cheryce L. Harrison, Helena Teede, Nadia Khan, Siew Lim, Ayushi Chauhan, Sheila Drakeley, Lisa Moran, Jacqueline Boyle |
Abstract: | This systematic review and quality appraisal evaluated clinical practice guidelines (CPGs) for weight management and weight-related behaviors across preconception, pregnancy, and postpartum. CPGs published in English were identified from research and guideline-specific databases between 2010 and 2019. Recommendations were categorized into weight (body mass index screening, weight loss, weight gain prevention, and gestational weight gain), diet, food safety, physical activity, and behavioral strategies. Three independent appraisers assessed CPG quality using the Appraisal of Guidelines Research and Evaluation II instrument. Twenty-two CPGs were included across preconception (n = 2), pregnancy (n = 8), postpartum (n = 2), or a combination (n = 10). Overall, 45% of CPGs were appraised as poor quality, 32% as moderate, and 23% as high. Evaluation of body mass index and supplementation recommendations were most common across CPGs, alongside secondary weight management recommendations for women with obesity in fewer CPGs. Accompanying recommendations for diet, physical activity, and behavior were highly variable between guidelines. We report significant ambiguity in existing guidance and an absence of important considerations, including targeting weight gain prevention and limiting excess gestational weight gain. Results emphasize the need for development of robust, comprehensive, and high quality guidelines on healthy lifestyle and weight management across these formative reproductive life stages. |
Keywords: | Postpartum; preconception; pregnancy; weight management |
Description: | Accepted: 2 June 2021 |
Rights: | © 2021 World Obesity Federation |
DOI: | 10.1111/obr.13310 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1171142 http://purl.org/au-research/grants/nhmrc/GNT1194234 |
Published version: | http://dx.doi.org/10.1111/obr.13310 |
Appears in Collections: | Aurora harvest 4 Paediatrics publications |
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