<http://4womens.blogspot.com/2007/07/obese-pregnant-women-can-lose-weight.html>

Obese pregnant women can avoid weight gain or even lose some weight without
harming their babies, a small study suggests.

In fact, researchers found, obese women who maintained their weight or shed
pounds during pregnancy were more likely to have a normal-weight newborn
than those who gained pregnancy pounds.

In the US, he said, most obstetricians follow guidelines devised in 1990
that recommend obese women gain about 13 pounds during pregnancy. That's far
less than the 25 to 35 pounds recommended for normal-weight women, but still
a substantial amount of weight for women who are already heavy.

Those guidelines deserve a second look, Artal argued. For obese women, he
said, weight maintenance or even modest weight loss may not only do no harm
to mother and child, but might benefit them.

For their study, Artal and his colleagues followed 96 obese pregnant with
gestational diabetes -- a form of diabetes that emerges during pregnancy.

Fifty-seven of the women enrolled in a diet program, while the rest began a
diet-and-exercise program. Both groups received help devising a healthy,
lower-calorie eating plan, while women in the exercise group had supervised,
moderate workouts, such as treadmill walking, once a week. Exercisers were
also encouraged to walk or perform other low-impact activities on their own
every day.

In the end, Artal's team found, women who dieted and exercised gained less
weight than women who only changed their eating habits.

Because it's so difficult for obese women to shed pounds gained during
pregnancy, Artal said, preventing the weight gain could bring longer-term
health benefits.

"Pregnancy is not a state of confinement," he said, and overweight women
should not be afraid of moderate physical activity. "All we're talking about
is a brief walk after each meal," Artal noted.

That said, he advised that pregnant women still talk to their doctors before
taking up an exercise routine, to make sure they have no conditions that
preclude physical activity. Women should also get advice from a nutritionist
on how to make healthy diet changes.


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