Maternal diet and weight at 3 months postpartum following a pregnancy intervention with a low glycaemic index diet: results from the ROLO randomised control trial

Nutrients. 2014 Jul 23;6(7):2946-55. doi: 10.3390/nu6072946.

Abstract

Pregnancy increases the risk of being overweight at a later time period, particularly when there is excessive gestational weight gain. There remains a paucity of data into the effect of low glycaemic index (GI) pregnancy interventions postpartum.

Aim: To examine the impact of a low glycaemic index diet during pregnancy on maternal diet 3 months postpartum.

Methodology: This analysis examined the diet, weight and lifestyle of 460 participants of the ROLO study 3 months postpartum. Questionnaires on weight, physical activity, breastfeeding, supplement use, food label reading and dietary habits were completed.

Results: The intervention group had significantly greater weight loss from pre-pregnancy to 3 months postpartum than the control group (1.3 vs. 0.1 kg, p = 0.022). The intervention group reported greater numbers following a low glycaemic index diet (p < 0.001) and reading food labels (p = 0.032) and had a lower glycaemic load (GL) (128 vs. 145, p = 0.014) but not GI (55 vs. 55, p = 0.809) than controls.

Conclusions: Low GI dietary interventions in pregnancy result in improved health-behaviours and continued reported compliance at 3 months postpartum possibly through lower dietary GL as a result of portion control. Greater levels of weight loss from pre-pregnancy to 3 months postpartum in the intervention group may have important positive implications for overweight and obesity.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Body Mass Index
  • Breast Feeding
  • Diet, Carbohydrate-Restricted*
  • Energy Intake
  • Feeding Behavior*
  • Female
  • Glycemic Index*
  • Health Behavior
  • Humans
  • Life Style
  • Maternal Nutritional Physiological Phenomena*
  • Motor Activity
  • Obesity / prevention & control
  • Overweight / prevention & control
  • Postpartum Period*
  • Pregnancy
  • Pregnancy Outcome
  • Surveys and Questionnaires
  • Weight Gain*
  • Weight Loss