I recently participated in a ‘debate’ about whether we should routinely weigh pregnant women. The debate, which I thought would make interesting fodder for this blog, was just published in the June 2015 edition of the British Journal of Obstetrics and Gynecology. I’ll try to get permission to also post the other side, “Routine weighing does not solve the problem of obesity in pregnancy”, which is currently behind a paywall.
Gestational weight gain (GWG) outside of recommended ranges is a common and growing public health challenge. Since 2000, the percent of US women gaining weight during pregnancy in excess of current guidelines increased 3% – from an already high 42.5% in 2000-1 to 45.5% in 2008-9. In combination with the ~20% of women with inadequate gain, almost 2/3 of women are now gaining outside of recommended ranges.
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With the recent news that the FDA has demanded that trans fats –fats found in margarine, and in many processed foods as partially hydrogenated oil -- be removed from the US market within 3 years, I was afraid that my mother had been correct in telling me to limit my fat intake while I was growing up. As a teenager growing up in the 1970s, she was coming of age when the first set of dietary guidelines called for Americans to limit how much fat they ate. This advice stuck with her through adulthood when she eventually became a mother and did her best to raise healthy kids.
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