Energy balance
Pregnant women with obesity should not increase energy intake during the second and third trimesters; maintaining early-pregnancy energy intake levels achieves recommended gestational weight gain by mobilizing maternal fat mass.
If you have obesity and are pregnant, do not try to increase your daily calories in the second and third trimesters. Instead, aim to eat roughly the same amount you ate in early pregnancy. Your body will use your stored fat to support the baby's growth, which helps you stay within healthy weight gain limits without risking excess fat accumulation.
Contrary to current recommendations, energy intake should not exceed energy expenditure. ... pregnant women with obesity should not consume additional energy when pregnant. The energy requirement for fetal development was compensated by mobilization of maternal fat mass
Why this rating
Prospective observational study with objective measures (DLW, indirect calorimetry) in a specific population (obese pregnant women), though sample size is small (n=54).
Source
Evidence-based recommendations for energy intake in pregnant women with obesity
Jasper Most et al. · Journal of Clinical Investigation · 2019
DOI 10.1172/jci130341
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →