Using a Very Low Energy Diet to Achieve Substantial Preconception Weight Loss in Women with Obesity: A Review of the Safety and Efficacy.
ketosis
obesity
preconception
pregnancy
very low energy diet (VLED)
weight loss
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
21 Oct 2022
21 Oct 2022
Historique:
received:
16
09
2022
revised:
29
09
2022
accepted:
17
10
2022
entrez:
27
10
2022
pubmed:
28
10
2022
medline:
29
10
2022
Statut:
epublish
Résumé
Obesity in women of reproductive age is common. Emerging evidence suggests that maternal obesity not only increases the risk of adverse pregnancy outcomes but also has an enduring impact on the metabolic health of the offspring. Given this, management of obesity prior to pregnancy is critically important. Almost all international guidelines suggest that women with obesity should aim to achieve weight loss prior to pregnancy. However, current pre-conception weight loss therapies are sub-optimal. Lifestyle modification typically results in modest weight loss. This may assist fertility but does not alter pregnancy outcomes. Bariatric surgery results in substantial weight loss, which improves pregnancy outcomes for the mother but may be harmful to the offspring. Alternative approaches to the management of obesity in women planning pregnancy are needed. Very low energy diets (VLEDs) have been proposed as a possible tool to assist women with obesity achieve weight loss prior to conception. While VLEDs can induce substantial and rapid weight loss, there are concerns about the impact of rapid weight loss on maternal nutrition prior to pregnancy and about inadvertent exposure of the early fetus to ketosis. The purpose of this review is to examine the existing literature regarding the safety and efficacy of a preconception VLED program as a tool to achieve substantial weight loss in women with obesity.
Identifiants
pubmed: 36297107
pii: nu14204423
doi: 10.3390/nu14204423
pmc: PMC9608905
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : National Health and Medical Research Council
ID : 2007957
Organisme : National Health and Medical Research Council
ID : 1178482
Références
Prostaglandins Leukot Essent Fatty Acids. 2018 Nov;138:24-29
pubmed: 30392577
Eur J Clin Nutr. 2013 Aug;67(8):789-96
pubmed: 23801097
Am J Clin Nutr. 2009 Nov;90(5):1303-13
pubmed: 19759171
JAMA. 2013 Jun 12;309(22):2362-70
pubmed: 23757084
Am J Perinatol. 2016 Apr;33(5):433-41
pubmed: 26588260
Trials. 2018 Apr 24;19(1):248
pubmed: 29690917
Clin Endocrinol Metab. 1983 Jul;12(2):413-28
pubmed: 6347453
Acta Paediatr. 2005 Jul;94(7):819-24
pubmed: 16188798
J Nutr. 2014 Jul;144(7):1075-80
pubmed: 24790026
Int J Environ Res Public Health. 2016 Jun 06;13(6):
pubmed: 27275827
Sex Reprod Healthc. 2015 Jun;6(2):110-1
pubmed: 25998880
BMC Pregnancy Childbirth. 2007 Jul 04;7:9
pubmed: 17608952
Hum Reprod. 2017 Aug 1;32(8):1621-1630
pubmed: 28854592
Clin Invest Med. 1995 Jun;18(3):193-216
pubmed: 7554586
Physiol Rev. 1992 Apr;72(2):419-48
pubmed: 1557428
J Gerontol A Biol Sci Med Sci. 2017 Dec 12;73(1):59-65
pubmed: 28329121
J Dev Orig Health Dis. 2016 Jun;7(3):231-236
pubmed: 26496811
N Engl J Med. 2011 Oct 27;365(17):1597-604
pubmed: 22029981
Eur J Clin Nutr. 2013 Jul;67(7):759-64
pubmed: 23632752
Fertil Steril. 2020 Dec;114(6):1256-1262
pubmed: 33077241
Nat Genet. 2016 May;48(5):497-9
pubmed: 26974008
Obes Rev. 2001 Feb;2(1):61-72
pubmed: 12119638
Nat Rev Endocrinol. 2012 Nov;8(11):679-88
pubmed: 23007319
BMC Pregnancy Childbirth. 2013 May 08;13:109
pubmed: 23656724
Am J Clin Nutr. 1996 Jan;63(1):110-5
pubmed: 8604657
Harefuah. 2014 Aug;153(8):478-81, 497, 496
pubmed: 25286641
BMJ. 2017 Jun 14;357:j2563
pubmed: 28615173
Am J Physiol. 1992 May;262(5 Pt 1):E631-6
pubmed: 1590373
PLoS One. 2014 Aug 13;9(8):e104896
pubmed: 25118945
Pediatr Res. 2007 May;61(5 Pt 2):5R-10R
pubmed: 17413851
Pediatrics. 2004 Jul;114(1):e29-36
pubmed: 15231970
J Dev Orig Health Dis. 2018 Jun;9(3):315-328
pubmed: 29397052
Int J Obes Relat Metab Disord. 1999 Jun;23(6):553-5
pubmed: 10411226
Obes Rev. 2019 Apr;20(4):510-526
pubmed: 30549166
Am J Obstet Gynecol. 1969 Sep 15;105(2):257-68
pubmed: 4980345
J Clin Endocrinol Metab. 2003 Aug;88(8):3505-6
pubmed: 12915626
Clin Obes. 2018 Aug;8(4):244-249
pubmed: 29892993
Am J Physiol Regul Integr Comp Physiol. 2018 Nov 1;315(5):R867-R878
pubmed: 30110175
Obesity (Silver Spring). 2021 Sep;29(9):1445-1457
pubmed: 34431233
Ann Intern Med. 2004 May 18;140(10):769-77
pubmed: 15148063
Obesity (Silver Spring). 2012 Apr;20(4):872-8
pubmed: 21233805
Lancet Diabetes Endocrinol. 2014 Dec;2(12):954-62
pubmed: 25459211
Obes Rev. 2007 Sep;8(5):385-94
pubmed: 17716296
Lancet Glob Health. 2017 Nov;5(11):e1090-e1100
pubmed: 29025632
Asia Pac J Clin Nutr. 2006;15 Suppl:49-54
pubmed: 16928661
J Am Diet Assoc. 2005 Sep;105(9):1433-7
pubmed: 16129086
Int J Obes (Lond). 2015 Apr;39(4):642-9
pubmed: 25777180
Physiol Rev. 1980 Jan;60(1):143-87
pubmed: 6986618
Diabetes Care. 2012 Apr;35(4):780-6
pubmed: 22357187
JAMA. 2014 Apr 16;311(15):1536-46
pubmed: 24737366
J Physiol Pharmacol. 2018 Apr;69(2):
pubmed: 29920475
Clin Obes. 2014 Apr;4(2):61-8
pubmed: 25826729
Lancet. 1982 Mar 13;1(8272):588-92
pubmed: 6121184
Hypertension. 2015 Nov;66(5):938-44
pubmed: 26370890
Obes Rev. 2015 Jan;16(1):64-76
pubmed: 25402637
Obstet Gynecol. 2015 Jan;125(1):133-143
pubmed: 25560115
BMJ. 2017 Aug 17;358:j3463
pubmed: 28818974
Int J Obes (Lond). 2017 Aug;41(8):1224-1231
pubmed: 28439092
Obes Res Clin Pract. 2008 Mar;2(1):I-II
pubmed: 24351673
Diabetes Care. 2015 Aug;38(8):1402-11
pubmed: 26207051
Fertil Steril. 2006 Jul;86(1):227-9
pubmed: 16750829
Med J Aust. 2006 Jan 16;184(2):56-9
pubmed: 16411868
BMC Pregnancy Childbirth. 2013 Oct 29;13:198
pubmed: 24168053
J Am Diet Assoc. 2005 Apr;105(4):608-11
pubmed: 15800565
Aust N Z J Obstet Gynaecol. 2011 Oct;51(5):455-9
pubmed: 21806596
Fertil Steril. 2016 Oct;106(5):1212-1220
pubmed: 27336206
Am J Physiol Regul Integr Comp Physiol. 2018 Jul 1;315(1):R48-R67
pubmed: 29561647
J Clin Endocrinol Metab. 2017 Feb 1;102(2):488-498
pubmed: 27754807
Biol Neonate. 1987;51(2):78-85
pubmed: 3552061
J Nutr. 2003 Sep;133(9):2756-61
pubmed: 12949361
Curr Nutr Rep. 2018 Sep;7(3):97-106
pubmed: 30128963
Am J Obstet Gynecol. 2014 Aug;211(2):150.e1-15
pubmed: 24530975
PLoS One. 2016 Feb 18;11(2):e0149588
pubmed: 26891123
Acta Obstet Gynecol Scand. 2019 Jun;98(6):708-714
pubmed: 30597523
Am J Clin Nutr. 2007 Aug;86(2):276-84
pubmed: 17684196
Proc Natl Acad Sci U S A. 2007 Jul 31;104(31):12796-800
pubmed: 17646663
Diabetes Care. 2019 Mar;42(3):372-380
pubmed: 30655380
Am J Clin Nutr. 2009 Sep;90(3):519-26
pubmed: 19640952
Am J Obstet Gynecol. 1990 Nov;163(5 Pt 1):1458-64
pubmed: 2240088
Am J Obstet Gynecol. 2022 May;226(5):607-632
pubmed: 34968458
JAMA. 2003 Apr 9;289(14):1837-50
pubmed: 12684364
Pediatrics. 2005 Mar;115(3):e290-6
pubmed: 15741354
Am J Obstet Gynecol. 2008 Jun;198(6):611-9
pubmed: 18538144
J Am Diet Assoc. 2007 Oct;107(10):1755-67
pubmed: 17904936
Obesity (Silver Spring). 2018 Feb;26(2):269-273
pubmed: 29105987
Can J Physiol Pharmacol. 2002 Nov;80(11):1095-105
pubmed: 12489929
Neuroscience. 2014 Jan 3;256:379-91
pubmed: 24183962
Neuroscience. 2016 May 13;322:500-8
pubmed: 26926962
Lancet Diabetes Endocrinol. 2016 Dec;4(12):1037-1049
pubmed: 27743977
Aust N Z J Obstet Gynaecol. 2016 Aug;56(4):426-31
pubmed: 27135463
Hum Reprod. 2004 Jul;19(7):1644-6
pubmed: 15142995
J Reprod Med. 2014 Nov-Dec;59(11-12):585-90
pubmed: 25552132
BMC Pregnancy Childbirth. 2017 Sep 6;17(1):290
pubmed: 28877677
Am J Clin Nutr. 2016 Mar;103(3):794-800
pubmed: 26817507
N Engl J Med. 2015 Feb 26;372(9):814-24
pubmed: 25714159
Am J Physiol. 1990 Jan;258(1 Pt 1):E32-9
pubmed: 2405701
Endocr Regul. 2000 Mar;34(1):33-6
pubmed: 10808251
N Engl J Med. 2016 May 19;374(20):1942-53
pubmed: 27192672
J Obes. 2014;2014:204295
pubmed: 24804085
Epidemiology. 2003 May;14(3):368-74
pubmed: 12859040
Diabetologia. 2019 Apr;62(4):598-610
pubmed: 30648193
Clin Exp Pharmacol Physiol. 2016 Apr;43(4):494-502
pubmed: 26763577
Healthcare (Basel). 2016 Sep 21;4(3):
pubmed: 27657150
J Clin Endocrinol Metab. 2005 Mar;90(3):1475-82
pubmed: 15598683
Med J Aust. 2009 Oct 19;191(8):425-8
pubmed: 19835534