Obesity

Effects of Mediterranean diet during pregnancy on the onset of overweight or obesity in the offspring: a randomized trial

Int J Obes (Lond)Published Randomised controlled trial

An erratum to this article was published (Int J Obes (Lond), Jan 2025 ↗)

Primary result · Offspring overweight or obesityResult — go to the resultAbsolute risk difference −24% 95% CI −38% to −9%

Authors' conclusion

MD during pregnancy could be an effective strategy for preventing pediatric overweight or obesity at 24 months. This effect involves, at least in part, an epigenetic modification of leptin expression.

Study context

Population
Women in their first trimester of pregnancy97 completed
Participants
104 women
Comparison
Nutritional counseling promoting Mediterranean diet (MD) during pregnancy vs standard care (CT)
Primary endpoint
Proportion of overweight or obesity among the offspring
Follow-up
24 months of age
Methodological detailsparallel-arm, Lost to follow-up: 5 in MD, 2 in CT
  • Parallel-arm
  • Lost to follow-up: 5 in MD, 2 in CT

Primary result

Offspring overweight or obesity · 24 months

Absolute risk difference

−24%

95% CI −38% to −9%

P = 0.003

By group

MDvs CT
absolute risk difference −24% (95% CI −38% to −9%); P = 0.003

As reported in the abstract

NNT
4 (95% CI 2 to 12)

Further findings

Leptin gene methylation rate in cord blood

P < 0.0001

Increase of maternal MD-adherence · during the trial

Significantly higher increase in MD vs CT

Maternal body weight gain · end of pregnancy

Similar in the two arms

Original publication

Effects of Mediterranean diet during pregnancy on the onset of overweight or obesity in the offspring: a randomized trial. Int J Obes (Lond). Published 18 September 2024. doi:10.1038/s41366-024-01626-z

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