Effective treatment of pregnancy and nutrition: A Synthesis of Findings from 25 Studies

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Original Abstract of the Article

Main Research Findings

Pregnancy nutrition plays a crucial role in the health of both mother and fetus. Inadequate nutrition during pregnancy has been linked to an increased risk of complications such as low birth weight, preterm birth, and gestational diabetes. Therefore, ensuring proper nutrition throughout pregnancy is essential to mitigate these risks.

Several studies have demonstrated that nutritional interventions during pregnancy can have positive impacts on the health of both the mother and fetus. For example, 21 highlights the importance of blood sugar management during pregnancy. Furthermore, 15 suggests that nutritional counseling during pregnancy after bariatric surgery can potentially improve maternal and neonatal health outcomes. Additionally, 14 indicates that nutritional care during pregnancy can potentially reduce the risks of pregnancy complications and non-communicable diseases in both mothers and their children.

However, research on nutritional interventions during pregnancy is still limited. Specifically, the effectiveness of interventions may vary depending on the type, timing, and characteristics of the target population, emphasizing the need for further research.

Treatment Summary

Treatments related to pregnancy nutritional management primarily include dietary therapy, exercise therapy, and nutritional counseling.

10 suggests that cognitive behavioral therapy for social activation in individuals with recent-onset psychosis may be beneficial. Additionally, 18 indicates that the nutritional status of ewes during late pregnancy can influence the behavior of both ewes and their lambs.

1 and 2 highlight the widespread use of long-acting depot injections, such as flupenthixol decanoate and fluspirilene, in the treatment of schizophrenia and other similar psychotic disorders.

Benefits and Risks

Benefit Summary

Nutritional interventions during pregnancy can have positive impacts on maternal and fetal health. Specifically, these interventions are expected to reduce risks such as low birth weight and preterm birth, thereby promoting the overall health of mothers and children.

Risk Summary

Potential risks associated with pregnancy nutritional interventions include the possibility of health complications due to excessive or deficient intake of specific nutrients. Therefore, it is crucial to implement nutritional interventions during pregnancy under the guidance of professionals such as physicians and nutritionists.

Comparison Between Studies

Similarities Between Studies

Numerous studies have demonstrated that nutritional interventions during pregnancy can have positive impacts on maternal and fetal health.

Differences Between Studies

Variations exist across studies in terms of the type, timing, and target population characteristics of interventions, leading to different effects and risks.

Consistency and Contradictions of Results

Research on nutritional interventions during pregnancy is still ongoing and limited. Therefore, inconsistencies or contradictions in results may be observed.

Points to Note Regarding Application to Real Life

Nutritional interventions during pregnancy should be implemented under the guidance of professionals such as physicians and nutritionists. Self-administered nutritional interventions can potentially increase health risks, so caution is necessary.

Limitations of Current Research

Research on nutritional interventions during pregnancy is still limited. The effectiveness of interventions may vary depending on the type, timing, and characteristics of the target population, emphasizing the need for further research.

Future Research Directions

Research on nutritional interventions during pregnancy should consider the type, timing, and characteristics of the target population. Long-term impact evaluations are also essential.

Conclusion

Nutrition plays a crucial role in maternal and fetal health during pregnancy. Proper nutrition is essential for a healthy pregnancy and childbirth. It's important to consult with healthcare professionals, such as physicians and nutritionists, to ensure proper nutritional management throughout pregnancy.

Treatment List

  • Dietary Therapy
  • Exercise Therapy
  • Nutritional Counseling
  • Cognitive Behavioral Therapy
  • Depot Injections such as Flupenthixol decanoate
  • Depot Injections such as Fluspirilene
Literature analysis of 25 papers
Positive Content
22
Neutral Content
1
Negative Content
2
Article Type
6
3
7
11
24
1.

Depot flupenthixol decanoate for schizophrenia or other similar psychotic disorders.

Author: QuraishiS, DavidA

Lower relapse rate
Reduced movement disorders
Insufficient evidence

There is no clear evidence that flupenthixol decanoate is more effective than other depot antipsychotics for schizophrenia. Larger, well-designed trials are needed.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Language : English

2.

Depot fluspirilene for schizophrenia.

Author: QuraishiS, DavidA

Reduced movement disorders
Insufficient evidence

There is no convincing evidence that fluspirilene decanoate is more effective than oral chlorpromazine or other depot antipsychotics for schizophrenia. More research is needed to inform clinical practice.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Language : English

3.

Duration of untreated psychosis and its relationship to clinical outcome.

Author: NormanRoss M G, LewisShôn W, MarshallMax

Remission of positive symptoms
Correlational evidence
Neurotoxic effects

Evidence suggests that longer duration of untreated psychosis (DUP) is an independent predictor of poorer treatment outcome, particularly remission of positive symptoms. More research is needed to confirm causality.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Language : English

4.

[Early detection of psychotic disorders].

Author: SchäferMiriam R, KlierClaudia M, PapageorgiouKonstantinos, FriedrichMax H, AmmingerG Paul

Prevent psychosis
Reduce treatment delays

Early intervention programs for schizophrenia and other psychotic disorders are being established globally.

Case ReportsIn the medical field, a report that describes in detail a unique case, an unusual medical condition, or the effect of a treatment. Provides new insights and possibilities for treatment through individual patient cases.
English AbstractA summary of a research paper/publication written in English for a wider audience.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Language : German

5.

[Cognitive-behavioral group treatment for schizophrenia and other psychotic disorders- a systematic review].

Author: Mortan SeviOya, Tekinsav SütcüSerap

Decrease anxiety
Improve hopelessness
Reduce psychosis symptoms

Cognitive-behavioral therapies plus standard treatment are effective in decreasing the symptoms of schizophrenia and other psychotic disorders (positive and negative symptoms) and/or the problems that accompany the disorder (anxiety, hopelessness).

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Language : Turkish

6.

Changes in insight during treatment for psychotic disorders: a meta-analysis.

Author: PijnenborgGerdina H M, van DonkersgoedRozanne J M, DavidAnthony S, AlemanAndré

Improved insight

A meta-analysis of psychological and pharmacological treatments for psychosis found that these treatments can improve insight into illness.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : English

7.

First rank symptoms for schizophrenia.

Author: Soares-WeiserKarla, MaayanNicola, BergmanHanna, DavenportClare, KirkhamAmanda J, GrabowskiSarah, AdamsClive E

Psychotic disorders
Schizophrenia

Early and accurate diagnosis of schizophrenia is important for better long-term outcomes. Delaying treatment can lead to more severe symptoms and slower recovery. This study aims to determine whether specific symptoms, known as First Rank Symptoms (FRS), are helpful in distinguishing schizophrenia from other psychotic disorders, as there is uncertainty about how accurate these symptoms are in making diagnoses.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Language : English

8.

Cost effectiveness of interpersonal community psychiatric treatment for people with long-term severe non-psychotic mental disorders: protocol of a multi-centre randomized controlled trial.

Author: van VeenMark, KoekkoekBauke, MulderNiels, PostulartDebby, AdangEddy, TeerenstraSteven, SchoonhovenLisette, van AchterbergTheo

Cost reduction
Health gain

The study aims to improve the care for individuals with long-term non-psychotic psychiatric disorders. A new treatment model called Interpersonal Community Psychiatric Treatment (ICPT) is being compared to standard care.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Multicenter StudyResearch conducted in collaboration with multiple research institutions. It aims to collect a wide range of data and obtain more generalizable results.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Language : English

9.

Prolonged exposure and EMDR for PTSD v. a PTSD waiting-list condition: effects on symptoms of psychosis, depression and social functioning in patients with chronic psychotic disorders.

Author: de BontP A J M, van den BergD P G, van der VleugelB M, de RoosC, de JonghA, van der GaagM, van MinnenA M

EMDR effective
PE effective
Remission from schizophrenia

Prolonged exposure (PE) and eye movement desensitization and reprocessing (EMDR) reduced PTSD symptoms and paranoid thoughts in patients with chronic psychotic disorders. More patients in the PE and EMDR groups achieved remission from their psychotic disorder.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Language : English

10.

Cognitive behavioral therapy for social activation in recent-onset psychosis: Randomized controlled trial.

Author: PosKarin, FrankeNathalie, SmitFilip, WijnenBen F M, StaringAnton B P, Van der GaagMark, MeijerCarin, de HaanLieuwe, VelthorstEva, SchirmbeckFrederike

Improved psychotic disorder treatment

Negative symptoms in psychosis are difficult to treat and contribute to poor outcomes. A cognitive-behavioral approach has shown promise for people with chronic schizophrenia. This study investigates whether a combination of group and individual therapy focused on social engagement (CBTsa) could benefit people recently diagnosed with psychosis.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Language : English

12.

[Use of psychoactive substances as a treatment for psychosis].

Author: Serrano-JiménezE, de Lucas-MorenoM G

Psychotic disorder treatment

Psychotic disorders are long-term mental health problems. While medications are used to treat them, these drugs primarily focus on certain symptoms and have many side effects. We need new treatments that target other brain systems. This review will examine whether certain medications used for other conditions could be helpful in treating people with psychotic disorders.

Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.
English AbstractA summary of a research paper/publication written in English for a wider audience.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : Spanish

13.

Re-examination of the estimated average requirement for carbohydrate intake during pregnancy: Addition of placental glucose consumption.

Author: HernandezTeri L, RozancePaul J

Pregnancy nutrition
Gestational diabetes

The recommended dietary allowance (RDA) for carbohydrate intake during pregnancy should be increased to 220 g/d to account for placental glucose consumption. The RDA was originally set at ≥175 g/d, but recent evidence shows that the placenta requires 36 g/d of glucose for metabolism. The authors suggest that a new EAR of 171 g/d, accounting for maternal and fetal brain and placental glucose utilization, would result in a modified RDA of 220 g/d.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Research Support, N.I.H., ExtramuralResearch funding provided by the NIH to external research institutions and researchers.

Language : English

14.

Addressing the gaps in nutritional care before and during pregnancy.

Author: KilleenSarah Louise, GeraghtyAisling A, O'BrienEileen C, O'ReillySharleen L, YelvertonCara A, McAuliffeFionnuala M

Obesity staging
Pregnancy nutrition
Obesity
Pregnancy complications

Women of childbearing age are at risk for nutrition problems during pregnancy. Nutrition counseling is recommended for all women. However, there is no consensus on what the most important outcomes should be for pregnancy nutrition interventions. The use of obesity staging systems, which consider mental, physical and functional health, can stratify individuals into risk categories and aid in treatment prioritisation in pregnancy.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Language : English

15.

Pregnancy after bariatric surgery: Effects of personalized nutrition counseling on pregnancy outcomes.

Author: ArakiShir, Shani LeviCarmit, Abutbul VeredShani, SoltIdo, RozenGeila S

Improved maternal diet
Neonatal outcome improvement

This research aims to examine the effects of personal nutritional counseling during post-bariatric pregnancy on nutritional intake and neonatal outcomes.

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

17.

Benefits of Adhering to a Mediterranean Diet Supplemented with Extra Virgin Olive Oil and Pistachios in Pregnancy on the Health of Offspring at 2 Years of Age. Results of the San Carlos Gestational Diabetes Mellitus Prevention Study.

Author: MeleroVerónica, Assaf-BalutCarla, TorreNuria García de la, JiménezInés, BordiúElena, ValleLaura Del, ValerioJohanna, FamiliarCristina, DuránAlejandra, RunkleIsabelle, MiguelMaría Paz de, MontañezCarmen, BarabashAna, CuestaMartín, HerraizMiguel A, IzquierdoNuria, RubioMiguel A, Calle-PascualAlfonso L

Hospital admission reduction
MedDiet during pregnancy

A Mediterranean diet during pregnancy was associated with a lower risk of hospital admissions in children of mothers with pre-gestational BMI &lt; 25 kg/m<sup>2</sup> and normal glucose tolerance.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

19.

Meta-analysis of lamb birth weight as influenced by pregnancy nutrition of multiparous ewes.

Author: Roca FragaFernando J, LagiszMalgorzata, NakagawaShinichi, Lopez-VillalobosNicolas, BlairHugh T, KenyonPaul R

Increased lamb birth weight
Reduced lamb birth weight

This meta-analysis systematically reviewed the variation in lamb birth weight responses to changes in ewe pregnancy nutrition. It found that late-pregnancy undernutrition significantly decreased lamb birth weight, while early and mid-pregnancy undernutrition had smaller effects.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.

Language : English

20.

Testing the feasibility of a mobile technology intervention promoting healthy gestational weight gain in pregnant women (txt4two) - study protocol for a randomised controlled trial.

Author: WillcoxJane Catherine, CampbellKaren Jane, McCarthyElizabeth Anne, WilkinsonShelley Ann, LappasMartha, BallKylie, FjeldsoeBrianna, GriffithsAnne, WhittakerRobyn, MaddisonRalph, ShubAlexis, PiddDeborah, FraserElise, MoshonasNelly, CrawfordDavid Andrew

Gestational weight gain management

An mHealth intervention promoting healthy nutrition, physical activity, and gestational weight gain (GWG) shows promise as a feasible and scalable solution for supporting pregnant women who are overweight or obese.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Language : English

21.

[New insights into diagnosis and management of gestational diabetes mellitus: recommendations of the Swiss Society for Endocrinology and Diabetes].

Author: LehmannRoger, TroendleA, BrändleM,

Gestational diabetes diagnosis
Gestational diabetes treatment
Gestational diabetes

New diagnostic criteria and blood glucose target levels for gestational diabetes were adopted by the Swiss Society for Endocrinology and Diabetes. The new criteria are based on the results of the HAPO-Trial and emphasize the importance of early detection.

English AbstractA summary of a research paper/publication written in English for a wider audience.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : German

22.

Coeliac disease and infertility: making the connection and achieving a successful pregnancy.

Author: HinHarold, FordFiona

Infertility treatment

Celiac disease is a common undiagnosed condition in adults in the UK. It can cause infertility in women. Studies show that women with celiac disease who follow a gluten-free diet may conceive successfully. This abstract discusses the diet for women with celiac disease during pregnancy and lists organizations offering support.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : English

23.

Feeding tuna oil to the sow at different times during pregnancy has different effects on piglet long-chain polyunsaturated fatty acid composition at birth and subsequent growth.

Author: RookeJ A, SinclairA G, EdwardsS A

Improved piglet health
Increased piglet growth

Supplementation of pregnant sow diets with tuna oil increased 22 : 6n-3 levels in piglets at birth, but did not prevent decreases in piglet 20 : 4n-6 status. The timing of supplementation influenced the effect on different tissues. Piglets born to sows fed tuna oil during pregnancy showed faster growth in the first 35 days of life.

Comparative StudyResearch that compares multiple groups/interventions to determine differences/similarities in outcomes/characteristics.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Language : English

24.

Public health nutrition practices to prevent low birth weight in eight southeastern states.

Author: HaughtonB, CostelloC, TraylorM N, ReevesK

LBW prevention

A survey of public health nutrition practitioners in eight southeastern states revealed that while high-risk pregnancy screening and treatment protocols are common, prepregnancy nutrition interventions are less frequently implemented.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Research Support, U.S. Gov't, P.H.S.Research funding provided by the Public Health Service (PHS).

Language : English

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