Interventions to reduce and prevent obesity in pre-conceptual and pregnant women: a systematic review and meta-analysis.

BACKGROUND: The increasing prevalence of obesity in pregnant women is associated with adverse maternal and neonatal outcomes, and increased costs to healthcare, the economy and broader society. OBJECTIVES: To assess the efficacy of behavioural interventions for managing gestational weight gain (GWG) in the pre-conceptual and pregnancy period in overweight, obese and morbidly obese women. SEARCH METHODS: A search was performed for published studies in the English language, from date? 2000-31 December 2012 in five electronic databases; PubMed, Scopus, Cochrane Library, CINAHL and PsycINFO. SELECTION CRITERIA: Studies were included if they compared the efficacy or effectiveness of a particular behavioural intervention in pregnant or pre-conceptual women with standard maternity care. Studies that included women with co-morbid conditions such as diabetes mellitus and polycystic ovarian syndrome were excluded to help isolate the effect of the intervention. RESULTS: Fifteen studies involving 3,426 participants were included. One study (n = 692) focused on the pre-conceptual period and the remaining 14 (n = 2,734) in the pregnancy period. Pooled mean difference for GWG indicated a lower GWG in the intervention groups when compared to standard maternity care groups (n = 1771, mean difference (MD) -1.66 kg, 95% CI -3.12 to -0.21 kg). With respect to the types of participants, considerable heterogeneity between studies was shown in the obese subgroup [Tau(2) = 15.61; Chi(2) = 40.80, df = 3 (P<0.00001); I(2) = 93%]. CONCLUSIONS: Behavioural interventions in pregnancy may be effective in reducing GWG in obese women without comorbid conditions, but not overweight or morbidly obese women. Behavioural interventions had no effect on postpartum weight loss or retention, gestation week of delivery and infant birth weight in overweight, obese and morbidly obese women.

Nephrops fisheries in European waters.

This review focuses on the Norway lobster (Nephrops norvegicus) as a resource, describing how the fishery has developed from the 1960s to the present day to become one of the most economically important fisheries in Europe. In 2010, the total landings were 66,500 tonnes, of which UK fishers landed a significant part (58.1%). The Nephrops fishery is also important for countries such as Ireland (11.7% of the total) and Sweden (1.9%) where it is of regional importance. Some are also taken in the Mediterranean, where Italian, Spanish and Greek fishers together take approximately 7% of the total landing. More than 95% of Nephrops are taken using single- or multi-rig trawlers targeting Nephrops or in mixed species fisheries. In regions such as Western Scotland and the Swedish West Coast, creel fisheries account for up to a quarter of the total landings. Across the range, a small proportion (<5%) is taken using traps in a fishery characterised by larger sized animals that gain a higher price and have lower discard and by-catches of ground fish with low mortalities. The trawling sector, however, is reducing the by-catches of ground fish with the aid of technical measures, such as square-mesh panels and grids and national systems of incentives. Assessments for Nephrops are operated via the 34 functional units (FUs) regarded as stocks. Changes in management procedures have arisen as a result of the advisory input from underwater TV fishery-independent stock surveys. The total allowable catch does not follow FUs but is agreed upon per management area.