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Diet and activity interventions in pregnancy can reduce gestational weight gain, but the interventions confer no additional benefit for composite maternal and fetal outcomes and are not cost-effective.

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Ewelina Rogozińska, Nadine Marlin, Louise Jackson, Girish Rayanagoudar, Anneloes E Ruifrok, Julie Dodds, Emma Molyneaux, Mireille NM van Poppel, Lucilla Poston, Christina A Vinter, Fionnuala McAuliffe, Jodie M Dodd, Julie Owens, Ruben Barakat, Maria Perales, Jose G Cecatti, Fernanda Surita, SeonAe Yeo, Annick Bogaerts, Roland Devlieger, Helena Teede, Cheryce Harrison, Lene Haakstad, Garry X Shen, Alexis Shub, Nermeen El Beltagy, Narges Motahari, Janette Khoury, Serena Tonstad, Riitta Luoto, Tarja I Kinnunen, Kym Guelfi, Fabio Facchinetti, Elisabetta Petrella, Suzanne Phelan, Tânia T Scudeller, Kathrin Rauh, Hans Hauner, Kristina Renault, Christianne JM de Groot, Linda R Sagedal, Ingvild Vistad, Signe Nilssen Stafne, Siv Mørkved, Kjell Å Salvesen, Dorte M Jensen, Márcia Vitolo, Arne Astrup, Nina RW Geiker, Sally Kerry, Pelham Barton, Tracy Roberts, Richard D Riley, Arri Coomarasamy, Ben Willem Mol, Khalid S Khan & Shakila Thangaratinam.

Ewelina Rogozińska 1,2, Nadine Marlin 3, Louise Jackson 4, Girish Rayanagoudar 1, Anneloes E Ruifrok 5,6, Julie Dodds 1, Emma Molyneaux 7, Mireille NM van Poppel 8,9, Lucilla Poston 10, Christina A Vinter 11, Fionnuala McAuliffe 12, Jodie M Dodd 13,14, Julie Owens 13, Ruben Barakat 15, Maria Perales 15, Jose G Cecatti 16, Fernanda Surita 16, SeonAe Yeo 17, Annick Bogaerts 18,19, Roland Devlieger 20, Helena Teede 21, Cheryce Harrison 21, Lene Haakstad 22, Garry X Shen 23, Alexis Shub 24, Nermeen El Beltagy 25, Narges Motahari 26, Janette Khoury 27, Serena Tonstad 27, Riitta Luoto 28, Tarja I Kinnunen 29, Kym Guelfi 30, Fabio Facchinetti 31, Elisabetta Petrella 31, Suzanne Phelan 32, Tânia T Scudeller 33, Kathrin Rauh 34,35, Hans Hauner 34, Kristina Renault 11,36, Christianne JM de Groot 6, Linda R Sagedal 37, Ingvild Vistad 37, Signe Nilssen Stafne 38,39, Siv Mørkved 38,39, Kjell Å Salvesen 40,41, Dorte M Jensen 42, Márcia Vitolo 43, Arne Astrup 44, Nina RW Geiker 45, Sally Kerry 3, Pelham Barton 4, Tracy Roberts 4, Richard D Riley 46, Arri Coomarasamy 47, Ben Willem Mol 48, Khalid S Khan 1,2, Shakila Thangaratinam 1,2,*

1 Women’s Health Research Unit, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
2 Multidisciplinary Evidence Synthesis Hub, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
3 Pragmatic Clinical Trials Unit, Blizard Institute, Barts and the London School of Medicine and Dentistry, London, UK
4 Health Economics Unit, School of Health and Population Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
5 Department of Obstetrics and Gynecology, Academic Medical Centre, Amsterdam, the Netherlands
6 Department of Obstetrics and Gynaecology, Faculty of Medicine, VU University Medical Center, Amsterdam, the Netherlands
7 Section of Women’s Mental Health, Health Service and Population Research Department, Institute of Psychiatry, King’s College London, London, UK
8 Department of Public and Occupational Health, EMGO Institute for Health and Care Research (EMGO+), VU University Medical Center, Amsterdam, the Netherlands
9 Institute of Sport Science, University of Graz, Graz, Austria
10 Division of Women’s Health, Women’s Health Academic Centre, King’s College London, St Thomas’ Hospital, London, UK
11 Department of Obstetrics and Gynecology, Odense University Hospital, University of Southern Denmark, Odense, Denmark
12 School of Medicine & Medical Science, UCD Institute of Food and Health, Dublin, Ireland
13 The Robinson Research Institute, School of Medicine, Department of Obstetrics & Gynaecology, University of Adelaide, SA, Australia
14 Women’s and Children’s Health Network, Women’s and Babies Division, North Adelaide, SA, Australia
15 Facultad de Ciencias de la Actividad Física y del Deporte, Universidad Politecnica de Madrid, Madrid, Spain
16 Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Campinas, Brazil
17 School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
18 Research Unit Healthy Living, University Colleges Leuven-Limburg, Leuven, Belgium
19 Centre for Research and Innovation in Care, University of Antwerp, Antwerp, Belgium
20 Division of Mother and Child, Department of Obstetrics and Gynaecology, University Colleges Leuven-Limburg, Hasselt and University Hospitals KU Leuven, Leuven, Belgium
21 Monash Centre for Health Research and Implementation, School of Public Health, Monash University, Melbourne, VIC, Australia
22 Norwegian School of Sport Sciences, Department of Sports Medicine, Oslo, Norway
23 Department of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada
24 Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, VIC, Australia
25 Department of Obstetrics and Gynecology, Alexandria University, Alexandria, Egypt
26 Department of Sport Physiology, Faculty of Physical Education and Sport Sciences, Mazandaran University, Babolsar, Iran
27 Department of Obstetrics and Gynecology, Oslo University Hospital, Oslo, Norway
28 UKK Institute for Health Promotion Research, Tampere, Finland
29 School of Health Sciences, University of Tampere, Tampere, Finland
30 School of Sport Science, Exercise and Health, University of Western Australia, Perth, WA, Australia
31 Mother-Infant Department, University of Modena and Reggio Emilia, Modena, Italy
32 Kinesiology Department, California Polytechnic State University, San Luis Obispo, CA, USA
33 Department of Management and Health Care, São Paulo Federal University, Santos, Brazil
34 Else Kröner-Fresenius-Center for Nutritional Medicine, Technische Universität München, Munich, Germany
35 Competence Centre for Nutrition, Freising, Germany
36 Departments of Obstetrics and Gynecology, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark
37 Department of Obstetrics and Gynecology, Sorlandet Hospital Kristiansand, Kristiansand, Norway
38 Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway
39 Clinical Services, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
40 Department of Obstetrics and Gynaecology, Clinical Sciences, Lund University, Lund, Sweden
41 Department of Laboratory Medicine Children’s and Women’s Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway
42 Department of Endocrinology, Odense University Hospital, Odense, Denmark
43 Department of Nutrition and the Graduate Program in Health Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil
44 Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
45 Nutritional Research Unit, Copenhagen University Hospital Herlev, Copenhagen, Denmark
46 Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK
47 School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
48 The South Australian Health and Medical Research Institute, Adelaide, SA, Australia
* Corresponding author Email: s.thangaratinam@qmul.ac.uk

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