Evidence map›Paper›PMID 11869565›Full record

SynthesisThe Cochrane database of systematic reviews2002

Interventions for leg cramps in pregnancy.

G L Young, D Jewell

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Interventions for leg cramps in pregnancy.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Quinine for muscle cramps.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Magnesium for skeletal muscle cramps.The Cochrane database of systematic reviews · 2012
    Pooled it
  4. Treatment for cramps in amyotrophic lateral sclerosis/motor neuron disease.The Cochrane database of systematic reviews · 2012
    Pooled it
  5. Non-drug therapies for lower limb muscle cramps.The Cochrane database of systematic reviews · 2012
    Pooled it
  6. Interventions for leg cramps in pregnancy.The Cochrane database of systematic reviews · 2000
    Pooled it
  7. Trial
  8. Review
  9. Article
  10. Sleep disorders in pregnancy.Breathe (Sheffield, England) · 2022
    Review
  11. Review
  12. Article
  13. Review
  14. The effect of Vitamin D and calcium plus Vitamin D on leg cramps in pregnant women: A randomized controlled trial.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2017
    Article
  15. Sleep-related movement disorders.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2012
    Review
  16. Article
  17. Magnesium in disease.Clinical kidney journal · 2012
    Article
  18. Article
  19. Nocturnal leg cramps.Current neurology and neuroscience reports · 2010
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

G L YoungBarn Croft Surgery, Temple Sowerby, Penrith, Cumbria, UK, CA10 1RZ. youngjckvg@compuserve.com
D Jewell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany women experience leg cramps in pregnancy. They become more common as pregnancy progresses and are especially troublesome at night.

objectivesThe objective of this review was to assess methods of preventing and treating leg cramps in pregnancy. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register (October 2001). SELECTION CRITERIA: Randomised trials of treatments for leg cramps in pregnancy. DATA COLLECTION AND ANALYSIS: Trial quality was assessed and data were extracted independently by two reviewers. MAIN

resultsFive trials involving 352 women were included. The trials were of moderate quality. The only placebo-controlled trial of calcium treatment showed no evidence of benefit. Trials comparing sodium chloride with placebo (odds ratio 0.54, 95% confidence interval 0.23 to 1.29) and calcium with sodium chloride (odds ratio 1.23, 95% confidence intervals 0.47 to 3.27 ) showed no evidence of benefit. Placebo controlled trials of multivitamin with mineral supplements (odds ratio 0.23, 95% confidence intervals 0.05 to 1.01) and magnesium (odds ratio 0.18, 95% confidence intervals 0.05 to 0.60) provided some suggestion of benefit. REVIEWER'S

conclusionsThe evidence that calcium reduces cramp is weak and seems to depend on placebo effect. The evidence for sodium chloride is stronger but the results of the sodium chloride trial may no longer be relevant because of dietary changes which include an increased sodium intake in the general population. It is not possible to recommend multivitamins with mineral supplementation, as it is not clear which ingredient, if any, is helping. If a woman finds cramp troublesome in pregnancy, the best evidence is for magnesium lactate or citrate taken as 5mmol in the morning and 10mmol in the evening.

Indexed as

LegFemaleHumansMuscle CrampPregnancyPregnancy Complications

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.