Trial reportBMC pediatrics2013
Pragmatic controlled trial to prevent childhood obesity in maternity and child health care clinics: pregnancy and infant weight outcomes (the VACOPP Study).
Trial report in BMC pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00970710 (Vaasa Childhood Obesity Primary Prevention Study), which is not on this map. Cited by 14 papers, 5 of them syntheses that pooled 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.
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.
Vaasa Childhood Obesity Primary Prevention Study
Who cites it
14 citing papers in PubMed, 5 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Addressing obesity in the first 1000 days in high risk infants: Systematic review.Maternal & child nutrition · 2021Pooled it
- Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019Pooled it
- Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review.BMC pregnancy and childbirth · 2017Pooled it
- Interventions for Childhood Obesity in the First 1,000 Days A Systematic Review.American journal of preventive medicine · 2016Pooled it
- Inclusion of Sleep Promotion in Family-Based Interventions To Prevent Childhood Obesity.Childhood obesity (Print)Pooled it
- A pragmatic controlled trial to prevent childhood obesity within a risk group at maternity and child health-care clinics: results up to six years of age (the VACOPP study).BMC pediatrics · 2018Trial
- Three-year follow-up of a randomised controlled trial to reduce excessive weight gain in the first two years of life: protocol for the POI follow-up study.BMC public health · 2016Trial
- Physical Activity during Pregnancy and Childhood Obesity: Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Association between physical activity education and prescription during prenatal care and maternal and fetal health outcomes: a quasi-experimental study.BMC pregnancy and childbirth · 2023Article
- A Lifestyle Intervention During Pregnancy and Its Effects on Child Weight 2.5 Years Later.Maternal and child health journal · 2022Article
- Prenatal Education Intervention for Increasing Knowledge and Changing Attitude Toward Offspring Obesity Risk Factors.The Journal of perinatal education · 2022Article
- Obesity prevention and the role of hospital and community-based health services: a scoping review.BMC health services research · 2019Article
- Parent and Clinician Perspectives on Sustained Behavior Change after a Prenatal Obesity Program: A Qualitative Study.Childhood obesity (Print) · 2017Article
- Infant Growth following Maternal Participation in a Gestational Weight Management Intervention.Childhood obesity (Print) · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccording to current evidence, the prevention of obesity should start early in life. Even the prenatal environment may expose a child to unhealthy weight gain; maternal gestational diabetes is known to be among the prenatal risk factors conducive to obesity. Here we report the effects of antenatal dietary and physical activity counselling on pregnancy and infant weight gain outcomes.
methodsThe study was a non-randomised controlled pragmatic trial aiming to prevent childhood obesity, the setting being municipal maternity health care clinics. The participants (n = 185) were mothers at risk of developing gestational diabetes mellitus and their offspring. The children of the intervention group mothers were born between 2009 and 2010, and children of the control group in 2008. The intervention started between 10-17 gestational weeks and consisted of individual counselling on diet and physical activity by a public health nurse, and two group counselling sessions by a dietician and a physiotherapist. The expectant mothers also received a written information leaflet to motivate them to breastfeed their offspring for at least 6 months. We report the proportion of mothers with pathological glucose tolerance at 26-28 weeks' gestation, the mother's gestational weight gain (GWG) and newborn anthropometry. Infant weight gain from 0 to 12 months of age was assessed as weight-for-length standard deviation scores (SDS) and mixed effect linear regression models.
resultsIntervention group mothers had fewer pathological oral glucose tolerance test results (14.6% vs. 29.2%; 95% CI 8.9 to 23.0% vs. 20.8 to 39.4%; p-value 0.016) suggesting that the intervention improved gestational glucose tolerance. Mother's GWG, newborn anthropometry or infant weight gain did not differ significantly between the groups.
conclusionSince the intervention reduced the prevalence of gestational diabetes mellitus, it may have the potential to diminish obesity risk in offspring. However, results from earlier studies suggest that the possible effect on the offspring's weight gain may manifest only later in childhood.
trial registrationClinical Trials gov: NCT00970710.
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