Evidence map›Paper›PMID 24284438›Full record

Trial reportThe American journal of clinical nutrition2014

Does behavioral intervention in pregnancy reduce postpartum weight retention? Twelve-month outcomes of the Fit for Delivery randomized trial.

Suzanne Phelan, Maureen G Phipps, Barbara Abrams, Francine Darroch, Kelsey Grantham, Andrew Schaffner, Rena R Wing

2 registry-linked trialsAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of clinical nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 52 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing 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.

NCT01117961 phase3completednot on this map

Promoting Healthy Weight Gain During Pregnancy

TypeinterventionalSponsorThe Miriam HospitalRan2007 to 2012Enrolled401ConditionsWeight GainArmsLifestyle
NCT03146156 nacompletednot on this mapstarted 2017, after this paper: background citation

Lifestyle Intervention in Preparation for Pregnancy (LIPP)

TypeinterventionalSponsorTufts Medical CenterRan2017 to 2025Enrolled99ConditionsObesity, Lifestyle-related Condition, Macrosomia, FetalArmsLifestyle Intervention
3 · Its place in the literature

Who cites it

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

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  7. A Postpartum Weight Loss-focused Stepped-care Intervention in a Military Population: A Randomized Controlled Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Suzanne PhelanKinesiology Department (SP) and Statistics Department (AS and KG), California Polytechnic State University, San Luis Obispo, CA; the Warren Alpert Medical School, Department of Psychiatry and Human Behavior, and The Miriam Hospital, Weight Control and Diabetes Research Center, Brown University, Providence, RI (SP, RRW, and FD); the Department of Obstetrics and Gynecology and Women & Infants Hospital of Rhode Island, Division of Research, Warren Alpert Medical School, Brown University, Providence, RI (MGP); and the University of California, Berkeley, School of Public Health, Berkeley, CA (BA).
Maureen G Phipps
Barbara Abrams
Francine Darroch
Kelsey Grantham
Andrew Schaffner
Rena R Wing

Funding

Prevention of Postpartum Weight RetentionR01DK071667 · NIDDK · MIRIAM HOSPITAL · PI WING, RENA R · 2006 to 2009
$1.5M
NIDDK NIH HHS DK071667
6 · The paper itself

Abstract

backgroundExcessive weight gain during pregnancy is a risk factor for postpartum weight retention and future weight gain and obesity. Whether a behavioral intervention in pregnancy can reduce long-term weight retention is unknown.

objectiveThis randomized trial tested whether a low-intensity behavioral intervention to prevent excessive gestational weight gain could increase the proportion of women who returned to prepregnancy weight by 12 mo postpartum.

designWomen (n = 401, 13.5 wk of gestation, 50% normal weight, 50% overweight/obese) were randomly assigned into an intervention or control group; 79% completed the 12-mo assessment. The telephone-based intervention targeted gestational weight gain, healthy eating, and exercise and was discontinued at delivery.

resultsIn modified intent-to-treat analyses that excluded women with miscarriages (n = 6), gestational diabetes (n = 32), or subsequent pregnancies (n = 32), the intervention had no significant effect on the odds of achieving prepregnancy weight at 12 mo postpartum (n = 331; 35.4% compared with 28.1%; P = 0.18). Completer analyses suggested that the intervention tended to increase the percentages of women who reached prepregnancy weight (n = 261; 45.3% compared with 35.3%; P = 0.09) and significantly reduced the magnitude of mean ± SD postpartum weight retained (1.4 ± 6.3 compared with 3.0 ± 5.7 kg; P = 0.046) at 12 mo. Women in the intervention group reported higher dietary restraint through 6 mo postpartum (P = 0.023) and more frequent self-monitoring of body weight (P < 0.02 for all) throughout the study.

conclusionsA low-intensity behavioral intervention in pregnancy can reduce 12-mo postpartum weight retention and improve dietary restraint and self-weighing in study completers. Future research is needed to test the long-term effects of more intensive behavioral interventions in pregnancy. This trial was registered at clinicaltrials.gov as NCT01117961.

Indexed as

Feeding BehaviorAdolescentAdultBody Mass IndexDietExerciseFemaleFollow-Up StudiesHumansLife StyleLogistic ModelsObesityOverweightPilot ProjectsPostpartum PeriodPregnancy

Identifiers

PMID24284438
PMCPMC3893723

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.