Evidence map›Paper›PMID 25208549›Full record

SynthesisBMC pregnancy and childbirth2014

Systematic review of the effect of individual and combined nutrition and exercise interventions on weight, adiposity and metabolic outcomes after delivery: evidence for developing behavioral guidelines for post-partum weight control.

Alexander Arkin Berger, Rachel Peragallo-Urrutia, Wanda K Nicholson

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05518604 (Pregnancy, Active Duty and Weight Loss), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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.

NCT05518604 narecruitingnot on this mapstarted 2024, after this paper: background citation

Pregnancy, Active Duty and Weight Loss (PADaWL) Study: A Randomized Controlled Trial Assessing the Effect of Dietary Intervention on Postpartum Weight Loss in Active Duty Women

TypeinterventionalSponsorTripler Army Medical CenterRan2024 to 2027Enrolled74ConditionsWeight Loss, Postpartum Weight RetentionArmsCounseling with goal of modifying eating behaviors
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  4. Be HealthInternational journal of environmental research and public health · 2020
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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

3 authors.

Alexander Arkin Berger
Rachel Peragallo-Urrutia
Wanda K NicholsonDepartment of Obstetrics & Gynecology, Division of Women's Primary Health, 3027 Old Clinic Building, CB # 7570, Chapel Hill, NC, USA. wknichol@med.unc.edu.

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
A Transgenerational e-Intervention for Gestational Diabetics and their OffspringR21DK095189 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLSON, WANDA K · 2013 to 2014
$418k
NIDDK NIH HHS 1R21DK095189-01A1NIDDK NIH HHS P30 DK056350NIDDK NIH HHS R21 DK095189
6 · The paper itself

Abstract

backgroundPost-partum weight retention contributes to the risk of chronic obesity and metabolic alterations. We conducted a systematic review of randomized controlled trials (RCTs) on the effect of post-partum nutrition and exercise interventions on weight loss and metabolic outcomes. DATA SOURCES: Four electronic databases were searched from inception to January, 2012. Two investigators reviewed titles and abstracts, performed data abstraction on full articles and assessed study quality.

methodsWe included RCTs comparing nutrition, exercise or combined nutrition and exercise interventions with a control condition. Thirteen studies met our inclusion criteria (N = 1,310 participants). Data were abstracted on study characteristics, intervention components, enrollment period, and length of follow-up. Outcomes of interest included weight, adiposity, cardio-metabolic measures (glucose, lipids) and obesity-related inflammatory markers.

resultsNine trials compared combined interventions to standard post-partum care; three trials assessed the effect of exercise interventions, one trial evaluated a nutrition-only intervention. Four good quality RCTs on combined interventions had inconsistent findings, with the larger RCT (N = 450) reporting no difference in weight between groups. Four fair-to good quality RCTs reported greater weight loss in the combined intervention group vs. standard care, ranging from 0.17 kg to 4.9 kg. Results from exercise only interventions were inconclusive. Evidence for nutrition only interventions was insufficient. There was insufficient evidence for the effect of post-partum interventions on metabolic risk factors and inflammatory biomarkers.

conclusionsCombined nutrition and exercise interventions can achieve weight loss, but evidence is limited due to a small number of trials and limitations in study design.

Indexed as

ExerciseGuidelines as TopicHealth BehaviorPostnatal CareWeight Reduction ProgramsAdiposityBiomarkersBlood GlucoseBody WeightDiet, ReducingEvidence-Based MedicineHumansInflammationLipidsRandomized Controlled Trials as TopicBiomarkersBlood GlucoseLipids

Identifiers

PMID25208549
PMCPMC4176850

What OpenQuestion holds

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LicenceCC BY
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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.