Evidence map›Paper›PMID 25495459›Full record

Trial reportBMC pregnancy and childbirth2014

Use of a DVD to provide dietary and lifestyle information to pregnant women who are overweight or obese: a nested randomised trial.

Malgorzata A Szmeja, Courtney Cramp, Rosalie M Grivell, Andrea R Deussen, Lisa N Yelland, Jodie M Dodd

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 11% of its field
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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  11. Taking a patient-oriented approach in exercise interventions for pregnant women: a commentary.Canadian journal of public health = Revue canadienne de sante publique · 2021
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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

6 authors at 3 institutions in 1 country.

Malgorzata A SzmejaThe University of Adelaide, Discipline of Obstetrics & Gynaecology and The Robinson Research Institute, Women's & Children's Hospital, 72 King William Road, North Adelaide, South Australia, 5006, Australia. gosiaszmeja@gmail.com.
Courtney CrampThe University of Adelaide, Discipline of Obstetrics & Gynaecology and The Robinson Research Institute, Women's & Children's Hospital, 72 King William Road, North Adelaide, South Australia, 5006, Australia. courtney.cramp@adelaide.edu.au.
Rosalie M GrivellThe University of Adelaide, Discipline of Obstetrics & Gynaecology and The Robinson Research Institute, Women's & Children's Hospital, 72 King William Road, North Adelaide, South Australia, 5006, Australia. rosalie.grivell@adelaide.edu.au.
Andrea R DeussenThe University of Adelaide, Discipline of Obstetrics & Gynaecology and The Robinson Research Institute, Women's & Children's Hospital, 72 King William Road, North Adelaide, South Australia, 5006, Australia. andrea.deussen@adelaide.edu.au.
Lisa N YellandWomen's and Children's Health Research Institute, North Adelaide, South Australia, Australia. lisa.yelland@adelaide.edu.au.
Jodie M DoddThe University of Adelaide, Discipline of Obstetrics & Gynaecology and The Robinson Research Institute, Women's & Children's Hospital, 72 King William Road, North Adelaide, South Australia, 5006, Australia. jodie.dodd@adelaide.edu.au.
Women's and Children's Hospital · AUUniversity of Adelaide · AUWomen's & Children's Health Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe conducted a nested randomised trial to evaluate the effect of an educational DVD, providing information about healthy food choices and exercise during pregnancy, on diet and physical activity, among pregnant women who were overweight or obese.

methodsWe conducted a nested randomised trial within the context of the LIMIT randomised trial. Women were eligible with a singleton pregnancy between 10 and 20 weeks gestation, and body mass index at the time of their first antenatal appointment of ≥25 kg/m(2). All women who were randomised to the Lifestyle Advice Group of the LIMIT trial received a series of consultations with both research dieticians and research assistants, in addition to standard written dietary and exercise materials (Standard Materials Group). Women randomised to the DVD Group received the same consultations and written materials, and additionally received an educational DVD (DVD Group). The primary study outcome was the Healthy Eating Index. Other study outcomes included physical activity, and gestational weight gain. Women completed a qualitative evaluation of all the materials provided.

results1,108 women in the LIMIT Lifestyle Advice Group participated in the nested trial, with 543 women randomised to the DVD Group, and 565 women to the Standard Materials Group. Women who received the DVD compared with those who did not, had a higher mean Healthy Eating Index at 36 weeks gestation (73.6 vs 72.3; adjusted mean difference 1.2; 95% CI 0.2 to 2.3; p = 0.02), but not at 28 weeks gestation (73.2 vs 73.5; adjusted mean difference -0.1; 95% CI -1.1 to 0.9; p = 0.82). There were no statistically significant differences in physical activity or total gestational weight gain. While most women evaluated the materials positively, frequency of utilisation was poor.

conclusionsOngoing attention to the delivery of information is required, particularly with the increased use and availability of digital and multi-media interactive technologies.

trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12607000161426.

Indexed as

Pregnant PeopleAdultAustraliaBody Mass IndexEducation, NonprofessionalExerciseFemaleGestational AgeHumansLife StyleNew ZealandNutritionistsObesityOverweightPregnancyPregnancy Complications

Identifiers

PMID25495459
PMCPMC4280000
OpenAlexW2158899843

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.