Evidence map›Paper›PMID 26104503›Full record

Trial reportBMC pregnancy and childbirth2015

The impact of an exercise intervention on C - reactive protein during pregnancy: a randomized controlled trial.

Marquis Hawkins, Barry Braun, Bess H Marcus, Edward Stanek, Glenn Markenson, Lisa Chasan-Taber

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00728377 (An Exercise Intervention to Prevent Recurrent GDM), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT00728377 nacompletednot on this map

An Exercise Intervention to Prevent Recurrent GDM

TypeinterventionalSponsorUniversity of Massachusetts, AmherstRan2007 to 2012Enrolled488ConditionsGestational DiabetesArmsPhysical activity, Heath & Wellness
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
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.

Marquis HawkinsDepartment of Biostatistics & Epidemiology, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, USA. mshawkins@schoolph.umass.edu.
Barry BraunDepartment of Kinesiology, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, USA. Barry.Braun@colostate.edu.
Bess H MarcusDepartment Family and Public Health, University of California San Diego School of Medicine, San Diego, CA, USA. bmarcus@ucsd.edu.
Edward StanekDepartment of Biostatistics & Epidemiology, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, USA. stanek@schoolph.umass.edu.
Glenn MarkensonBaystate Medical Center, Springfield, MA, USA. Glenn.Markenson@baystatehealth.org.
Lisa Chasan-TaberDepartment of Biostatistics & Epidemiology, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, USA. lct@schoolph.umass.edu.
University of Massachusetts Amherst · USBaystate Medical Center · USUC San Diego Health System · US

Funding

An Exercise Intervention to Prevent Recurrent GDMR01DK074876 · NIDDK · UNIVERSITY OF MASSACHUSETTS AMHERST · PI CHASAN-TABER, LISA · 2007 to 2011
$2.3M
NIDDK NIH HHS 1R01DK074876NIDDK NIH HHS R01 DK074876
6 · The paper itself

Abstract

backgroundC-reactive protein (CRP) during pregnancy has been associated with adverse maternal outcomes such as preeclampsia and gestational diabetes mellitus. Randomized trials suggest that exercise programs may be associated with reductions in CRP in non-pregnant populations; however, such studies have not been conducted among pregnant women. The purpose of this study was to evaluate the impact of an individually-tailored motivationally-matched exercise intervention on CRP in pregnant women.

methodsThe Behaviors Affecting Baby and You study was a randomized controlled trial of prenatal physical activity to prevent the development of gestational diabetes mellitus in women at increased risk. Women were randomized to either a 12-week exercise intervention (n = 84) or a comparison health and wellness intervention (n = 87). High sensitivity CRP (mg/dL) was measured using a commercial immunoassay kit. Physical activity was measured using the Pregnancy Physical Activity Questionnaire. Mixed model analyses were used to evaluate the impact of the intervention on change in CRP using an intent-to-treat approach.

resultsCRP decreased (-0.09 mg/dL, 95 % CI: -0.25, 0.07) from pre- to post-intervention in the exercise arm (p = 0.14) and increased (0.08 mg/dL, 95 % CI: -0.07, 0.24) (p = 0.64) in the health and wellness arm; however the between group difference was not statistically significant (p = 0.14). Findings did not differ according to ethnic group or pre-pregnancy body mass index. In a secondary analysis based on self-reported physical activity, women who decreased their time spent in sports/exercise experienced a mean increase in CRP (0.09 mg/dL, 95 % CI: -0.14, 0.33), whereas women who maintained or increased their sports/ exercise experienced a mean decrease in CRP (-0.08 mg/dL, 95 % CI: -0.23, 0.08) (p = 0.046).

conclusionsFindings from this randomized trial in an ethnically and socio-economically diverse population of pregnant women were consistent with a positive impact of the exercise intervention on CRP levels, but not of statistical significance. CLINICAL

trial registrationClinicalTrials.gov: NCT00728377 . Registered 2 August 2008.

Indexed as

ExerciseAdolescentAdultBiomarkersBody Mass IndexC-Reactive ProteinDiabetes, GestationalFemaleHealth BehaviorHumansMotivationPregnancyPrenatal CareSurveys and QuestionnairesYoung AdultBiomarkersC-Reactive Protein

Identifiers

PMID26104503
PMCPMC4479080
OpenAlexW1546698121

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.