Evidence map›Paper›PMID 26228253›Full record

ArticleBMC pregnancy and childbirth2015

Physical activity, depressed mood and pregnancy worries in European obese pregnant women: results from the DALI study.

Linda de Wit, Judith G M Jelsma, Mireille N M van Poppel, Annick Bogaerts, David Simmons, Gernot Desoye, Rosa Corcoy, Alexandra Kautzky-Willer, Jürgen Harreiter, Andre van Assche and 16 more

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 9% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  4. Associations of Mediterranean diet with psychological ill-being and well-being throughout the pregnancy course: The GESTAFIT project.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Trial
  5. Effectiveness of Metformin in the Prevention of Gestational Diabetes Mellitus in Obese Pregnant Women.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018
    Trial
  6. Physical activity level and its associated factors among pregnant women: A cross-sectional study in northern Jordan.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
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  14. Physical Activity in High-Risk Pregnancies.Journal of clinical medicine · 2022
    Article
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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

26 authors at 15 institutions in 9 countries.

Linda de WitDepartment of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, 1081BT, Amsterdam, The Netherlands. lindadewit88@gmail.com.
Judith G M JelsmaDepartment of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, 1081BT, Amsterdam, The Netherlands. j.jelsma@vumc.nl.
Mireille N M van PoppelDepartment of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, 1081BT, Amsterdam, The Netherlands. mnm.vanpoppel@vumc.nl.
Annick BogaertsDepartment of Healthcare Research, PHL University College, Limburg Catholic University College, Hasselt, Belgium. annick.bogaerts@ucll.be.
David SimmonsInstitute of Metabolic Science, Addenbrookes Hospital, Cambridge, UK. dsworkster@gmail.com.
Gernot DesoyeDepartment of Obstetrics and Gynecology, Medizinische Universität Graz, Graz, Austria. gernot.desoye@medunigraz.at.
Rosa CorcoyInstitut de Recerca de L'Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. rcorcoy@santpau.cat.
Alexandra Kautzky-WillerMedical University of Vienna, Vienna City, Austria. alexandra.kautzky-willer@meduniwien.ac.
Jürgen HarreiterMedical University of Vienna, Vienna City, Austria. juergen.harreiter@meduniwien.ac.at.
Andre van AsscheKU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium. andre.vanassche@uzkuleuven.be.
Roland DevliegerKU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium. roland.devlieger@uzleuven.be.
Dirk TimmermanKU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium. dirk.timmerman@uz.kuleuven.ac.be.
David HillRecherche en Santé Lawson SA, Bronschhofen, Switzerland. david.hill@lhrionhealth.ca.
Peter DammUniversity Hospital of Copenhagen - Rigshospitalet, Copenhagen, Denmark. peter.damm@regionh.dk.
Elisabeth R MathiesenUniversity Hospital of Copenhagen - Rigshospitalet, Copenhagen, Denmark. elisabeth.mathiesen@regionh.dk.
Ewa Wender-OzegowskaAkademia Medyczna im Karola Marcinkowskiego, Poznan, Poland. ewozegow@ump.edu.pl.
Agnieszka ZawiejskaAkademia Medyczna im Karola Marcinkowskiego, Poznan, Poland. agazaw@post.home.pl.
Pablo RebolloBAP Health Outcomes Research SL, Oviedo, Spain. pablo@baphealth.com.
Annunziata LapollaUniversita Degli Studi di Padova, Padova, Italy. annunziata.lapolla@sanita.padova.it.
Maria G DalfràUniversita Degli Studi di Padova, Padova, Italy. mariagrazia.dalfra@sanita.padova.it.
Stefano Del PratoUniversità di Pisa, Pisa, Italy. stefano.delprato@med.unipi.it.
Alessandra BertolottoUniversità di Pisa, Pisa, Italy. a.bertolotto@ao-pisa.toscana.it.
Fidelma DunneNational University of Ireland, Galway, Ireland. fidelma.dunne@nuigalway.ie.
Dorte M JensenOdense University Hospital, Odense, Denmark. dortemj@dadlnet.dk.
Liselotte AndersenOdense University Hospital, Odense, Denmark. ll.torvin@dadlnet.dk.
Frank J SnoekDepartment of Medical Psychology, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands. fj.snoek@vumc.nl.
KU Leuven · BEAkademia Muzyczna im. Ignacego Jana Paderewskiego w Poznaniu · PLEMGO Institute for Health and Care Research · NLMedical University of Vienna · ATOdense University Hospital · DKRigshospitalet · DKUniversity of Padua · ITUniversity of Pisa · ITAcademic Medical Center · NLAddenbrooke's Hospital · GBHospital de Sant Pau · ESMedical University of Graz · ATOllscoil na Gaillimhe – University of Galway · IEUniversity Colleges Leuven-Limburg · BEUniversity of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to examine the association between mental health status (i.e. depressed mood and pregnancy-related worries) and objectively measured physical activity levels in obese pregnant women from seven European countries.

methodsBaseline data from the vitamin D and lifestyle intervention for the prevention of gestational diabetes mellitus (DALI) study were used. Time spent in moderate-to-vigorous physical activity (MVPA) and sedentary behaviour was measured with accelerometers. Depressed mood was measured with the WHO well-being index (WHO-5) and pregnancy-related worries with the Cambridge Worry Scale (CWS). In addition, socio-demographic characteristics, lifestyle factors, and perceptions and attitude regarding weight management and physical activity were measured. Linear regression analyses were performed to assess the association of mental health status with MVPA and sedentary behaviour.

resultsA total of 98 obese pregnant women from Austria, Belgium, Ireland, Italy, Poland, Spain and the Netherlands were included. Women had a mean age of 31.6 ± 5.8 years, a pre-pregnancy BMI of 34.1 ± 4.3 kg/m(2), and were on average 15.4 ± 2.8 weeks pregnant. WHO-5 scores indicative of depressed mood (<50) were reported by 27.1 % of the women and most frequently endorsed pregnancy-related worries pertained to own and the baby's health. Women with good well-being spent 85% more time in MVPA compared to women with a depressed mood (P = 0.03). No differences in MVPA levels were found for women with no, some, or many pregnancy worries. Depressed mood and pregnancy-related worries were not associated with sedentary behaviour.

conclusionsThese findings suggest that in pregnant women who are obese, a depressed mood, but not pregnancy-related worries, may be associated with less physical activity. The combined risk of poor mental health and low physical activity levels makes women vulnerable for pregnancy complications. Whether a depressed mood may be a barrier for improving physical activity warrants further study.

Indexed as

Motor ActivitySedentary BehaviorAccelerometryAdultAnxietyAttitude to HealthAustriaBelgiumDenmarkDepressionEuropeExerciseFemaleHumansIrelandItaly

Identifiers

PMID26228253
PMCPMC4521453
OpenAlexW1957114815

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.