Evidence map›Paper›PMID 26657945›Full record

Trial reportDiabetes care2016

The Comparative Effectiveness of Diabetes Prevention Strategies to Reduce Postpartum Weight Retention in Women With Gestational Diabetes Mellitus: The Gestational Diabetes' Effects on Moms (GEM) Cluster Randomized Controlled Trial.

Assiamira Ferrara, Monique M Hedderson, Susan D Brown, Cheryl L Albright, Samantha F Ehrlich, Ai-Lin Tsai, Bette J Caan, Barbara Sternfeld, Nancy P Gordon, Julie A Schmittdiel and 6 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 7 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.

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

104 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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44 more citing papers are in PubMed but not listed here.

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

16 authors.

Assiamira FerraraDivision of Research, Kaiser Permanente Northern California, Oakland, CA assiamira.ferrara@kp.org.
Monique M HeddersonDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Susan D BrownDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Cheryl L AlbrightSchool of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI.
Samantha F EhrlichDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Ai-Lin TsaiDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Bette J CaanDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Barbara SternfeldDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Nancy P GordonDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Julie A SchmittdielDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Erica P GundersonDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Ashley A MeviDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
William H HermanDivision of Metabolism, Endocrinology & Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
Jenny ChingDivision of Perinatology, Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Santa Clara, CA.
Yvonne CritesDivision of Perinatology, Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Santa Clara, CA.
Charles P QuesenberryDivision of Research, Kaiser Permanente Northern California, Oakland, CA.

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mehboob A Hussain · 2013 to 2026
$24.3M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Comparative effectiveness of diabetes prevention strategies in women with GDMR01HS019367 · AHRQ · KAISER FOUNDATION RESEARCH INSTITUTE · PI FERRARA, ASSIAMIRA · 2010 to 2010
$8.5M
Translational Diebetes Prevention in GDMR18DK067334 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI FERRARA, ASSIAMIRA · 2006 to 2014
$3.7M
Physical Activity in Pregnancy for Intergenerational Obesity PreventionK01DK105106 · NIDDK · UNIVERSITY OF TENNESSEE KNOXVILLE · PI EHRLICH, SAMANTHA F · 2015 to 2021
$782k
Engaging At-Risk Minority Women in Health System Diabetes Prevention ProgramsK01DK099404 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI BROWN, SUSAN DENISE · 2014 to 2017
$643k
AHRQ HHS R01 HS019367AHRQ HHS R01-HS-019367NIDDK NIH HHS K01 DK099404NIDDK NIH HHS K01-DK-099404NIDDK NIH HHS K01 DK105106NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK092924NIDDK NIH HHS P30-DK-092924NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R18 DK067334NIDDK NIH HHS R18-DK-067334
6 · The paper itself

Abstract

objectiveTo compare the effectiveness of diabetes prevention strategies addressing postpartum weight retention for women with gestational diabetes mellitus (GDM) delivered at the health system level: mailed recommendations (usual care) versus usual care plus a Diabetes Prevention Program (DPP)-derived lifestyle intervention. RESEARCH DESIGN AND

methodsThis study was a cluster randomized controlled trial of 44 medical facilities (including 2,280 women with GDM) randomized to intervention or usual care. The intervention included mailed gestational weight gain recommendations plus 13 telephone sessions between 6 weeks and 6 months postpartum. Primary outcomes included the following: proportion meeting the postpartum goals of 1) reaching pregravid weight if pregravid BMI <25.0 kg/m(2) or 2) losing 5% of pregravid weight if BMI ≥25.0 kg/m(2); and pregravid to postpartum weight change.

resultsOn average, over the 12-month postpartum period, women in the intervention had significantly higher odds of meeting weight goals than women in usual care (odds ratio [OR] 1.28 [95% CI 1.10, 1.47]). The proportion meeting weight goals was significantly higher in the intervention than usual care at 6 weeks (25.5 vs. 22.4%; OR 1.17 [1.01, 1.36]) and 6 months (30.6 vs. 23.9%; OR 1.45 [1.14, 1.83]). Condition differences were reduced at 12 months (33.0 vs. 28.0%; OR 1.25 [0.96, 1.62]). At 6 months, women in the intervention retained significantly less weight than women in usual care (mean 0.39 kg [SD 5.5] vs. 0.95 kg [5.5]; mean condition difference -0.64 kg [95% CI -1.13, -0.14]) and had greater increases in vigorous-intensity physical activity (mean condition difference 15.4 min/week [4.9, 25.8]).

conclusionsA DPP-derived lifestyle intervention modestly reduced postpartum weight retention and increased vigorous-intensity physical activity.

Indexed as

Behavior TherapyDiabetes, GestationalPostpartum PeriodAdultBody Mass IndexCluster AnalysisDiabetes MellitusFemaleHumansLife StyleMiddle AgedPregnancyRisk Reduction BehaviorWeight LossYoung Adult

Identifiers

PMID26657945
PMCPMC4686847

What OpenQuestion holds

Textmetadata
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.