Evidence map›Paper›PMID 27154477›Full record

ArticleBMJ open2016

Positive lifestyle changes around the time of pregnancy: a cross-sectional study.

Linda M O'Keeffe, Darren L Dahly, Marion Murphy, Richard A Greene, Janas M Harrington, Paul Corcoran, Patricia M Kearney

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

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

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

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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

7 authors.

Linda M O'KeeffeMRC Integrative Epidemiology Unit at the University of Bristol, School of Social and Community Medicine, Bristol, UK Department of Epidemiology and Public Health, University College Cork, Cork, Ireland.
Darren L DahlyDepartment of Epidemiology and Public Health, University College Cork, Cork, Ireland HRB Clinical Research Facility Cork, Mercy University Hospital, Cork, Ireland.
Marion MurphyDepartment of Epidemiology and Public Health, University College Cork, Cork, Ireland School of Medicine, University College Cork, Cork, Ireland.
Richard A GreeneNational Perinatal Epidemiology Centre, Cork University Maternity Hospital, Cork, Ireland.
Janas M HarringtonDepartment of Epidemiology and Public Health, University College Cork, Cork, Ireland.
Paul CorcoranDepartment of Epidemiology and Public Health, University College Cork, Cork, Ireland National Perinatal Epidemiology Centre, Cork University Maternity Hospital, Cork, Ireland.
Patricia M KearneyDepartment of Epidemiology and Public Health, University College Cork, Cork, Ireland.

Funding

Medical Research Council MR/M014509/1
6 · The paper itself

Abstract

objectivesTo examine the prevalence of positive lifestyle behaviours before and during pregnancy in Ireland.

designCross-sectional study.

settingPopulation-based study in Ireland.

participantsA total of 718 women of predominantly Caucasian origin from the Pregnancy Risk Assessment Monitoring System (PRAMS), Ireland, were included. PRIMARY AND SECONDARY OUTCOME MEASURES: Positive lifestyle behaviour changes before and during pregnancy in Ireland on alcohol consumption, smoking, folate use and nutrition.

resultsOf 1212 women surveyed, 718 (59%) responded. 26% were adherent to all three recommendations on alcohol consumption, smoking and folate use before pregnancy. This increased to 39% for the same three behaviours during pregnancy, with greater increases in adherence observed among women with the lowest adherence before pregnancy. Age, education and ethnicity gaps in adherence before pregnancy appeared to narrow during pregnancy. Adherence to all seven food pyramid guidelines was less than 1% overall, and less than 1% of participants met all four micronutrient guidelines on vitamin D, folate, calcium and iron intake around the time of pregnancy.

conclusionsLow levels of healthy lifestyle behaviours before pregnancy and low levels of positive lifestyle behaviours during pregnancy demonstrate an urgent need for increased clinical and public health efforts to target deleterious health behaviours before, during and after pregnancy.

Indexed as

Health BehaviorPregnant PeopleAdultAlcohol DrinkingCross-Sectional StudiesFemaleFolic AcidHealth SurveysHumansIrelandMaternal BehaviorMaternal Nutritional Physiological PhenomenaPatient CompliancePopulation SurveillancePregnancyPrevalenceFolic AcidVitamin B ComplexalcoholbehavioursEPIDEMIOLOGYNUTRITION & DIETETICSpregnancysmoking

Identifiers

PMID27154477
PMCPMC4861121

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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.