Evidence map›Paper›PMID 27449649›Full record

ArticleMaternal and child health journal2017

The Independent Importance of Pre-pregnancy Weight and Gestational Weight Gain for the Prevention of Large-for Gestational Age Brazilian Newborns.

Marco F Mastroeni, Sandra A Czarnobay, Caroline Kroll, Katherinne B W Figueirêdo, Silmara S B S Mastroeni, Jean C Silva, Mohammad K A Khan, Sarah Loehr, Paul J Veugelers

Abstract read
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In one paragraph

Article in Maternal and child health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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

9 authors.

Marco F MastroeniPost-graduation Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki, No 10, Joinville, SC, CEP 89.219-710, Brazil. marco.mastroeni@univille.br.ORCID 0000-0001-9276-8866
Sandra A CzarnobayPost-graduation Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki, No 10, Joinville, SC, CEP 89.219-710, Brazil.
Caroline KrollDepartment of Biological Sciences, University of Joinville Region, Rua Paulo Malschitzki, No 10, Joinville, SC, CEP 89.219-710, Brazil.
Katherinne B W FigueirêdoPost-graduation Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki, No 10, Joinville, SC, CEP 89.219-710, Brazil.
Silmara S B S MastroeniDepartment of Physical Education, University of Joinville Region, Rua Paulo Malschitzki, No 10, Joinville, SC, CEP 89.219-710, Brazil.
Jean C SilvaPost-graduation Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki, No 10, Joinville, SC, CEP 89.219-710, Brazil.
Mohammad K A KhanPopulation Health Intervention Research Unit, School of Public Health, University of Alberta, 3-50 University Terrace, 8303 - 112 St, Edmonton, AB, T6G 2T4, Canada.
Sarah LoehrPopulation Health Intervention Research Unit, School of Public Health, University of Alberta, 3-50 University Terrace, 8303 - 112 St, Edmonton, AB, T6G 2T4, Canada.
Paul J VeugelersPopulation Health Intervention Research Unit, School of Public Health, University of Alberta, 3-50 University Terrace, 8303 - 112 St, Edmonton, AB, T6G 2T4, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives To study the independent effect of pre-pregnancy weight, gestational weight gain (GWG), and other important risk factors on newborn birth weight. Methods Baseline data of 435 adult women and their singletons born between January and February 2012 at a public hospital in Brazil were used. Logistic regression was applied to determine the independent importance of pre-pregnancy weight and GWG for large for gestational age (LGA) newborns. Results Among all mothers, 37.9 % were overweight and obese before pregnancy and 45.3 % experienced excessive GWG. Among the newborns, 24.4 % were classified as LGA. Univariate analysis showed an association of family income, GWG, pre-pregnancy BMI and excessive GWG with LGA newborns. Smoking before and during pregnancy was associated with a decreased likelihood of giving birth to an LGA newborn compared to mothers who did not smoke. After adjustment for confounding variables, age at birth of first child, GWG, HbA1c and pre-pregnancy weight-GWG were significant and independent determinants of giving birth to an LGA newborn. Mothers with pre-pregnancy overweight and excessive GWG were more likely to deliver an LGA newborn (OR 2.54, P < 0.05) compared to mothers who were normal weight and experienced adequate GWG. Conclusions for Practice Age at first birth of child, GWG, HbA1c and pre-pregnancy overweight combined with excessive GWG are independent determinants of LGA newborns. The results of this study suggest that both primary prevention of overweight in women of childbearing age and management of GWG may be important strategies to reduce the number of LGA newborns and, consequently, the long-term public health burden of obesity.

Indexed as

Birth WeightPregnant PeopleWeight GainAdultBody Mass IndexBrazilFemaleFetal MacrosomiaHumansInfant, NewbornLogistic ModelsMaleMiddle AgedOverweightPregnancyRisk FactorsBirth weightGestational weight gainLarge-for-gestational-ageObesityPre-pregnancy weight

Identifiers

PMID27449649

What OpenQuestion holds

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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.