Evidence map›Paper›PMID 27670399›Full record

Trial reportObesity (Silver Spring, Md.)2016

One-year postpartum outcomes following a weight management intervention in pregnant women with obesity.

Kimberly K Vesco, Michael C Leo, Njeri Karanja, Matthew W Gillman, Cindy T McEvoy, Janet C King, Cara L Eckhardt, K Sabina Smith, Nancy Perrin, Victor J Stevens

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 8 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

35 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  4. A developmental cascade perspective of paediatric obesity: A systematic review of preventive interventions from infancy through late adolescence.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
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  5. Maternal obesity in pregnancy impacts offspring cardiometabolic health: Systematic review and meta-analysis of animal studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
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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

10 authors.

Kimberly K VescoCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA. kimberly.k.vesco@kpchr.org.
Michael C LeoCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Njeri KaranjaCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Matthew W GillmanObesity Prevention Program, Harvard Medical School/Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.
Cindy T McEvoyObesity Prevention Program, Oregon Health & Science University, Portland, Oregon, USA.
Janet C KingPediatric and Child Health Research Program, Children's Hospital Oakland Research Institute, Oakland, California, USA.
Cara L EckhardtSchool of Community Health, Portland State University, Portland, Oregon, USA.
K Sabina SmithCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Nancy PerrinCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Victor J StevensCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.

Funding

Weight management for improved pregnancy outcomesR01HD058061 · NICHD · KAISER FOUNDATION RESEARCH INSTITUTE · PI STEVENS, VICTOR J · 2009 to 2012
$2.4M
NICHD NIH HHS R01 HD058061
6 · The paper itself

Abstract

objectiveThis analysis was focused on 1-year maternal and infant follow-up of a randomized trial that tested a weight management intervention conducted during pregnancy.

methodsOne hundred fourteen women with obesity (mean BMI 36.7 kg/m(2) ) were randomly assigned at a mean of 15 weeks gestation to a weight management intervention or usual care control condition. The intervention ended at delivery and resulted in less gestational weight gain and a lower proportion of large-for-gestational-age newborns among intervention compared with control participants. The primary outcome at 12 months postpartum was maternal weight. Secondary outcomes included infant weight-for-age and weight-for-length z-scores.

resultsAt 1 year, mothers in the intervention group weighed 96.3 ± 18.6 kg and those in the control group 99.7 ± 19.2 kg. There was no significant difference between groups in change in weight from randomization to 1 year postpartum (b = -0.47, 95% CI: -4.03 to 3.08). There was a significant main effect of group for infant weight-for-age z-scores (b = -0.40, 95% CI: -0.75 to -0.05) but not infant weight-for-length z-scores (b = -0.20, 95% CI: -0.59 to 0.20).

conclusionsA gestational weight management intervention did not influence maternal weight or infant weight-for-length at 1 year postpartum. Future studies may be warranted to determine whether extending prenatal interventions into the postpartum period would be beneficial for maternal and infant outcomes.

Indexed as

AdultBody Mass IndexCounselingDietFemaleGestational AgeHumansInfant, NewbornMothersObesityPostnatal CarePregnancyPregnancy ComplicationsPrenatal CareTreatment OutcomeWeight Gain

Identifiers

PMID27670399
PMCPMC5084910

What OpenQuestion holds

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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.