Evidence map›Paper›PMID 27743975›Full record

ReviewThe lancet. Diabetes & endocrinology2016

Preconceptional and maternal obesity: epidemiology and health consequences.

Lucilla Poston, Rishi Caleyachetty, Sven Cnattingius, Camila Corvalán, Ricardo Uauy, Sharron Herring, Matthew W Gillman

Abstract readReview
PubMed Publisher
In one paragraph

Review in The lancet. Diabetes & endocrinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 564 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
564citing papers in PubMed, 10 pooled it
68.0field-weighted citation impact, top 1% 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

564 citing papers in PubMed, 10 syntheses or guidelines pooled it, 1,077 citations in OpenAlex.

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  4. Validity of non-traditional measures of obesity compared to total body fat across the life course: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  11. Predictors of Infection after Cesarean Delivery.American journal of perinatology · 2026
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504 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 4 countries.

Lucilla PostonDivision of Women's Health, Faculty of Life Sciences and Medicine, King's College London, London, UK. Electronic address: lucilla.poston@kcl.ac.uk.
Rishi CaleyachettyInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Sven CnattingiusDepartment of Medicine Solna, Karolinska Universitetssjukhuset, Stockholm, Sweden.
Camila CorvalánInstitute of Nutrition and Food Technology, University of Chile, Santiago, Chile.
Ricardo UauyDivision of Pediatrics, Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Chile; Center for Obesity Research and Education, Departments of Medicine and Public Health, Temple University, Philadelphia, PA, USA.
Sharron HerringCenter for Obesity Research and Education, Departments of Medicine and Public Health, Temple University, Philadelphia, PA, USA.
Matthew W GillmanOffice of the Director, Environmental Influences on Child Health Outcomes (ECHO), National Institutes of Health, Rockville, MD, USA.
Karolinska University Hospital · SEKing's College London · GBOffice of the Director · USPontificia Universidad Católica de Chile · CLTemple University · USUniversity of Birmingham · GBUniversity of Chile · CL

Funding

Community-based obesity treatment in African American women after childbirth: a randomized controlled trial of WIC mothersR01HL130816 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI HERRING, SHARON J · 2016 to 2020
$3.7M
Department of Health RP-PG-0407-10452Medical Research Council MR/L002477/1NHLBI NIH HHS R01 HL130816
6 · The paper itself

Abstract

Obesity in women of reproductive age is increasing in prevelance worldwide. Obesity reduces fertility and increases time taken to conceive, and obesity-related comorbidities (such as type 2 diabetes and chronic hypertension) heighten the risk of adverse outcomes for mother and child if the woman becomes pregnant. Pregnant women who are obese are more likely to have early pregnancy loss, and have increased risk of congenital fetal malformations, delivery of large for gestational age infants, shoulder dystocia, spontaneous and medically indicated premature birth, and stillbirth. Late pregnancy complications include gestational diabetes and pre-eclampsia, both of which are associated with long-term morbidities post partum. Women with obesity can also experience difficulties during labour and delivery, and are more at risk of post-partum haemorrhage. Long-term health risks are associated with weight retention after delivery, and inherent complications for the next pregnancy. The wellbeing of the next generation is also compromised. All these health issues could be avoided by prevention of obesity among women of reproductive age, which should be viewed as a global public health priority. For women who are already obese, renewed efforts should be made towards improved management during pregnancy, especially of blood glucose, and increased attention to post-partum weight management. Effective interventions, tailored to ethnicity and culture, are needed at each of these stages to improve the health of women and their children in the context of the global obesity epidemic.

Indexed as

Abortion, SpontaneousDelivery, ObstetricFemaleFertilityHumansObesityPostpartum PeriodPregnancyPregnancy ComplicationsPremature BirthPrevalence

Identifiers

PMID27743975
OpenAlexW2530915685

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.