Evidence map›Paper›PMID 27894316›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2016

Dietary patterns in obese pregnant women; influence of a behavioral intervention of diet and physical activity in the UPBEAT randomized controlled trial.

Angela C Flynn, Paul T Seed, Nashita Patel, Suzanne Barr, Ruth Bell, Annette L Briley, Keith M Godfrey, Scott M Nelson, Eugene Oteng-Ntim, Sian M Robinson and 6 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 5% 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

45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.

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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

16 authors at 10 institutions in 1 country.

Angela C FlynnDivision of Women's Health, King's College London, 10th Floor North Wing, St. Thomas' Hospital, London, UK.
Paul T SeedDivision of Women's Health, King's College London, 10th Floor North Wing, St. Thomas' Hospital, London, UK.
Nashita PatelDivision of Women's Health, King's College London, 10th Floor North Wing, St. Thomas' Hospital, London, UK.
Suzanne BarrDepartment of Cardiovascular Medicine, Imperial College London, London, UK.
Ruth BellInstitute of Health & Society Newcastle University, UK Baddiley-Clark Building Richardson Road, Newcastle upon Tyne, UK.
Annette L BrileyDivision of Women's Health, King's College London, 10th Floor North Wing, St. Thomas' Hospital, London, UK.
Keith M GodfreyMRC Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Mailpoint 95, Southampton, UK.
Scott M NelsonSchool of Medicine, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, Glasgow, UK.
Eugene Oteng-NtimGuys and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London, UK.
Sian M RobinsonMRC Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Mailpoint 95, Southampton, UK.
Thomas A SandersDivision of Diabetes and Nutritional Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, London, UK.
Naveed SattarInstitute of Cardiovascular and Medical Sciences, RC214 Level C2, British Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Jane WardleHealth Behaviour Research Centre, Institute of Epidemiology and Health, University College London, 1-19 Torrington Place, London, UK.
Lucilla PostonDivision of Women's Health, King's College London, 10th Floor North Wing, St. Thomas' Hospital, London, UK.
Louise M GoffDivision of Diabetes and Nutritional Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, London, UK. louise.goff@kcl.ac.uk.
UPBEAT consortium
King's College London · GBBritish Heart Foundation · GBGuy's and St Thomas' NHS Foundation Trust · GBImperial College London · GBMRC Lifecourse Epidemiology Unit · GBNewcastle University · GBNIHR Southampton Biomedical Research Centre · GBSt Thomas' Hospital · GBUniversity College London · GBUniversity of Glasgow · GB

Funding

British Heart Foundation RG/15/17/31749Chief Scientist Office CZB/4/680Department of Health RP-PG-0407-10452Medical Research Council MC_U147574218Medical Research Council MC_U147574222Medical Research Council MC_U147574226Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/2Medical Research Council MC_UU_12011/4Medical Research Council MR/L002477/1
6 · The paper itself

Abstract

backgroundUnderstanding dietary patterns in obese pregnant women will inform future intervention strategies to improve pregnancy outcomes and the health of the child. The aim of this study was to investigate the effect of a behavioral intervention of diet and physical activity advice on dietary patterns in obese pregnant woman participating in the UPBEAT study, and to explore associations of dietary patterns with pregnancy outcomes.

methodsIn the UPBEAT randomized controlled trial, pregnant obese women from eight UK multi-ethnic, inner-city populations were randomly assigned to receive a diet/physical activity intervention or standard antenatal care. The dietary intervention aimed to reduce glycemic load and saturated fat intake. Diet was assessed using a food frequency questionnaire (FFQ) at baseline (15

resultsFour distinct baseline dietary patterns were defined; Fruit and vegetables, African/Caribbean, Processed, and Snacks, which were differently associated with social and demographic factors. The UPBEAT intervention significantly reduced the Processed (-0.14; 95% CI -0.19, -0.08, P <0.0001) and Snacks (-0.24; 95% CI -0.31, -0.17, P <0.0001) pattern scores. In the adjusted model, baseline scores for the African/Caribbean (quartile 4 compared with quartile 1: OR = 2.46; 95% CI 1.41, 4.30) and Processed (quartile 4 compared with quartile 1: OR = 2.05; 95% CI 1.23, 3.41) patterns in the entire cohort were associated with increased risk of gestational diabetes.

conclusionsIn a diverse cohort of obese pregnant women an intensive dietary intervention improved Processed and Snack dietary pattern scores. African/Caribbean and Processed patterns were associated with an increased risk of gestational diabetes, and provide potential targets for future interventions.

trial registrationCurrent controlled trials; ISRCTN89971375.

Indexed as

Behavior TherapyDietExerciseFeeding BehaviorAdultDiabetes, GestationalFast FoodsFemaleGestational AgeHumansObesityPregnancyPregnancy ComplicationsPregnancy OutcomePrenatal CareSnacksDietary patternsGestational diabetesObesityPregnancy

Identifiers

PMID27894316
PMCPMC5126873
OpenAlexW2558151641

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.