Evidence map›Paper›PMID 28332106›Full record

ArticleDigestive diseases and sciences2017

Inadequate Gestational Weight Gain Predicts Adverse Pregnancy Outcomes in Mothers with Inflammatory Bowel Disease: Results from a Prospective US Pregnancy Cohort.

May-Bente Bengtson, Christopher F Martin, Geir Aamodt, Morten H Vatn, Uma Mahadevan

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.7field-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

17 citing papers in PubMed, 43 citations in OpenAlex.

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  13. Pregnancy Outcomes of Patients Exposed to Adalimumab in Japan.Digestive diseases (Basel, Switzerland) · 2019
    Article
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  16. Monitoring inflammatory bowel disease during pregnancy: Current literature and future challenges.World journal of gastrointestinal pharmacology and therapeutics · 2018
    Review
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

May-Bente BengtsonEpiGen-Institute, Faculty Division Akershus and University of Oslo, Lørenskog, Norway. maybente.bengtson@gmail.com.
Christopher F MartinDivision of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Geir AamodtNorwegian University of Life Sciences, P.O. Box 5003, 1432, Ås, Norway.
Morten H VatnEpiGen-Institute, Faculty Division Akershus and University of Oslo, Lørenskog, Norway.
Uma MahadevanDivision of Gastroenterology, University of California, San Francisco, CA, USA.
Akershus University Hospital · NONorwegian University of Life Sciences · NOUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · USUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition and weight loss are common features of patients with inflammatory bowel disease (IBD).

aimTo explore the impact of inadequate gestational weight gain (GWG) on adverse outcomes among IBD mothers in the prospective US pregnancy in Inflammatory Bowel Disease and Neonatal Outcomes (PIANO) cohort.

methodsThe PIANO cohort comprises 559 and 363 pregnant mothers with Crohn's disease (CD) and ulcerative colitis (UC), respectively, enrolled between 2006 and 2014. The mothers were followed during and after pregnancy to ascertain medication, measurement of disease activity and complications during pregnancy and at delivery. Inadequate GWG was based on US Institute of Medicine recommendations. The associations between inadequate GWG and adverse pregnancy outcomes in maternal IBD were analyzed, adjusted for diabetes, hypertension, smoking, maternal age, education, and disease activity.

resultsMaternal CD and UC with inadequate GWG had a 2.5-fold increased risk of preterm birth (OR 2.5, CI 1.3, 4.9 and OR 2.5, CI 1.2, 5.6). Furthermore, an increased risk of intrauterine growth restriction and a trend for small for gestational age were demonstrated in CD but not in UC (OR 3.3, CI 1.1, 10.0, OR 4.5, CI 0.8, 24.3, p = 0.08). Flares increased risk of inadequate GWG (OR 1.6, CI 1.2, 2.3, p = 0.002) but did not change the associations between inadequate GWG and adverse pregnancy outcomes in our models.

conclusionThe US PIANO cohort demonstrated that inadequate GWG was a strong independent predictor of adverse pregnancy outcomes in IBD mothers.

Indexed as

Pregnancy OutcomeWeight GainAdultColitis, UlcerativeCrohn DiseaseDisease ProgressionFemaleHumansPregnancyPregnancy ComplicationsPremature BirthProspective StudiesRisk FactorsUnited StatesAdverse pregnancy outcomeDisease activityIBDInadequate gestational weight gainPIANO cohort

Identifiers

PMID28332106
OpenAlexW2597712618

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.