Evidence map›Paper›PMID 29047402›Full record

ArticleBMC pregnancy and childbirth2017

Associations of physical activity and sedentary behavior during pregnancy with gestational diabetes mellitus among Asian women in Singapore.

Natarajan Padmapriya, Jonathan Y Bernard, Shen Liang, See Ling Loy, Shirong Cai, Iris Shen Zhe, Kenneth Kwek, Keith M Godfrey, Peter D Gluckman, Seang Mei Saw and 4 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Gestational Diabetes Mellitus in Southeast Asia: A Scoping Review.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Ethnic Disparities in Gestational Diabetes.Current diabetes reports · 2018
    Review
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

14 authors.

Natarajan PadmapriyaDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. obgnp@nus.edu.sg.ORCID http://orcid.org/0000-0002-6077-6316
Jonathan Y BernardSingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
Shen LiangBiostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
See Ling LoyKK Women's and Children's Hospital, Singapore, Singapore.
Shirong CaiDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Iris Shen ZheDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Kenneth KwekKK Women's and Children's Hospital, Singapore, Singapore.
Keith M GodfreyMedical Research Council Lifecourse Epidemiology Unit, Southampton, UK.
Peter D GluckmanSingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
Seang Mei SawSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Yap-Seng ChongDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jerry Kok Yen ChanKK Women's and Children's Hospital, Singapore, Singapore.
Falk Müller-RiemenschneiderSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
GUSTO Study Group

Funding

British Heart Foundation RG/15/17/31749Medical Research Council MC_U147574222Medical Research Council MC_U147574226Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/4Medical Research Council MR/J000094/1
6 · The paper itself

Abstract

backgroundFew studies have investigated physical activity (PA) and sedentary behavior (SB) in relation to fasting (FG) and 2-h postprandial plasma glucose (2hPG) levels and gestational diabetes mellitus (GDM); we investigated these associations among Asian pregnant women.

methodsAs part of the Growing Up in Singapore Towards healthy Outcomes cohort study, PA and SB (sitting and television times) were assessed by interviewer-administered questionnaire. During 75 g oral glucose tolerance tests at 26-28 weeks' gestation we measured FG, 2hPG levels and GDM (FG ≥ 7.0 mmol/L and/or 2hPG ≥ 7.8 mmol/L). Associations were analysed by multiple linear and logistic regression.

resultsAmong the 1083 women studied, 18.6% had GDM. SB was not associated with FG, 2hPG and GDM. Higher categories of PA were associated with lower 2hPG and a lower likelihood of GDM (p-trend < 0.05), but not with FG levels. Compared to insufficiently active women, highly active women had lower 2hPG levels [β (95% CI): -0.32 (-0.59, -0.05), p = 0.020) and were less likely to have GDM [OR: 0.56 (0.32-0.98), p = 0.040]. Stratified analysis revealed no associations among under/normal-weight women, but significant associations among overweight/obese women; in those with BMI ≥23 kg/m

conclusionHigher PA was associated with lower 2hPG levels and a lower prevalence of GDM, particularly in overweight/obese women. Further studies are warranted to confirm these findings, and to examine the effectiveness of PA promotion strategies for the prevention of gestational hyperglycemia.

Indexed as

ExerciseSedentary BehaviorAdultAsian PeopleBlood GlucoseCohort StudiesDiabetes, GestationalFastingFemaleGlucose Tolerance TestHumansLinear ModelsLogistic ModelsOverweightPostprandial PeriodPregnancyBlood GlucoseGestational diabetes mellitusMaternal glucose levelsPhysical activityPregnancySedentary behavior

Identifiers

PMID29047402
PMCPMC5648496

What OpenQuestion holds

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LicenceCC BY
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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.