Evidence map›Paper›PMID 29521721›Full record

ArticleMedicine and science in sports and exercise2018

Prepregnancy Fitness and Risk of Gestational Diabetes: A Longitudinal Analysis.

Kara M Whitaker, Katherine H Ingram, Duke Appiah, Wanda K Nicholson, Wendy L Bennett, Cora E Lewis, Jared P Reis, Pamela J Schreiner, Erica P Gunderson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Medicine and science in sports and exercise, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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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

9 authors.

Kara M WhitakerDepartment of Health and Human Physiology, University of Iowa, Iowa City, IA.
Katherine H IngramDepartment of Exercise Science and Sport Management, Kennesaw State University, Kennesaw, GA.
Duke AppiahDepartment of Public Health, Texas Tech University Health Sciences Center, Abilene, TX.
Wanda K NicholsonDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC.
Wendy L BennettDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Cora E LewisDivision of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Jared P ReisDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, MD.
Pamela J SchreinerDivision of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN.
Erica P GundersonDivision of Research, Kaiser Permanente Northern California, Oakland, CA.

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2013 to 2026
$19.5M
Cardiovascular Disease Epidemiology &Prevention TrngT32HL007779 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI PAMELA L. Lutsey, JAMES S PANKOW · 1994 to 2026
$9.3M
Lactation and Incidence of Diabetes Mellitus in CARDIA WomenR01DK090047 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2011 to 2014
$2.7M
Pregnancy-Related Risk Factors and Glucose Intolerance in Women during MidlifeR01DK106201 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2015 to 2018
$2.7M
Pregnancy and Risk Factors for CVD and Type 2 DiabetesK01DK059944 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2002 to 2006
$640k
NHLBI NIH HHS HHSN268200900041CNHLBI NIH HHS HHSN268201300025CNHLBI NIH HHS HHSN268201300026CNHLBI NIH HHS HHSN268201300027CNHLBI NIH HHS HHSN268201300028CNHLBI NIH HHS HHSN268201300029CNHLBI NIH HHS T32 HL007779NIDDK NIH HHS K01 DK059944NIDDK NIH HHS P30 DK079626NIDDK NIH HHS R01 DK090047NIDDK NIH HHS R01 DK106201
6 · The paper itself

Abstract

purposeThis study aimed to assess the associations of prepregnancy cardiorespiratory fitness, moderate- to vigorous-intensity physical activity (MVPA), and time spent watching television with subsequent development of gestational diabetes mellitus (GDM).

methodsParticipants were 1333 women enrolled in the Coronary Artery Risk Development in Young Adults study who did not have diabetes either at baseline (1985-86) or before births occurring after baseline. Baseline fitness was estimated using a graded symptom-limited maximal exercise treadmill test and expressed in MET units. Baseline MVPA (exercise units per day) was measured using the Coronary Artery Risk Development in Young Adults physical activity history questionnaire, and television viewing (h·d) was assessed by self-report in 1990-1991. Logistic regression analysis was used to derive odds ratios and 95% confidence intervals, adjusting for time from baseline to delivery and baseline study center, age, race, education, parity, family history of diabetes, smoking, alcohol, saturated fat intake, waist circumference, homeostasis model assessment of insulin resistance, and HDL cholesterol.

resultsOver 25 yr of follow-up, 164 women developed GDM. The odds of developing GDM were 21% lower for each 1 SD increment in baseline level of fitness (2.3 METs, odds ratio = 0.79, 95% confidence interval = 0.65-0.96). Prepregnancy MVPA and television viewing were not statistically associated with the development of GDM.

conclusionStudy findings indicate that objectively assessed prepregnancy fitness, but not self-reported MVPA or television time, is associated with GDM. Clinicians should counsel women on the benefits of improving fitness in the preconception period, particularly among women at greater risk for GDM.

Indexed as

Cardiorespiratory FitnessExerciseSedentary BehaviorAdultDiabetes, GestationalFemaleFollow-Up StudiesHumansLongitudinal StudiesPregnancyRisk FactorsSelf ReportTelevisionTime FactorsYoung Adult

Identifiers

PMID29521721
PMCPMC6047908

What OpenQuestion holds

Textmetadata
LicenceTDM
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.