Evidence map›Paper›PMID 30042471›Full record

Trial reportJournal of perinatology : official journal of the California Perinatal Association2018

Effect of a lifestyle intervention during pregnancy-findings from the Finnish gestational diabetes prevention trial (RADIEL).

Kristiina Rönö, Nora Elisabeth Grotenfelt, Miira Marjuska Klemetti, Beata Stach-Lempinen, Emilia Huvinen, Jelena Meinilä, Anita Valkama, Aila Tiitinen, Risto Paavo Roine, Maritta Pöyhönen-Alho and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Trial
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  6. Diabetes care · 2021
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  9. Review
  10. Article
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  12. Body Esteem and Self-Efficacy of Pregnant Women with Gestational Diabetes Mellitus.International journal of environmental research and public health · 2023
    Article
  13. Review
  14. Article
  15. Review
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  18. Observational
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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

15 authors.

Kristiina RönöObstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. kristiina.rono@helsinki.fi.ORCID 0000-0002-6344-1159
Nora Elisabeth GrotenfeltUnit of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Miira Marjuska KlemettiObstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Beata Stach-LempinenObstetrics and Gynecology, South Karelia Central Hospital, Lappeenranta, Finland.
Emilia HuvinenObstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Jelena MeiniläUnit of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Anita ValkamaUnit of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Aila TiitinenObstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Risto Paavo RoineDepartment of Health and Social Management, Research Centre for Comparative Effectiveness and Patient Safety, University of Eastern Finland, Kuopio, Finland.
Maritta Pöyhönen-AlhoObstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Sture AnderssonChildren's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Hannele LaivuoriMedical and Clinical Genetics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Hannu KautiainenUnit of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Johan Gunnar ErikssonUnit of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Saila Birgitta KoivusaloObstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of lifestyle counseling on perinatal outcomes among women at high risk for gestational diabetes. STUDY

designA total of 492 women with obesity and/or prior gestational diabetes were allocated to intervention (four sessions of lifestyle counseling, n = 249) or usual care (n = 243) before 20 weeks' gestation.

resultLifestyle indicators, gestational weight gain, or obstetric and perinatal outcomes did not differ between the two groups. An oral glucose tolerance test in the first half of pregnancy was pathological in 37.7% (n = 87/144) of intervention and 36.5% (n = 72/197) of control group women (p = 0.81). The total incidence of gestational diabetes diagnosed in the first or second half of pregnancy was 44.8% (107/239) in the intervention and 48.1% (111/231) in the control group (p = 0.48).

conclusionsThe high prevalence of impaired glucose metabolism was observed already in early pregnancy, which may have contributed to the lack of effect of the intervention.

Indexed as

Life StyleAdultCounselingDiabetes, GestationalFemaleFinlandGestational AgeGestational Weight GainGlucose Tolerance TestHumansLogistic ModelsObesityPregnancyPregnancy ComplicationsPrenatal Care

Identifiers

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.