Evidence map›Paper›PMID 30230252›Full record

SynthesisObesity (Silver Spring, Md.)2018

Lifestyle Interventions Limit Gestational Weight Gain in Women with Overweight or Obesity: LIFE-Moms Prospective Meta-Analysis.

Alan M Peaceman, Rebecca G Clifton, Suzanne Phelan, Dympna Gallagher, Mary Evans, Leanne M Redman, William C Knowler, Kaumudi Joshipura, Debra Haire-Joshu, Susan Z Yanovski and 11 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Obesity (Silver Spring, Md.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 6 pooled it
15.0field-weighted citation impact, top 1% 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

109 citing papers in PubMed, 6 syntheses or guidelines pooled it, 162 citations in OpenAlex.

  1. Patient and public involvement in randomized trials of lifestyle intervention among pregnant women with obesity: An umbrella review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  14. A Postpartum Weight Loss-focused Stepped-care Intervention in a Military Population: A Randomized Controlled Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
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49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 12 institutions in 3 countries.

Alan M PeacemanDepartment of Obstetrics and Gynecology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Rebecca G CliftonThe Biostatistics Center, George Washington University, Washington, DC, USA.
Suzanne PhelanDepartment of Kinesiology, California Polytechnic State University, San Luis Obispo, California, USA.
Dympna GallagherNew York Obesity Research Center, Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Mary EvansNational Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland, USA.
Leanne M RedmanPennington Biomedical Research Center, Baton Rouge, Louisiana, USA.
William C KnowlerDiabetes Epidemiology and Clinical Research Section, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, Arizona, USA.
Kaumudi JoshipuraCenter for Clinical Research and Health Promotion, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico.
Debra Haire-JoshuCenter for Diabetes Translation Research, Washington University in St. Louis, St. Louis, Missouri, USA.
Susan Z YanovskiNational Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland, USA.
Kimberly A CouchPhoenix Indian Medical Center, Indian Health Service, Phoenix, Arizona, USA.
Kimberly L DrewsThe Biostatistics Center, George Washington University, Washington, DC, USA.
Paul W FranksDepartment of Clinical Sciences, Genetic and Molecular Epidemiology Unit, Lund University, Skåne University Hospital Malmö, Malmö, Sweden.
Samuel KleinCenter for Human Nutrition, Washington University in St. Louis, St. Louis, Missouri, USA.
Corby K MartinPennington Biomedical Research Center, Baton Rouge, Louisiana, USA.
Xavier Pi-SunyerNew York Obesity Research Center, Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Elizabeth A ThomThe Biostatistics Center, George Washington University, Washington, DC, USA.
Linda Van HornDepartment of Preventive Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Rena R WingDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School at Brown University, Providence, Rhode Island, USA.
Alison G CahillDepartment of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri, USA.
LIFE‐Moms Research Group
George Washington University · USNational Institute of Diabetes and Digestive and Kidney Diseases · USColumbia University · USNorthwestern University · USPennington Biomedical Research Center · USWashington University in St. Louis · USBrown University · USCalifornia Polytechnic State University · USIndian Health Service · USLund University · SEUniversity of Missouri–St. Louis · USUniversity of Puerto Rico, Medical Sciences Campus · PR

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
RESEARCH TRAININGP30DK026687 · NIDDK · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI Anthony W Ferrante, DYMPNA GALLAGHER · 1986 to 2026
$33.0M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
Hispanics in Research Capability: SoHP & SOM Partnership (HIREC)S21MD001830 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ELIAS BONETA, AUGUSTO R, ESTAPE, ESTELA S · 2005 to 2010
$30.0M
Research BaseP30DK072476 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Sujoy Ghosh · 2005 to 2026
$26.5M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., WOJNA, VALERIE · 2012 to 2018
$23.2M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Weight Management in Obese Pregnant Underserved African American WomenU01DK094416 · NIDDK · WASHINGTON UNIVERSITY · PI CAHILL, ALISON G, HAIRE-JOSHU, DEBRA · 2011 to 2017
$5.3M
Lifestyle Interventions in Overweight and Obese Pregnant WomenU01DK094463 · NIDDK · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI GALLAGHER, DYMPNA, PI-SUNYER, XAVIER · 2011 to 2017
$5.3M
Maternal-Offspring Metabolics: Family Intervention Trial (MOMFIT)U01HL114344 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PEACEMAN, ALAN M, VAN HORN, LINDA VERNER · 2011 to 2017
$4.9M
NCATS NIH HHS UL1 TR002345NCRR NIH HHS UL1 RR024992NHLBI NIH HHS U01 HL114344NHLBI NIH HHS U01 HL114377NICHD NIH HHS U01 HD072834NIDDK NIH HHS P30 DK026687NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK072476NIDDK NIH HHS P30 DK092950NIDDK NIH HHS U01 DK094416NIDDK NIH HHS U01 DK094418NIDDK NIH HHS U01 DK094463NIDDK NIH HHS U01 DK094466NIGMS NIH HHS U54 GM104940NIMHD NIH HHS S21 MD001830NIMHD NIH HHS U54 MD007587
6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the effects of varied lifestyle intervention programs designed to ameliorate excess gestational weight gain (GWG) in pregnant women with overweight or obesity compared with standard care, including effects on pregnancy outcomes.

methodsSeven clinical centers conducted separate randomized clinical trials to test different lifestyle intervention strategies to modify GWG in diverse populations. Eligibility criteria, specific outcome measures, and assessment procedures were standardized across trials. The results of the separate trials were combined using an individual-participant data meta-analysis.

resultsFor the 1,150 women randomized, the percent with excess GWG per week was significantly lower in the intervention group compared with the standard care group (61.8% vs. 75.0%; odds ratio [95% CI]: 0.52 [0.40 to 0.67]). Total GWG from enrollment to 36 weeks' gestation was also lower in the intervention group (8.1 ± 5.2 vs. 9.7 ± 5.4 kg; mean difference: -1.59 kg [95% CI:-2.18 to -0.99 kg]). The results from the individual trials were similar. The intervention and standard care groups did not differ in preeclampsia, gestational diabetes, cesarean delivery, or birth weight.

conclusionsBehavioral lifestyle interventions focusing primarily on diet and physical activity among women with overweight and obesity resulted in a significantly lower proportion of women with excess GWG. This modest beneficial effect was consistent across diverse intervention modalities in a large, racially and socioeconomically diverse US population of pregnant women.

Indexed as

Life StyleAdultDiabetes ComplicationsFemaleGestational Weight GainHumansObesityOverweightPregnancyProspective StudiesRisk Factors

Identifiers

PMID30230252
PMCPMC6148360
OpenAlexW2891994906

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.