Evidence map›Paper›PMID 30621673›Full record

Trial reportBMC public health2019

Cost-effectiveness and quality of life of a diet intervention postpartum: 2-year results from a randomized controlled trial.

Lars Hagberg, Anna Winkvist, Hilde K Brekke, Fredrik Bertz, Else Hellebö Johansson, Ena Huseinovic

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01949558 (From Efficacy to Effectiveness), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

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

NCT01949558 nacompletednot on this map

From Efficacy to Effectiveness: Randomized Controlled Trial of Lifestyle Intervention Postpartum Among Overweight and Obese Women Within Primary Health Care in the Vastra Gotaland Region

TypeinterventionalSponsorGöteborg UniversityRan2012 to 2017Enrolled110ConditionsOverweight, ObesityArmsDietary Intervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  3. Guideline
  4. Trial
  5. Trial
  6. Article
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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

6 authors.

Lars HagbergCentre for Health Care Science, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Anna WinkvistDepartment of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Box 459, SE-405 30, Gothenburg, Sweden.
Hilde K BrekkeDepartment of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Box 459, SE-405 30, Gothenburg, Sweden.
Fredrik BertzDepartment of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Box 459, SE-405 30, Gothenburg, Sweden.
Else Hellebö JohanssonNärhälsan, Research and Development Primary Health Care, Region Västra Götaland, Borås, Sweden.
Ena HuseinovicDepartment of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Box 459, SE-405 30, Gothenburg, Sweden. ena.huseinovic@gu.se.ORCID http://orcid.org/0000-0001-5498-4699

Funding

Forskningsrådet för Arbetsliv och Socialvetenskap 2011-0193Stiftelsen Längmanska Kulturfonden BA18-0279
6 · The paper itself

Abstract

backgroundPregnancy has been identified as a contributor to obesity. We have shown that a diet intervention postpartum produced a 2-y weight loss of 8%. Here, we present the impact of the diet intervention on cost-effectiveness and explore changes in quality of life (QOL).

methodsA total of 110 postpartum women with overweight/obesity were randomly assigned to diet (D-group) or control (C-group). D-group received a 12-wk diet intervention within primary health care followed by monthly emails up to the 1-y follow-up. C-group received a brochure. Changes in QOL were measured using the 36-item Short Form Health Survey and EQ-5D. The analysis of cost-effectiveness was a cost-utility analysis with a health care perspective and included costs of intervention for stakeholder, quality-adjusted life-years (QALYs) gained and savings in health care. The likelihood of cost-effectiveness was examined using the net monetary benefit method.

resultsThe D-group increased their QOL more than the C-group at 12 wk. and 1 y, with pronounced differences for the dimensions general health and mental health, and the mental component summary score (all p < 0.05). Cost per gained QALY was 1704-7889 USD. The likelihood for cost-effectiveness, based on a willingness to pay 50,000 USD per QALY, was 0.77-1.00.

conclusionsA diet intervention that produced clinically relevant postpartum weight loss also resulted in increased QOL and was cost-effective.

trial registrationClinical trials, NCT01949558 , 2013-09-24.

Indexed as

Postpartum PeriodQuality of LifeAdultCost-Benefit AnalysisFemaleFollow-Up StudiesHumansObesityPrimary Health CareProgram EvaluationQuality-Adjusted Life YearsSwedenTreatment OutcomeWeight Reduction ProgramsCost-effectivenessPostpartumPrimary health careQuality of lifeWeight loss

Identifiers

PMID30621673
PMCPMC6325882

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Registered trials

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.