Evidence map›Paper›PMID 30621789›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2019

Preconception lifestyle intervention reduces long term energy intake in women with obesity and infertility: a randomised controlled trial.

T M van Elten, M D A Karsten, A Geelen, R J B J Gemke, H Groen, A Hoek, M N M van Poppel, T J Roseboom

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Preconception lifestyle advice for people with infertility.The Cochrane database of systematic reviews · 2021
    Pooled it
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  8. Review
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  10. Article
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  13. Review
  14. Lifestyle Interventions for Adults with Infertility.Journal of lifestyle medicine · 2022
    Review
  15. The importance of nutrition in pregnancy and lactation: lifelong consequences.American journal of obstetrics and gynecology · 2022
    Review
  16. Review
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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

8 authors at 6 institutions in 2 countries.

T M van EltenDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, VU University medical centre, de Boelelaan 1117, Amsterdam, The Netherlands. t.vanelten@vumc.nl.ORCID 0000-0002-7677-8973
M D A KarstenDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, University of Amsterdam, Academic Medical Centre, Meibergdreef 9, Amsterdam, The Netherlands. m.d.a.karsten@umcg.nl.
A GeelenDivision of Human Nutrition, Wageningen University & Research, Wageningen, The Netherlands.
R J B J GemkeAmsterdam Public Health Research Institute, Amsterdam, The Netherlands.
H GroenDepartment of Epidemiology, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
A HoekDepartment of Obstetrics and Gynaecology, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
M N M van PoppelDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, VU University medical centre, de Boelelaan 1117, Amsterdam, The Netherlands.
T J RoseboomDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, University of Amsterdam, Academic Medical Centre, Meibergdreef 9, Amsterdam, The Netherlands.
University Medical Center Groningen · NLAmsterdam University Medical Centers · NLPublic Health Service of Amsterdam · NLUniversity of Graz · ATVrije Universiteit Amsterdam · NLWageningen University & Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe preconceptional period may be an optimal window of opportunity to improve lifestyle. We previously showed that a 6 month preconception lifestyle intervention among women with obesity and infertility was successful in decreasing the intake of high caloric snacks and beverages, increasing physical activity and in reducing weight in the short term. We now report the effects of the preconception lifestyle intervention on diet, physical activity and body mass index (BMI) at 5.5 years (range = 3.7-7.0 years) after the intervention.

methodsWe followed women who participated in the LIFEstyle study, a multicentre RCT in which women with obesity and infertility were assigned to a six-month lifestyle intervention program or prompt infertility treatment (N = 577). Diet and physical activity 5.5 years later were assessed with an 173-item food frequency questionnaire (N = 175) and Actigraph triaxial accelerometers (N = 155), respectively. BMI was calculated from self-reported weight and previously measured height (N = 179). Dietary intake, physical activity, and BMI in the intervention and control group were compared using multivariate regression models. Additionally, dietary intake, physical activity and BMI of women allocated to the intervention arm with successful weight loss during the intervention (i.e. BMI < 29 kg/m

resultsAlthough BMI did not differ between the intervention and control group 5.5 years after the intervention (- 0.5 kg/m

conclusionsIn our study population, a preconception lifestyle intervention led to reduced energy intake 5.5 years later. Additionally, women allocated to the intervention group who were successful in losing weight during the intervention also had a lower BMI at follow-up. This shows the potential sustainable effect of a preconception lifestyle intervention.

trial registrationThis trial was registered on 16 November 2008 in the Dutch trial register; clinical trial registry number NTR1530 .

Indexed as

Energy IntakeLife StylePreconception CareWeight LossAdultBehavior TherapyBody Mass IndexBody WeightDietExerciseFemaleHealth PromotionHumansInfertilityObesityYoung AdultAccelerometersDietDiet qualityLifestyle intervention programLong term follow-upObesityPhysical activityWeight loss

Identifiers

PMID30621789
PMCPMC6325811
OpenAlexW2909134495

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.