Evidence map›Paper›PMID 31638920›Full record

Trial reportBMC pregnancy and childbirth2019

Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study.

Beth Murray-Davis, Lindsay Grenier, Stephanie A Atkinson, Michelle F Mottola, Olive Wahoush, Lehana Thabane, Feng Xie, Jennifer Vickers-Manzin, Caroline Moore, Eileen K Hutton

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01689961 (Be Healthy in Pregnancy), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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.

NCT01689961 nacompletednot on this map

Be Healthy in Pregnancy (BHIP) With Nutrition and Exercise

TypeinterventionalSponsorMcMaster UniversityRan2012 to 2019Enrolled242ConditionsPregnancy Complications, Weight GainArmsStructured + monitored nutrition and exercise intervention
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Beth Murray-DavisMcMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada. bmurray@mcmaster.ca.
Lindsay GrenierMcMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.
Stephanie A AtkinsonDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.
Michelle F MottolaR. Samuel McLaughlin Foundation- Exercise and Pregnancy Lab, School of Kinesiology, The University of Western Ontario, London, ON, Canada.
Olive WahoushGlobal Health, McMaster University, Hamilton, ON, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Feng XieDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Jennifer Vickers-ManzinPublic Health Services-Healthy Families, Healthy & Safe Communities, City of Hamilton, Hamilton, ON, Canada.
Caroline MooreDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.
Eileen K HuttonMcMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.
McMaster University · CAHamilton Health Sciences · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExcess gestational weight gain has long- and short-term implications for women and children, and postpartum weight retention is associated with an increased risk of long-term obesity. Despite the existence of dietary and exercise guidelines, many women struggle to return to pre-pregnancy weight. Experiences of women in tackling postpartum weight loss are poorly understood. We undertook this study to explore experiences related to nutrition, exercise and weight in the postpartum in women in Ontario, Canada.

methodsThis was a nested qualitative study within The Be Healthy in Pregnancy Study, a randomized controlled trial. Women randomized to the control group were invited to participate. Semi-structured focus groups were conducted at 4-6 months postpartum. Focus groups were audio recorded, transcribed verbatim, coded and analyzed thematically using a constructivist grounded theory approach.

resultsWomen experienced a complex relationship with their body image, due to unrealistic expectations related to their postpartum body. Participants identified barriers and enablers to healthy habits during pregnancy and postpartum. Gestational weight gain guidelines were regarded as unhelpful and unrealistic. A lack of guidance and information about weight management, healthy eating, and exercise in the postpartum period was highlighted.

conclusionStrategies for weight management that target the unique characteristics of the postpartum period have been neglected in research and in patient counselling. Postpartum women may begin preparing for their next pregnancy and support during this period could improve their health for subsequent pregnancies.

trial registrationNCT01689961 registered September 21, 2012.

Indexed as

Grounded TheoryQualitative ResearchAdultExerciseExercise TherapyFemaleFollow-Up StudiesHumansIncidenceNutritional StatusObesityOntarioPostpartum PeriodPregnancyPrenatal CareRetrospective StudiesBody imageExerciseGestational weight gainGuidelines for gestational weight gainNutritionPostpartum weight retentionPostpartum womenWeight loss

Identifiers

PMID31638920
PMCPMC6805669
OpenAlexW2981449467

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.