Evidence map›Paper›PMID 31872340›Full record

Trial reportInternational journal of behavioral medicine2020

Sequential Introduction of Exercise First Followed by Nutrition Improves Program Adherence During Pregnancy: a Randomized Controlled Trial.

Taniya S Nagpal, Harry Prapavessis, Christina G Campbell, Barbra de Vrijer, Roberta Bgeginski, Karishma Hosein, Stephanie Paplinskie, Mollie Manley, Michelle F Mottola

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

NCT02804061 nacompletednot on this map

Strategizing the Best Approach to Prevent Early Excessive Gestational Weight Gain Using a Nutrition and Exercise Lifestyle Intervention Program (NELIP)

TypeinterventionalSponsorWestern University, CanadaRan2016 to 2021Enrolled142ConditionsExcessive Weight Gain in Pregnancy, First Trimester, Excessive Weight Gain in Pregnancy With Baby Delivered, Birth WeightArmsNELIP
NCT06187675 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Participant Choice Approach to Improve Adherence and Investigate Pregnancy Outcomes to Lifestyle Interventions

TypeinterventionalSponsorWestern University, CanadaRan2024 to 2029Enrolled120ConditionsLifestyle, Healthy, Pregnancy Related, Adherence, Treatment, Nutrition, HealthyArmsNutrition and Exercise Lifestyle Intervention Program
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
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

9 authors.

Taniya S NagpalR. Samuel McLaughlin Foundation-Exercise and Pregnancy Laboratory, University of Western Ontario, 2245, 3-M Centre, London, Ontario, N6A 3K7, Canada.
Harry PrapavessisSchool of Kinesiology, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
Christina G CampbellDepartment of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA.
Barbra de VrijerChildren's Health Research Institute, University of Western Ontario, London, Ontario, Canada.
Roberta BgeginskiR. Samuel McLaughlin Foundation-Exercise and Pregnancy Laboratory, University of Western Ontario, 2245, 3-M Centre, London, Ontario, N6A 3K7, Canada.
Karishma HoseinR. Samuel McLaughlin Foundation-Exercise and Pregnancy Laboratory, University of Western Ontario, 2245, 3-M Centre, London, Ontario, N6A 3K7, Canada.
Stephanie PaplinskieR. Samuel McLaughlin Foundation-Exercise and Pregnancy Laboratory, University of Western Ontario, 2245, 3-M Centre, London, Ontario, N6A 3K7, Canada.
Mollie ManleyR. Samuel McLaughlin Foundation-Exercise and Pregnancy Laboratory, University of Western Ontario, 2245, 3-M Centre, London, Ontario, N6A 3K7, Canada.
Michelle F MottolaR. Samuel McLaughlin Foundation-Exercise and Pregnancy Laboratory, University of Western Ontario, 2245, 3-M Centre, London, Ontario, N6A 3K7, Canada. mmottola@uwo.ca.ORCID http://orcid.org/0000-0002-8707-4656

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdhering to nutrition and exercise recommendations simultaneously during pregnancy may be challenging. The purpose was to examine adherence to the sequential introduction of nutrition and exercise behaviors during pregnancy in comparison with a simultaneous approach.

methodA randomized controlled trial including nutrition and exercise was executed. Using a stratified body mass index (BMI) randomization, participants (n = 88) were allocated to one of three groups at 12-18 weeks gestation. Group A received nutrition and exercise simultaneously. Group B received nutrition first and Group C received exercise first, and the second behavior was added at 25 weeks gestation for both groups. The program included weekly weighing, supervised walking sessions, and/or nutrition counseling. Adherence (primary outcome) was measured by scoring women on meeting the intervention goals (3 nutrition and 3 exercise goals) and converted to a percentage. Secondary health outcomes were gestational weight gain (GWG) and excessive GWG on the program, birthweight, macrosomia (birthweight > 4000 g), and low birthweight (birthweight < 2500 g).

resultsGroup C (n = 23) had the highest adherence to the program (80.2 ± 14.7%) compared with Groups A (n = 17; 60.9 ± 17.9%) and B (n = 20; 66.8 ± 16.7%; p < 0.05, η

conclusionIntroducing exercise first followed by nutrition at 25 weeks gestation can improve adherence to multiple behavior change programs and thus have a positive effect on health outcomes.

trial registrationClinicalTrials.gov Identifier: NCT02804061.

Indexed as

ExerciseWeight GainAdultBody Mass IndexCounselingFemaleHumansPregnancyPregnancy ComplicationsAdherenceBehavior changeExerciseGestational weight gainNutritionPregnancy

Identifiers

PMID31872340

What OpenQuestion holds

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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.