Evidence map›Paper›PMID 32348280›Full record

Trial reportJMIR mHealth and uHealth2020

A Pedometer-Guided Physical Activity Intervention for Obese Pregnant Women (the Fit MUM Study): Randomized Feasibility Study.

Jai N Darvall, Andrew Wang, Mohamed Nusry Nazeem, Cheryce L Harrison, Lauren Clarke, Chennelle Mendoza, Anna Parker, Benjamin Harrap, Glyn Teale, David Story and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  10. Feasibility and user acceptability of BreezingSmart health (Amsterdam, Netherlands) · 2023
    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

11 authors at 4 institutions in 1 country.

Jai N DarvallDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Melbourne, Australia.ORCID 0000-0003-0579-8931
Andrew WangMelbourne Medical School, University of Melbourne, Melbourne, Australia.ORCID 0000-0001-9133-3182
Mohamed Nusry NazeemMelbourne Medical School, University of Melbourne, Melbourne, Australia.ORCID 0000-0003-2144-9635
Cheryce L HarrisonMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.ORCID 0000-0002-3154-4946
Lauren ClarkeDepartment of Physiotherapy, Western Health, Melbourne, Australia.ORCID 0000-0002-1541-9723
Chennelle MendozaDepartment of Physiotherapy, Western Health, Melbourne, Australia.ORCID 0000-0002-3427-7070
Anna ParkerCentre for Integrated Critical Care, University of Melbourne, Melbourne, Australia.ORCID 0000-0003-3120-9707
Benjamin HarrapMelbourne Epicentre, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-0889-6214
Glyn TealeDepartment of Women's and Children's Services, Western Health, Melbourne, Australia.ORCID 0000-0002-6304-0849
David StoryCentre for Integrated Critical Care, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-6479-1310
Elizabeth HessianDepartment of Anaesthesia and Pain Management, Western Health, Melbourne, Australia.ORCID 0000-0002-1759-7750
The University of Melbourne · AUWestern Health · AUMonash University · AUThe Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity in pregnancy is a growing problem worldwide, with excessive gestational weight gain (GWG) occurring in the majority of pregnancies. This significantly increases risks to both mother and child. A major contributor to both prepregnancy obesity and excessive GWG is physical inactivity; however, past interventions targeting maternal weight gain and activity levels during the antenatal period have been ineffective in women who are already overweight. Pedometer-guided activity may offer a novel solution for increasing activity levels in this population.

objectiveThis initial feasibility randomized controlled trial aimed to test a pedometer-based intervention to increase activity and reduce excessive GWG in pregnant women.

methodsWe supplied 30 pregnant women with obesity a Fitbit Zip pedometer and randomized them into 1 of 3 groups: control (pedometer only), app (pedometer synced to patients' personal smartphone, with self-monitoring of activity), or app-coach (addition of a health coach-delivered behavioral change program). Feasibility outcomes included participant compliance with wearing pedometers (days with missing pedometer data), data syncing, and data integrity. Activity outcomes (step counts and active minutes) were analyzed using linear mixed models and generalized estimating equations.

resultsA total of 30 participants were recruited within a 10-week period, with a dropout rate of 10% (3/30; 2 withdrawals and 1 stillbirth); 27 participants thus completed the study. Mean BMI in all groups was ≥35 kg/m

conclusionsActivity data syncing with a personal smartphone is feasible in a cohort of pregnant women with obesity. However, our results do not support a future definitive study in its present form. Recruitment and retention rates were adequate, as was activity data syncing to participants' smartphones. A follow-up interventional trial seeking to reduce GWG and improve activity in this population must focus on improving compliance with activity data recording and behavioral interventions delivered.

trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12617000038392; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370884.

Indexed as

ActigraphyPregnant PeopleAustraliaChildExerciseFeasibility StudiesFemaleHumansNew ZealandObesityPregnancyPregnancy Complicationsgestational weight gainlifestyle interventionmaternal obesitypedometerpregnancy

Identifiers

PMID32348280
PMCPMC7284400
OpenAlexW3006498090

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.