Evidence map›Paper›PMID 32456614›Full record

ArticleBMC pregnancy and childbirth2020

Effectiveness of a therapeutic multiple-lifestyle intervention taking into account the periconceptional environment in the management of infertile couples: study design of a randomized controlled trial - the PEPCI study.

Charlotte Dupont, Philippe Aegerter, Aude-Marie Foucaut, Aymeric Reyre, François J Lhuissier, Marie Bourgain, Nathalie Chabbert-Buffet, Isabelle Cédrin-Durnerin, Lise Selleret, Emmanuel Cosson and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02961907 (Pathway Taking Into Account PeriConceptional Environment for Infertile Couple), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 19% 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.

NCT02961907 nacompletednot on this map

Pathway Taking Into Account PeriConceptional Environment for Infertile Couple

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2018 to 2021Enrolled48ConditionsInfertilityArmsPEPCI
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 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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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 5 institutions in 1 country.

Charlotte DupontSaint Antoine Research Center, INSERM équipe Lipodystrophies génétiques et acquises, Service de biologie de la reproduction-CECOS, AP-HP, Hôpital Tenon, Sorbonne Université, 4 rue de la Chine, F-75020, Paris, France. charlotte.dupont@aphp.fr.ORCID http://orcid.org/0000-0003-0402-4280
Philippe AegerterUnité de Recherche Clinique et Département de Santé Publique, Assistance Publique - Hôpitaux de Paris, Hôpital Ambroise Paré, Boulogne, France.
Aude-Marie FoucautUniversité Sorbonne Paris Nord, Laboratoire Educations et Pratiques de Santé, LEPS, UR 3412, F-93017, Bobigny, France.
Aymeric ReyreDepartment of Addiction Medicine and Psychiatry, APHP Avicenne University Hospital, Bobigny, France.
François J LhuissierUniversité Sorbonne Paris Nord, UMR INSERM 1272 Hypoxie et poumon, Bobigny, France.
Marie BourgainDepartment of Addiction Medicine and Psychiatry, APHP Avicenne University Hospital, Bobigny, France.
Nathalie Chabbert-BuffetService de Gynécologie-Obstétrique et Médecine de La Reproduction, APHP Hôpital Tenon, 4 Rue de La Chine, 75020, Paris, France.
Isabelle Cédrin-DurnerinAPHP Hôpital Jean verdier Service de médecine de la reproduction et préservation de la fertilité, avenue du 14-Juillet, 93143, Bondy, France.
Lise SelleretService de Gynécologie-Obstétrique et Médecine de La Reproduction, APHP Hôpital Tenon, 4 Rue de La Chine, 75020, Paris, France.
Emmanuel CossonParis 13 University, Sorbonne Paris Cité, Assistance Publique - Hôpitaux de Paris, Avicenne Hospital, Department of Endocrinology-Diabetology-Nutrition, CRNH-IdF, CINFO, Bobigny, France.
Rachel LévySaint Antoine Research Center, INSERM équipe Lipodystrophies génétiques et acquises, Service de biologie de la reproduction-CECOS, AP-HP, Hôpital Tenon, Sorbonne Université, 4 rue de la Chine, F-75020, Paris, France.
Inserm · FRSorbonne Université · FRAssistance Publique – Hôpitaux de Paris · FRConservatoire National des Arts et Métiers · FRUniversité Sorbonne Paris Nord · FR

Funding

Financial support: this study was supported by French national biomedical research PEPCI P140934
6 · The paper itself

Abstract

backgroundInfertility is defined as the inability to conceive after 12 months of unprotected intercourse. It affects approximately one in six couples seeking pregnancy in France or western countries. Many lifestyle factors of the couples' pre and peri-conceptional environment (weight, diet, alcohol, tobacco, coffee, drugs, physical activity, stress, sleep…) have been identified as risk factors for infertility in both males and females. The high prevalence rates of unhealthy diets and lifestyles in the reproductive population of industrialized countries are worrisome. Nevertheless, adoption of a healthy lifestyle may improve fertility but lifestyle changes are difficult to achieve and to maintain due notably to behavioral factors.

methodsConsequently, we decided to propose an interventional study aimed at improving the quality of life of infertile couples before the start of assisted reproductive technology treatment. It is a randomized controlled multicentre trial. Both members of the couples are involved in an integrated global care program (PEPCI for "Parcours Environnement PériConceptionnel en Infertilité") vs. usual care. This global intervention not only considers diet and/or physical activity but follows a holistic approach, including a multidisciplinary assessment to address complete physical, psychological and social well-being. According to patient needs, this includes interventions on weight, exercise, diet, alcohol and drugs, mental and social health. DISCUSSION: The main objective of trial is to demonstrate that periconceptional multidisciplinary care has a positive impact on reproductive functions. We will also focus on feasibility, acceptance, compliance and conditions of success of a multifaceted lifestyle intervention.

trial registrationThe trial was registered at ClinicalTrials.gov, Identifier: NCT02961907 on November 11, 2016.

Indexed as

Healthy LifestyleAdolescentAdultBody WeightDietExerciseFemaleFranceHumansInfertilityMaleMiddle AgedMulticenter Studies as TopicPregnancyPregnancy RateRandomized Controlled Trials as TopicCoupleEnvironmentFertilityInterventionLifestylePericonceptional

Identifiers

PMID32456614
PMCPMC7251692
OpenAlexW3031333130

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.