Evidence map›Paper›PMID 37704956›Full record

ArticleBMC public health2023

Barriers and facilitators for sustainable weight loss in the pre-conception period among Danish women with overweight or obesity - a qualitative study.

Majken Lillholm Pico, Louise Groth Grunnet, Christina Anne Vinter, Jens Aagaard-Hansen, Karoline Kragelund Nielsen

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Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–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

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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

10 citing papers in PubMed, 2 syntheses or guidelines 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

5 authors.

Majken Lillholm PicoHealth Promotion Research, Steno Diabetes Center Copenhagen, 2730, Herlev, Denmark. Majken.lillholm.pico@regionh.dk.
Louise Groth GrunnetClinical Research, Steno Diabetes Center Copenhagen, 2730, Herlev, Denmark.
Christina Anne VinterDepartment of Gynecology and Obstetrics and Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.
Jens Aagaard-HansenHealth Promotion Research, Steno Diabetes Center Copenhagen, 2730, Herlev, Denmark.
Karoline Kragelund NielsenHealth Promotion Research, Steno Diabetes Center Copenhagen, 2730, Herlev, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of overweight or obesity in women of reproductive age continues to increase. A high pre-pregnancy body mass index (BMI) has been shown to increase the risk of pregnancy complications and predispose offspring to childhood obesity. However, little is known about factors affecting women's ability to achieve sustainable weight management and very few studies have applied behavior change theory to qualitative data.

aimThis study aimed to explore barriers and facilitators for weight management among women with overweight or obesity, who wanted to lose weight before pregnancy.

methodsWe conducted semi-structured interviews with 17 women with a BMI ≥ 27 kg/m

resultsThe women's strongest motivator for pre-conception weight loss was their ability to become pregnant. Barriers to successful weight management included their partners' unhealthy behaviors, mental health challenges, competing priorities, and internalized weight stigmatization. The women described careful planning, partners' health behaviors, social support, and good mental health as facilitators for sustainable weight management.

conclusionOur study provides insights into factors affecting weight management among women with overweight or obesity in the pre-conception period. Future interventions on weight management require a holistic approach, including a focus on social support, especially from the partner, and mental health, as well as an effort to limit internalized weight stigma.

Indexed as

OverweightPediatric ObesityChildDenmarkFemaleFertilizationHumansPregnancyQualitative ResearchCOM-B modelHealth behaviorsObesityPre-conceptionPsychosocial factorsRelationship dynamicsWeight lossWeight stigma

Identifiers

PMID37704956
PMCPMC10500859

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