Evidence map›Paper›PMID 38943053›Full record

ArticleBMC pregnancy and childbirth2024

Factors influencing participation and regular attendance in a program combining physical activity and nutritional advice for overweight and obese pregnant women.

Sophie Lelorain, Philippe Deruelle, Hélène Béhal, Elise Machet, Marie Thiblet, Christelle Lengagne-Piedbois, Valerie Deken-Delannoy, Marie Pigeyre

Registry-linked trialAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02701426 (Obesity and Pregnancy), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT02701426 nacompletednot on this map

Obesity and Pregnancy : Study of Factors Influencing Participation in a Program Combining Physical Activity and Nutritional Counseling

TypeinterventionalSponsorUniversity Hospital, LilleRan2016 to 2018Enrolled195ConditionsObesity, Overweight, PregnancyArmsphysical activity and nutritional counseling
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Sophie Lelorain *Department of Psychology, Research Center in Health, Aging and Sport Psychology, University of Lausanne, Lausanne, Switzerland. sophie.lelorain@unil.ch.
Philippe Deruelle *Univ. Lille, CHU Lille, Environnement Périnatal et Santé, Lille, EA, 4489, F-59000, France.
Hélène BéhalDepartment of Statistics, Evaluation, Economics and Data-Management, CHU Lille, Lille, F- 59000, France.
Elise MachetUniv. Lille, CHU Lille, Environnement Périnatal et Santé, Lille, EA, 4489, F-59000, France.
Marie ThibletUniv. Lille, CHU Lille, Environnement Périnatal et Santé, Lille, EA, 4489, F-59000, France.
Christelle Lengagne-PiedboisComité Nord de la Fédération Française d'Éducation Physique et de Gymnastique Volontaire, Lille, France.
Valerie Deken-DelannoyDepartment of Statistics, Evaluation, Economics and Data-Management, CHU Lille, Lille, F- 59000, France.
Marie PigeyreDepartment of Medicine, Endocrinology Division, McMaster University, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEducational programs incorporating physical activity (PA) sessions and nutritional workshops have demonstrated potential benefits for overweight and obese pregnant women. However, participation in such programs remains challenging. This prospective study aimed to investigate the factors influencing participation and regular attendance, while examining changes in health behaviors, along with obstetric and neonatal outcomes.

methodsPregnant women with at 12-22 weeks' gestation a BMI ≥ 25 kg/m2 were invited to join an educational program combining three nutritional workshops conducted in groups and 12 weekly PA sessions. They self-selected their participation into the program. Regardless of program uptake and regularity of attendance, the women's PA levels, eating behaviors, and affectivity were assessed using validated questionnaires at 20-24 weeks, 32-34 weeks, and postpartum. A multivariable logistic regression model was used to determine the factors influencing participation.

resultsOf the 187 women enrolled in the study, 61.5% agreed to participate in the program. Of these, only 45% attended six or more sessions (regardless of the nature of sessions, i.e. nutritional workshops and/or PA sessions), while only 8.7% attended six or more PA sessions. Participation was associated with higher rates of problematic eating behaviors and lower PA levels at baseline, while regular attendance was mainly associated with higher household incomes. No significant difference was observed between participants and non-participants in terms of changes in eating behaviors, PA levels, or affectivity. However, at the 32-34 week visit, regular participants displayed a higher change in positive affectivity, but unexpectedly also in cognitive restraint, than non-regular participants, a difference that did not persist at postpartum.

conclusionThe educational program combining nutrition and PA was shown to be safe. Women facing challenges related to health behavior displayed a willingness to sign up for the program, but tailored interventions addressing their individual challenges are needed to improve attendance. Accordingly, four recommendations are proposed for the design of future interventions.

trial registrationClinicalTrials.gov; Identifier: NCT02701426; date of first registration: 08/03/2016.

Indexed as

ExerciseObesityOverweightPregnancy ComplicationsAdultFeeding BehaviorFemaleHealth BehaviorHumansPregnancyPrenatal CareProspective StudiesAttendanceNewbornNutritionObesityOverweightPhysical activityPregnancyRetentionUptakeWell-being

Identifiers

PMID38943053
PMCPMC11214224

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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.