Evidence map›Paper›PMID 40140544›Full record

SynthesisInternational journal of obesity (2005)2025

The effect of methods used in the management of maternal obesity on pregnancy and birth outcomes: a systematic review with meta-analysis.

Döndü Kurnaz, Zekiye Karaçam

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of obesity (2005), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

2 authors.

Döndü KurnazMarmara University, Faculty of Health Sciences, Division of Midwifery, Istanbul, Turkey. zsk2001@hotmail.com.ORCID 0000-0002-0613-7919
Zekiye KaraçamAydın Adnan Menderes University, Faculty of Health Sciences, Division of Midwifery, Aydın, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study was conducted to determine the effects of the methods used in the management of maternal obesity on pregnancy and birth outcomes. MATERIALS AND

methodsThis study was conducted following the PRISMA Statement. The articles to be used in the meta-analysis were searched in PubMed, National Thesis Center, DergiPark, MEDLINE, Cochrane Library and EBSCO search engines in October 2021 and updated in September 2023. The methodological qualities of the studies were evaluated using ROB2. The data were synthesized using meta-analysis, and the GRADE approach was used to rate the certainty of the evidence and the strength of the recommendations. Twenty-one studies published between 2013 and 2021 were included in the study. The total sample size of the studies was 7695.

resultsWeight management interventions significantly reduced weight gain during pregnancy (p < 0.001) and birth weight (p < 0.01). Did not affect other adverse pregnancy outcomes included in the synthesis (p > 0.05). The subgroup analyses showed that the method of handing out brochures resulted in lower levels of birth weight (p < 0.01) and weight gained during pregnancy (p < 0.001); the use of metformin was associated with a significant drop in admissions to the neonatal intensive care unit (p < 0.01); the method of exercise was associated with lower in gestational diabetes (p < 0.001), weight gained during pregnancy (p < 0.001), birth weight (p = 0.01) and large-for-gestational-age baby birth (p < 0.05), while and the combination of diet and exercise significantly reduced weight gained during pregnancy (p = 0.001). The certainty of evidence assessed using GRADE for all 15 critical outcomes was high 15 outcomes.

conclusionThe study revealed that methods used in the treatment of maternal obesity may reduce some negative maternal and newborn outcomes, but it is more important to start pregnancy with an ideal weight.

Indexed as

ObesityPregnancy in ObesityPregnancy OutcomeBirth WeightFemaleGestational Weight GainHumansInfant, NewbornPregnancy

Identifiers

PMID40140544
PMCPMC12158762

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.