Evidence mapPaperPMID 23666593Full record

ArticleObesity (Silver Spring, Md.)2013

Changes in weight and health behaviors after pregnancies complicated by gestational diabetes mellitus: the CARDIA study.

Wendy L Bennett, Su-Hsun Liu, Hsin-Chieh Yeh, Wanda K Nicholson, Erica P Gunderson, Cora E Lewis, Jeanne M Clark

Registry-linked trialAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05280496 (Implementation of a Pragmatic Approach to Lower Diabetes Mellitus Risk After a Diagnosis of Gestational Diabetes Mellitus), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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

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.

NCT05280496 phase3completedstarted 2022, after this paper: background citation

Implementation of a Pragmatic Approach to Lower Diabetes Mellitus Risk After a Diagnosis of Gestational Diabetes Mellitus

Ran2022Enrolled20Registered outcomes4Posted comparisons0ConditionsDiabetes, Gestational, Diabetes Mellitus, Type 2, PrediabetesArmsMetformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Predictors of very early postpartum weight loss in women with recent gestational diabetes mellitus.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2020
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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

7 authors.

Wendy L BennettDivision of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. wendy.bennett@jhmi.edu
Su-Hsun Liu
Hsin-Chieh Yeh
Wanda K Nicholson
Erica P Gunderson
Cora E Lewis
Jeanne M Clark

Funding

VASCULAR CALCIUM--AN EPIDEMIOLOGIC STUDYR01HL048050 · UNIVERSITY OF IOWA · 1992 to 2004
$3.0M
REGULATION OF LUNG SURFACTANT PROTEIN B GENE EXPRESSIONR01HL048048 · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · 1998 to 2005
$1.1M
Pregnancy and Risk Factors for CVD and Type 2 DiabetesK01DK059944 · KAISER FOUNDATION RESEARCH INSTITUTE · 2002 to 2005
$503k
CORONARY ARTERY DISEASE RISK DEVELOPMENT IN YOUNG ADULTS-N01HC95095-268095095N01HC095095 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 1989 to 2005
$376k
CORONARY HEART DISEASE RISK IN YOUNG ADULTSN01HC048047 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 1985 to 2000
$171k
STUDY CORONARY HEART DISEASE RISK IN YOUNG ADULTSN01HC048050 · KAISER FOUNDATION RESEARCH INSTITUTE · 1985 to 2000
$102k
STUDY CORONARY HEART DISEASE RISK IN YOUNG ADULTSN01HC048049 · NORTHWESTERN UNIVERSITY · 1985 to 2000
$71k
STUDY CORONARY HEART DISEASE RISK IN YOUNG ADULTSN01HC048048 · UNIVERSITY OF MINNESOTA TWIN CITIES · 1985 to 2000
$53k
RETROVIRAL TRANSDUCTION OF CLASS I MHC GENER01HL048049 · MASSACHUSETTS GENERAL HOSPITAL · 1993 to 1997
REGULATION OF LUNG SURFACTANT PROTEIN B GENE EXPRESSIONR29HL048048 · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · 1993 to 1997
NHLBI NIH HHS 5K23HL098476-02NHLBI NIH HHS K23 HL098476NHLBI NIH HHS N01 HC048047NHLBI NIH HHS N01 HC048048NHLBI NIH HHS N01 HC048049NHLBI NIH HHS N01 HC048050NHLBI NIH HHS N01 HC095095NHLBI NIH HHS N01-HC-48047NHLBI NIH HHS N01-HC-48048NHLBI NIH HHS N01-HC-48049NHLBI NIH HHS N01-HC-48050NHLBI NIH HHS N01-HC-95095NIDDK NIH HHS K01 DK059944NIDDK NIH HHS P30 DK079637NIDDK NIH HHS P60 DK079637NIDDK NIH HHS R01 DK090047
6 · The paper itself

Abstract

objectivePrepregnancy to postpregnancy change in weight, body mass index (BMI), waist circumference, diet, and physical activity in women with and without gestational diabetes mellitus (GDM) were compared. DESIGN AND

methodsUsing the Coronary Artery Risk Development in Young Adults study, women with at least one pregnancy during 20 years of follow-up (n = 1,488 with 3,125 pregnancies) was identified. Linear regression with generalized estimating equations to compare prepregnancy to postpregnancy changes in health behaviors and anthropometric measurements between 137 GDM pregnancies and 1,637 non-GDM pregnancies, adjusted for parity, age at delivery, outcome measure at the prepregnancy exam, race, education, mode of delivery, and interval between delivery and postpregnancy examination were used.

resultsWhen compared with women without GDM in pregnancy, women with GDM had higher prepregnancy mean weight (158.3 vs. 149.6 lb, P = 0.011) and BMI (26.7 vs. 25.1 kg/m(2) , P = 0.002), but nonsignificantly lower total daily caloric intake and similar levels of physical activity. Both GDM and non-GDM groups had higher average postpartum weight of 7-8 lbs and decreased physical activity on average 1.4 years after pregnancy.

conclusionsBoth groups similarly increased total caloric intake but reduced fast food frequency. Prepregnancy to postpregnancy changes in body weight, BMI, waist circumference, physical activity, and diet did not differ between women with and without GDM in pregnancy. Following pregnancy, women with and without GDM increased caloric intake, BMI, and weight and decreased physical activity, but reduced their frequency of eating fast food. Given these trends, postpartum lifestyle interventions, particularly for women with GDM, are needed to reduce obesity and diabetes risk.

Indexed as

Body WeightHealth BehaviorAdultBody Mass IndexDiabetes, GestationalDietEnergy IntakeFemaleFollow-Up StudiesHumansLife StyleMotor ActivityPregnancyProspective StudiesSurveys and QuestionnairesYoung Adult

Identifiers

PMID23666593
PMCPMC3735637

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.