Evidence map›Paper›PMID 29912571›Full record

Trial reportBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

Effect of a Home-Based Lifestyle Intervention on Breastfeeding Initiation Among Socioeconomically Disadvantaged African American Women with Overweight or Obesity.

Adam K Lewkowitz, Julia D López, Richard I Stein, Janine S Rhoades, Rosa C Schulz, Candice L Woolfolk, George A Macones, Debra Haire-Joshu, Alison G Cahill

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01768793 (Weight Management in Obese Pregnant Underserved African American Women), which is not on this map. Cited by 13 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 8 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.

NCT01768793 nacompletednot on this map

Weight Management in Obese Pregnant Underserved African American Women

TypeinterventionalSponsorWashington University School of MedicineRan2012 to 2017Enrolled267ConditionsObesity, Pregnancy, Weight GainArmsStandard Parents As Teachers (PAT), Parents As Teachers Plus (PAT+)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 8 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

9 authors.

Adam K Lewkowitz1 Department of Obstetrics and Gynecology, Washington University in St. Louis , St. Louis, Missouri.
Julia D López1 Department of Obstetrics and Gynecology, Washington University in St. Louis , St. Louis, Missouri.
Richard I Stein2 Center for Human Nutrition, Washington University in St. Louis , St. Louis, Missouri.
Janine S Rhoades1 Department of Obstetrics and Gynecology, Washington University in St. Louis , St. Louis, Missouri.
Rosa C Schulz1 Department of Obstetrics and Gynecology, Washington University in St. Louis , St. Louis, Missouri.
Candice L Woolfolk1 Department of Obstetrics and Gynecology, Washington University in St. Louis , St. Louis, Missouri.
George A Macones1 Department of Obstetrics and Gynecology, Washington University in St. Louis , St. Louis, Missouri.
Debra Haire-Joshu3 School of Public Health and Medicine, Washington University in St. Louis , St. Louis, Missouri.
Alison G Cahill1 Department of Obstetrics and Gynecology, Washington University in St. Louis , St. Louis, Missouri.

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Weight Management in Obese Pregnant Underserved African American WomenU01DK094416 · NIDDK · WASHINGTON UNIVERSITY · PI CAHILL, ALISON G, HAIRE-JOSHU, DEBRA · 2011 to 2017
$5.3M
Lifestyle Interventions in Overweight and Obese Pregnant WomenU01DK094463 · NIDDK · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI GALLAGHER, DYMPNA, PI-SUNYER, XAVIER · 2011 to 2017
$5.3M
Maternal-Offspring Metabolics: Family Intervention Trial (MOMFIT)U01HL114344 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PEACEMAN, ALAN M, VAN HORN, LINDA VERNER · 2011 to 2017
$4.9M
Preventing excessive gestational weight gain in obese womenU01HL114377 · NHLBI · CALIFORNIA POLY STATE U SAN LUIS OBISPO · PI PHELAN, SUZANNE · 2011 to 2016
$4.5M
RCU for Lifestyle Interventions in Overweight and Obese Pregnant Women ConsortiumU01DK094466 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI CLIFTON, REBECCA GERSNOVIEZ, DREWS, KIMBERLY LEE · 2011 to 2016
$4.1M
Pregnancy and EARly Lifestyle improvement Study (PEARLS)U01HD072834 · NICHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI FRANKS, PAUL WILLIAM, JOSHIPURA, KAUMUDI J · 2011 to 2016
$3.7M
Expecting Success: Personalized management of body weight during pregnancyU01DK094418 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI REDMAN, LEANNE MAREE · 2011 to 2015
$2.8M
NHLBI NIH HHS U01 HL114344NHLBI NIH HHS U01 HL114377NICHD NIH HHS U01 HD072834NIDDK NIH HHS P30 DK092950NIDDK NIH HHS U01 DK094416NIDDK NIH HHS U01 DK094418NIDDK NIH HHS U01 DK094463NIDDK NIH HHS U01 DK094466
6 · The paper itself

Abstract

backgroundSocioeconomically disadvantaged (SED) African American women with overweight or obesity are less likely to breastfeed.

objectiveTo test whether a home-based lifestyle intervention impacts breastfeeding initiation rates in SED African American women with overweight or obesity. STUDY

designThis was a secondary analysis of a randomized controlled trial from October 2012 to March 2016 at a university-based hospital within the LIFE-Moms consortium. SED African American women with overweight or obesity and singleton gestations were randomized by 16 weeks to Parents as Teachers (PAT)-a home-based parenting support and child development educational intervention-or PAT+, PAT with additional content on breastfeeding. Participants completed a breastfeeding survey. Outcomes included breastfeeding initiation and reasons for not initiating or not continuing breastfeeding.

resultsOne hundred eighteen women were included: 59 in PAT+; 59 in PAT. Breastfeeding initiation rates were similar in each group (78.00% in PAT+; 74.58% in PAT). On a one to four scale, with four denoting "very important," women in PAT+ and PAT were equally likely to rate their beliefs that formula was better than breast milk or breastfeeding would be too inconvenient as the most important reasons to not initiate breastfeeding. On the same scale, women similarly rated their difficulty latching or concern for low milk supply as the most important reasons for breastfeeding cessation.

conclusionSED African American women with overweight or obesity who received a home-based educational intervention had higher breastfeeding rates than is reported nationally for black women (59%). However, the intervention with more breastfeeding content did not further increase breastfeeding rates or impact reasons for breastfeeding cessation.

trial registrationClinicalTrials.gov : NCT01768793.

Indexed as

Health EducationLife StyleAdolescentAdultBlack or African AmericanBreast FeedingFemaleHumansMissouriObesityOverweightVulnerable PopulationsYoung AdultAfrican American womenbreastfeedinghealth disparitiesobesityParents as Teacherssocioeconomically disadvantaged women

Identifiers

PMID29912571
PMCPMC6065521

What Socratic holds

Textmetadata
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.