Evidence map›Paper›PMID 30405088›Full record

SynthesisNutrients2018

Lifestyle Interventions in Overweight and Obese Pregnant or Postpartum Women for Postpartum Weight Management: A Systematic Review of the Literature.

Kathryn V Dalrymple, Angela C Flynn, Sophie A Relph, Majella O'Keeffe, Lucilla Poston

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 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.

NCT03826394 naunknown statusnot on this mapstarted 2019, after this paper: background citation

The Effects of Exercise and Dietary Interventions in Overweight and Obese Postpartum Women on Weight Management and Health.

TypeinterventionalSponsorNottingham Trent UniversityRan2019 to 2020Enrolled42ConditionsOverweight and ObesityArmsExercise Intervention, Dietary Intervention
NCT05518604 narecruitingnot on this mapstarted 2024, after this paper: background citation

Pregnancy, Active Duty and Weight Loss (PADaWL) Study: A Randomized Controlled Trial Assessing the Effect of Dietary Intervention on Postpartum Weight Loss in Active Duty Women

TypeinterventionalSponsorTripler Army Medical CenterRan2024 to 2027Enrolled74ConditionsWeight Loss, Postpartum Weight RetentionArmsCounseling with goal of modifying eating behaviors
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 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.

Kathryn V DalrympleDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, 10th Floor North Wing, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK. kathryn.dalrymple@kcl.ac.uk.ORCID 0000-0003-0958-6725
Angela C FlynnDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, 10th Floor North Wing, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK. Angela.flynn@kcl.ac.uk.ORCID 0000-0001-8438-1506
Sophie A RelphDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, 10th Floor North Wing, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK. Sophie.relph@kcl.ac.uk.ORCID 0000-0002-2007-9647
Majella O'KeeffeDepartment of Nutritional Sciences, School of Life Course Sciences, King's College London, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, UK. Majella.okeeffe@kcl.ac.uk.ORCID 0000-0002-0204-3835
Lucilla PostonDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, 10th Floor North Wing, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK. lucilla.poston@kcl.ac.uk.

Funding

British Heart Foundation FS/17/71/32953Department of Health RP-PG-0407-10452Medical Research Council MR/L002477/1Tommy's Baby Charity 1060508
6 · The paper itself

Abstract

Excessive gestational weight gain (GWG) and postpartum weight retention (PPWR) may predispose women to the development of obesity. The objective of this systematic review was to evaluate the effectiveness of lifestyle interventions in overweight or obese pregnant and/or postpartum women for managing postpartum weight up to 2 years after giving birth. Eighteen randomised controlled trials were included (2559 participants) and divided into three categories according to the timing of the intervention: pregnancy only (n = 3), postpartum only (n = 12) and pregnancy and postpartum (n = 3). The intervention duration varied from 10 weeks to 10 months and included diet only (n = 5) or diet and physical activity (n = 13). Seven postpartum only interventions reported significant improvements in postpartum weight when compared to the control group. Most of these interventions were short and intensive, lasting 10⁻16 weeks. One pregnancy only and one pregnancy and postpartum intervention reported reduced PPWR at 6 months. Nine trials did not report an effect of the intervention on postpartum weight. However, of these, four reported associations between GWG and PPWR. This review suggests that successful postpartum weight management is achievable with intensive lifestyle interventions starting in the postpartum period; however, there is insufficient evidence to conclude whether interventions starting in pregnancy are effective. Larger trials utilising comparative methodologies in the pregnancy and postpartum periods are required to inform the development of targeted strategies preventing PPWR or reducing postpartum weight.

Indexed as

Life StylePostpartum PeriodBody Mass IndexDietExerciseFemaleHumansObesityOverweightPregnancyRandomized Controlled Trials as TopicReproducibility of ResultsWeight Gainlifestyle interventionsmaternal obesitypostpartum weight retention

Identifiers

PMID30405088
PMCPMC6265993

What Socratic holds

Textmetadata
LicenceCC BY
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.