Evidence mapPaperPMID 36042401Full record

Trial reportBMC pregnancy and childbirth2022

Lifestyle intervention in early pregnancy can prevent gestational diabetes in high-risk pregnant women in the UAE: a randomized controlled trial.

Amena Sadiya, Vidya Jakapure, Ghida Shaar, Rama Adnan, Yohannes Tesfa

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04273412 (Lifestyle Intervention for the Prevention of Gestational Diabetes Mellitus Among High-risk UAE Population), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% of its field
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.

NCT04273412 nacompletednot on this map

Lifestyle Intervention for the Prevention of Gestational Diabetes Mellitus Among High-risk UAE Population

TypeinterventionalSponsorRashid Centre for Diabetes and ResearchRan2018 to 2021Enrolled61ConditionsGestational Diabetes Mellitus in PregnancyArmsmoderate-intensity lifestyle intervention
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  14. UAE Women's Knowledge and Attitudes towards Physical Activity during Pregnancy.International journal of environmental research and public health · 2023
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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 at 1 institution in 1 country.

Amena SadiyaRashid Centre for Diabetes and Research, Sheikh Khalifa Medical City, Ajman, PO Box-5166, UAE. Sadiya.amena@gmail.com.
Vidya JakapureEducation, Training and Research Department, Sheikh Khalifa Medical City, Ajman, UAE.
Ghida ShaarRashid Centre for Diabetes and Research, Sheikh Khalifa Medical City, Ajman, PO Box-5166, UAE.
Rama AdnanRashid Centre for Diabetes and Research, Sheikh Khalifa Medical City, Ajman, PO Box-5166, UAE.
Yohannes TesfaRashid Centre for Diabetes and Research, Sheikh Khalifa Medical City, Ajman, PO Box-5166, UAE.
Shaikh Khalifa Medical City · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA prevalence of gestational diabetes mellitus (GDM) is approximately three times higher than the global rate in the UAE. However, it has not yet been studied whether a 12-week moderate-intensity lifestyle intervention can prevent gestational diabetes among pregnant women at high risk in this region. PATIENTS AND

methodsA pragmatic, open-label, randomized clinical trial was conducted. Sixty-three women aged 18 to 45 years, with ≤12 weeks of gestation, singleton pregnancy, and having ≥ two risk factors for GDM were randomly assigned to the Lifestyle Intervention (LI) group (n = 30) or Usual Care (UC) group (n = 33). The women in the LI group received a 12-week, moderate-intensity lifestyle intervention with individualized counseling on a diet, physical activity, and behavior change by a licensed dietitian. The women in the UC group received usual antenatal care. The primary outcome was the incidence of GDM based on the IADPSG criteria at 24-28 weeks of gestation.

resultsThe incidence of GDM was 33.3% in LI group and 57.5% in UC group. The crude relative risk (RR) for GDM was 0.59 (95% CI, 0.32-1.04, p = 0.05). The multivariable logistic regression model without adjustment showed OR = 0.37 (95% CI, 0.13-1.02, p = 0.05) and after adjusting with Age, BMI and family history of diabetes reported OR = 0.26, 95%CI 0.07, 0.92, p = 0.04. in LI vs UC. The daily dietary intake of calories (- 120 kcal, p = < 0.01), carbohydrates (- 19 g, p < 0.01), and fat (- 5 g, p = 0.03) was reduced, and physical activity time (+ 52 min, p = 0.05) increased in the LI group after the intervention. However, the LI had no significant effect on maternal and neonatal outcomes.

conclusionA 12-week moderate intensity lifestyle intervention in early pregnancy could reduce the relative risk of GDM by 41% among high-risk pregnant women in the UAE. These findings could impact public health outcomes in the region.

trial registrationTrial registration Retrospectively registered NCT04273412,18/02/2020.

Indexed as

Diabetes, GestationalDietExerciseFemaleHumansInfant, NewbornLife StylePregnancyPregnant PeopleDietaryGestational diabetes mellitusType 2 diabetesUnited Arab Emirates

Identifiers

PMID36042401
PMCPMC9425994
OpenAlexW4293561563

What Socratic holds

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LicenceCC BY
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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 Socratic graph.