Evidence mapPaperPMID 40635374Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2025

What Is My Risk? A Mixed-Methods Systematic Review of Risk Perception for Cardiometabolic Pregnancy Complications and Future Cardiometabolic Disease Development.

Elaine K Osei-Safo, Jennifer McIntosh, Shakira Onwuka, Sophia Torkel, Margaret McGowan, Kristie Cocotis, Caitlyn Angel, Sanjay Varatharaj, Helena Teede, Angela Melder and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

12 authors.

Elaine K Osei-SafoMonash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.ORCID 0009-0006-6535-5517
Jennifer McIntoshMelbourne School of Population and Global Health, University of Melbourne, Carlton, Victoria, Australia.
Shakira OnwukaMelbourne School of Population and Global Health, University of Melbourne, Carlton, Victoria, Australia.
Sophia TorkelMonash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.ORCID 0000-0001-5126-3570
Margaret McGowanMonash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.ORCID 0009-0009-0327-9696
Kristie CocotisDiabetes Victoria, Carlton, Victoria, Australia.
Caitlyn AngelMonash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.
Sanjay VaratharajMonash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.
Helena TeedeMonash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.ORCID 0000-0001-7609-577X
Angela MelderHealth and Social Care Unit, Monash University, Clayton, Victoria, Australia.
Sarah LangMonash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.
Lisa J MoranMonash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.ORCID 0000-0001-5772-6484

Funding

Heart Foundation of AustraliaHeart Foundation of Australia Strategic Grant 105535Heart Foundation of Australia Vanguard Grant 104879NHMRC ID2010268NHMRC ID2014703NHMRC FellowshipVeski Fellowship
6 · The paper itself

Abstract

introductionCardiometabolic pregnancy complications increase future cardiometabolic disease risk. Accurate risk perception plays a central role in adopting risk-reducing lifestyle and health-related behaviors, such as healthy eating, physical activity, and weight management. This review aimed to explore high-risk pregnant and postpartum women's perception of their risk of developing cardiometabolic pregnancy complications or future cardiometabolic disease.

methodsSystematic search identified quantitative and qualitative data exploring risk perception in women (pregnant/postpartum) at risk of or diagnosed with gestational diabetes mellitus (GDM), hypertensive disorders of pregnancy (HDP), intrauterine growth restriction (IUGR), and preterm birth (PTB). A convergent integrated mixed-methods synthesis was undertaken, with findings interpreted using the health belief and capability, opportunity, and motivation for behavior change models.

resultsOverall, 84 studies were included, with the majority in GDM (77.4%) and HDP (23.8%), with limited research in PTB (8.3%) and IUGR (6.0%). Women had low-moderate knowledge of pregnancy complications as risk factors for future cardiometabolic disease and low-moderate perceived susceptibility to potential pregnancy complications and future cardiometabolic disease. Self-perceived barriers, facilitators, cues to action, self-efficacy, and self-optimism impacted engagement with lifestyle and screening measures. The highest risk perception for future type 2 diabetes or cardiovascular disease was among women who had previously experienced GDM or HDP, respectively.

conclusionDesigning interventions to optimize women's risk perception will support informed decision-making and empower women to make lifestyle changes to reduce future cardiometabolic risk.

Indexed as

Cardiovascular DiseasesHealth Knowledge, Attitudes, PracticePregnancy ComplicationsCardiometabolic Risk FactorsDiabetes, GestationalFemaleHumansHypertension, Pregnancy-InducedPregnancyRisk Factorscardiovascular diseasesgestational diabetespregnancy‐induced hypertensiontype 2 diabetes mellitus

Identifiers

PMID40635374
PMCPMC12531758

What Socratic 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 Socratic graph.