Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain: individual participant data meta-analysis
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain : individual participant data meta-analysis. / O'Brien, Eileen C; Segurado, Ricardo; Geraghty, Aisling A; Alberdi, Goiuri; Rogozinska, Ewelina; Astrup, Arne; Barakat Carballo, Rubenomar; Bogaerts, Annick; Cecatti, Jose Guilherme; Coomarasamy, Arri; de Groot, Christianne J M; Devlieger, Roland; Dodd, Jodie M; El Beltagy, Nermeen; Facchinetti, Fabio; Geiker, Nina Rica Wium; Guelfi, Kym; Haakstad, Lene; Harrison, Cheryce; Hauner, Hans; Jensen, Dorte M; Khan, Khalid; Kinnunen, Tarja Inkeri; Luoto, Riitta; Willem Mol, Ben; Mørkved, Siv; Motahari-Tabari, Narges; Owens, Julie A; Perales, Maria; Petrella, Elisabetta; Phelan, Suzanne; Poston, Lucilla; Rauh, Kathrin; Rayanagoudar, Girish; Renault, Kristina M; Ruifrok, Anneloes E; Sagedal, Linda; Salvesen, Kjell Å; Scudeller, Tania T; Shen, Gary; Shub, Alexis; Stafne, Signe N; Surita, Fernanda G; Thangaratinam, Shakila; Tonstad, Serena; van Poppel, Mireille N M; Vinter, Christina; Vistad, Ingvild; Yeo, SeonAe; McAuliffe, Fionnuala M; i-WIP (International Weight Management in Pregnancy) Collaborative Group.
I: B M J Open, Bind 9, Nr. 8, e025620, 2019.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain
T2 - individual participant data meta-analysis
AU - O'Brien, Eileen C
AU - Segurado, Ricardo
AU - Geraghty, Aisling A
AU - Alberdi, Goiuri
AU - Rogozinska, Ewelina
AU - Astrup, Arne
AU - Barakat Carballo, Rubenomar
AU - Bogaerts, Annick
AU - Cecatti, Jose Guilherme
AU - Coomarasamy, Arri
AU - de Groot, Christianne J M
AU - Devlieger, Roland
AU - Dodd, Jodie M
AU - El Beltagy, Nermeen
AU - Facchinetti, Fabio
AU - Geiker, Nina Rica Wium
AU - Guelfi, Kym
AU - Haakstad, Lene
AU - Harrison, Cheryce
AU - Hauner, Hans
AU - Jensen, Dorte M
AU - Khan, Khalid
AU - Kinnunen, Tarja Inkeri
AU - Luoto, Riitta
AU - Willem Mol, Ben
AU - Mørkved, Siv
AU - Motahari-Tabari, Narges
AU - Owens, Julie A
AU - Perales, Maria
AU - Petrella, Elisabetta
AU - Phelan, Suzanne
AU - Poston, Lucilla
AU - Rauh, Kathrin
AU - Rayanagoudar, Girish
AU - Renault, Kristina M
AU - Ruifrok, Anneloes E
AU - Sagedal, Linda
AU - Salvesen, Kjell Å
AU - Scudeller, Tania T
AU - Shen, Gary
AU - Shub, Alexis
AU - Stafne, Signe N
AU - Surita, Fernanda G
AU - Thangaratinam, Shakila
AU - Tonstad, Serena
AU - van Poppel, Mireille N M
AU - Vinter, Christina
AU - Vistad, Ingvild
AU - Yeo, SeonAe
AU - McAuliffe, Fionnuala M
AU - i-WIP (International Weight Management in Pregnancy) Collaborative Group
N1 - CURIS 2019 NEXS 253 © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.
PY - 2019
Y1 - 2019
N2 - Objectives: To identify if maternal educational attainment is a prognostic factor for gestational weight gain (GWG), and to determine the differential effects of lifestyle interventions (diet based, physical activity based or mixed approach) on GWG, stratified by educational attainment.Design: Individual participant data meta-analysis using the previously established International Weight Management in Pregnancy (i-WIP) Collaborative Group database (https://iwipgroup.wixsite.com/collaboration). Preferred Reporting Items for Systematic reviews and Meta-Analysis of Individual Participant Data Statement guidelines were followed.Data sources: Major electronic databases, from inception to February 2017.Eligibility criteria: Randomised controlled trials on diet and physical activity-based interventions in pregnancy. Maternal educational attainment was required for inclusion and was categorised as higher education (≥tertiary) or lower education (≤secondary).Risk of bias: Cochrane risk of bias tool was used.Data synthesis: Principle measures of effect were OR and regression coefficient.Results: Of the 36 randomised controlled trials in the i-WIP database, 21 trials and 5183 pregnant women were included. Women with lower educational attainment had an increased risk of excessive (OR 1.182; 95% CI 1.008 to 1.385, p =0.039) and inadequate weight gain (OR 1.284; 95% CI 1.045 to 1.577, p =0.017). Among women with lower education, diet basedinterventions reduced risk of excessive weight gain (OR 0.515; 95% CI 0.339 to 0.785, p = 0.002) and inadequate weight gain (OR 0.504; 95% CI 0.288 to 0.884, p=0.017), and reduced kg/week gain (B -0.055; 95% CI -0.098 to -0.012, p=0.012). Mixed interventions reduced risk of excessive weight gain for women with lower education (OR 0.735; 95% CI 0.561 to 0.963, p=0.026). Among women with high education, diet based interventions reduced risk of excessive weight gain (OR 0.609; 95% CI 0.437 to 0.849, p=0.003), and mixed interventions reduced kg/week gain (B -0.053; 95% CI -0.069 to -0.037,p<0.001). Physical activity based interventions did not impact GWG when stratified by education.Conclusions: Pregnant women with lower education are at an increased risk of excessive and inadequate GWG. Diet based interventions seem the most appropriate choice for these women, and additional support through mixed interventions may also be beneficial.
AB - Objectives: To identify if maternal educational attainment is a prognostic factor for gestational weight gain (GWG), and to determine the differential effects of lifestyle interventions (diet based, physical activity based or mixed approach) on GWG, stratified by educational attainment.Design: Individual participant data meta-analysis using the previously established International Weight Management in Pregnancy (i-WIP) Collaborative Group database (https://iwipgroup.wixsite.com/collaboration). Preferred Reporting Items for Systematic reviews and Meta-Analysis of Individual Participant Data Statement guidelines were followed.Data sources: Major electronic databases, from inception to February 2017.Eligibility criteria: Randomised controlled trials on diet and physical activity-based interventions in pregnancy. Maternal educational attainment was required for inclusion and was categorised as higher education (≥tertiary) or lower education (≤secondary).Risk of bias: Cochrane risk of bias tool was used.Data synthesis: Principle measures of effect were OR and regression coefficient.Results: Of the 36 randomised controlled trials in the i-WIP database, 21 trials and 5183 pregnant women were included. Women with lower educational attainment had an increased risk of excessive (OR 1.182; 95% CI 1.008 to 1.385, p =0.039) and inadequate weight gain (OR 1.284; 95% CI 1.045 to 1.577, p =0.017). Among women with lower education, diet basedinterventions reduced risk of excessive weight gain (OR 0.515; 95% CI 0.339 to 0.785, p = 0.002) and inadequate weight gain (OR 0.504; 95% CI 0.288 to 0.884, p=0.017), and reduced kg/week gain (B -0.055; 95% CI -0.098 to -0.012, p=0.012). Mixed interventions reduced risk of excessive weight gain for women with lower education (OR 0.735; 95% CI 0.561 to 0.963, p=0.026). Among women with high education, diet based interventions reduced risk of excessive weight gain (OR 0.609; 95% CI 0.437 to 0.849, p=0.003), and mixed interventions reduced kg/week gain (B -0.053; 95% CI -0.069 to -0.037,p<0.001). Physical activity based interventions did not impact GWG when stratified by education.Conclusions: Pregnant women with lower education are at an increased risk of excessive and inadequate GWG. Diet based interventions seem the most appropriate choice for these women, and additional support through mixed interventions may also be beneficial.
U2 - 10.1136/bmjopen-2018-025620
DO - 10.1136/bmjopen-2018-025620
M3 - Journal article
C2 - 31375602
VL - 9
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 8
M1 - e025620
ER -
ID: 225377203