Effects of antenatal diet and physical activity on maternal and fetal outcomes : Individual patient data meta-analysis and health economic evaluation

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: (WFRF:(Rogozinska Ewelina)) > (2017) > Effects of antenata...

1 of 1
Previous record
Next record
To hitlist

Effects of antenatal diet and physical activity on maternal and fetal outcomes : Individual patient data meta-analysis and health economic evaluation

Rogozińska, Ewelina (author): Queen Mary University

Marlin, Nadine (author): Queen Mary University

Jackson, Louise E. (author): University of Birmingham

Rayanagoudar, Girish (author): Queen Mary University

Ruifrok, Anneloes E (author): Academic Medical Center of University of Amsterdam (AMC),Amsterdam UMC - Vrije Universiteit Amsterdam

Dodds, Julie (author): Queen Mary University

Molyneaux, Emma (author): King's College London

van Poppel, Mireille N M (author): Karl-Franzens-University of Graz,Amsterdam UMC - Vrije Universiteit Amsterdam

Poston, Lucilla (author): King's College London

Vinter, Christina A. (author): Odense University Hospital

McAuliffe, Fionnuala (author): University College Dublin

Dodd, Jodie M. (author): University of Adelaide

Owens, Julie (author): University of Adelaide

Barakat Carballo, Ruben (author): Technical University of Madrid

Perales, Maria (author): Technical University of Madrid

Cecatti, Jose G (author): University of Campinas

Surita, Fernanda (author): University of Campinas

Yeo, Seon Ae (author): University of North Carolina

Bogaerts, Annick (author): University College Leuven-Limburg,University of Antwerp

Devlieger, Roland (author): University Hospitals Leuven

Teede, Helena (author): Monash University

Harrison, Cheryce (author): Monash University

Haakstad, Lene (author): Norwegian School of Sport Sciences

Shen, Garry X (author): University of Manitoba

Shub, Alexis (author): University of Melbourne

El Beltagy, Nermeen (author): Alexandria University

Motahari, Narges (author): Mazandaran University

Khoury, Janette (author): Oslo university hospital

Tonstad, Serena (author): Oslo university hospital

Luoto, Riitta (author): UKK Institute for Health Promotion Research

Kinnunen, Tarja I (author): University of Tampere

Guelfi, Kym (author): University of Western Australia, Crawley

Facchinetti, Fabio (author): University of Modena and Reggio Emilia

Petrella, Elisabetta (author): University of Modena and Reggio Emilia

Phelan, Suzanne (author): California Polytechnic State University

Scudeller, Tânia T (author): Escola Paulista de Medicina

Rauh, Kathrin (author): Technical University of Munich,Competence Centre for Nutrition (KErn)

Hauner, Hans (author): Technical University of Munich

Renault, Kristina (author): University of Copenhagen,Odense University Hospital

de Groot, Christianne J M (author): Amsterdam UMC - Vrije Universiteit Amsterdam

Sagedal, Linda Reme (author): Sørlandet Hospital

Vistad, Ingvild (author): Sørlandet Hospital

Stafne, Signe Nilssen (author): St. Olav’s University Hospital,Norwegian University of Science and Technology

Mørkved, Siv (author): St. Olav’s University Hospital,Norwegian University of Science and Technology

Salvesen, Kjell Å. (author): Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Norwegian University of Science and Technology

Jensen, Dorte M. (author): Odense University Hospital

Vitolo, Márcia (author): Federal University of Health Sciences of Porto Alegre

Astrup, Arne (author): University of Copenhagen

Geiker, Nina Rica Wium (author): Copenhagen University Hospital

Kerry, Sally (author): Queen Mary University

show less...

(creator_code:org_t)

2017-08
2017
English.
In: Health Technology Assessment. - : National Institute for Health Research. - 1366-5278 .- 2046-4924. ; 21:41

Related links:: http://dx.doi.org/10... (free); show more...; https://njl-admin.ni...; https://lup.lub.lu.s...; https://doi.org/10.3...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background: Diet- and physical activity-based interventions in pregnancy have the potential to alter maternal and child outcomes. Objectives: To assess whether or not the effects of diet and lifestyle interventions vary in subgroups of women, based on maternal body mass index (BMI), age, parity, Caucasian ethnicity and underlying medical condition(s), by undertaking an individual patient data (IPD) meta-analysis. We also evaluated the association of gestational weight gain (GWG) with adverse pregnancy outcomes and assessed the cost-effectiveness of the interventions. Data sources: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects and Health Technology Assessment database were searched from October 2013 to March 2015 (to update a previous search). Review methods: Researchers from the International Weight Management in Pregnancy Collaborative Network shared the primary data. For each intervention type and outcome, we performed a two-step IPD random-effects meta-analysis, for all women (except underweight) combined and for each subgroup of interest, to obtain summary estimates of effects and 95% confidence intervals (CIs), and synthesised the differences in effects between subgroups. In the first stage, we fitted a linear regression adjusted for baseline (for continuous outcomes) or a logistic regression model (for binary outcomes) in each study separately; estimates were combined across studies using random-effects meta-analysis models. We quantified the relationship between weight gain and complications, and undertook a decision-analytic model-based economic evaluation to assess the cost-effectiveness of the interventions. Results: Diet and lifestyle interventions reduced GWG by an average of 0.70 kg (95% CI-0.92 to-0.48 kg; 33 studies, 9320 women). The effects on composite maternal outcome [summary odds ratio (OR) 0.90, 95% CI 0.79 to 1.03; 24 studies, 8852 women] and composite fetal/neonatal outcome (summary OR 0.94, 95% CI 0.83 to 1.08; 18 studies, 7981 women) were not significant. The effect did not vary with baseline BMI, age, ethnicity, parity or underlying medical conditions for GWG, and composite maternal and fetal outcomes. Lifestyle interventions reduce Caesarean sections (OR 0.91, 95% CI 0.83 to 0.99), but not other individual maternal outcomes such as gestational diabetes mellitus (OR 0.89, 95% CI 0.72 to 1.10), pre-eclampsia or pregnancy-induced hypertension (OR 0.95, 95% CI 0.78 to 1.16) and preterm birth (OR 0.94, 95% CI 0.78 to 1.13). There was no significant effect on fetal outcomes. The interventions were not cost-effective. GWG, including adherence to the Institute of Medicine-recommended targets, was not associated with a reduction in complications. Predictors of GWG were maternal age (summary estimate-0.10 kg, 95% CI-0.14 to-0.06 kg) and multiparity (summary estimate-0.73 kg, 95% CI-1.24 to-0.23 kg). Limitations: The findings were limited by the lack of standardisation in the components of intervention, residual heterogeneity in effects across studies for most analyses and the unavailability of IPD in some studies. Conclusion: Diet and lifestyle interventions in pregnancy are clinically effective in reducing GWG irrespective of risk factors, with no effects on composite maternal and fetal outcomes. Future work: The differential effects of lifestyle interventions on individual pregnancy outcomes need evaluation. Study registration: This study is registered as PROSPERO CRD42013003804.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)

Publication and Content Type

art (subject category)
ref (subject category)

Find in a library

Health Technology Assessment (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Rogozińska, Ewel ...; Marlin, Nadine; Jackson, Louise ...; Rayanagoudar, Gi ...; Ruifrok, Anneloe ...; Dodds, Julie; show more...; Molyneaux, Emma; van Poppel, Mire ...; Poston, Lucilla; Vinter, Christin ...; McAuliffe, Fionn ...; Dodd, Jodie M.; Owens, Julie; Barakat Carballo ...; Perales, Maria; Cecatti, Jose G; Surita, Fernanda; Yeo, Seon Ae; Bogaerts, Annick; Devlieger, Rolan ...; Teede, Helena; Harrison, Cheryc ...; Haakstad, Lene; Shen, Garry X; Shub, Alexis; El Beltagy, Nerm ...; Motahari, Narges; Khoury, Janette; Tonstad, Serena; Luoto, Riitta; Kinnunen, Tarja ...; Guelfi, Kym; Facchinetti, Fab ...; Petrella, Elisab ...; Phelan, Suzanne; Scudeller, Tânia ...; Rauh, Kathrin; Hauner, Hans; Renault, Kristin ...; de Groot, Christ ...; Sagedal, Linda R ...; Vistad, Ingvild; Stafne, Signe Ni ...; Mørkved, Siv; Salvesen, Kjell ...; Jensen, Dorte M.; Vitolo, Márcia; Astrup, Arne; Geiker, Nina Ric ...; Kerry, Sally; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Obstetrics Gynae ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

Articles in the publication: Health Technolog ...

By the university: Lund University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se