Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain: individual participant data meta-analysis
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: Indi...
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| creator | O'Brien, Eileen C Segurado, Ricardo Geraghty, Aisling A Alberdi, Goiuri Rogozinska, Ewelina Astrup, Arne Carballo, Ruben Barakat Bogaerts, Annick Cecatti, José 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 Annette Hagen Harrison, Cheryce Hauner, Hans Jensen, Dorte M Khan, Khalid S Kinnunen, Tarja I Luoto, Riitta Mol, Ben Willem J Mørkved, Siv Motahari-Tabari, Narges Owens, Julie A Perales, Maria Petrella, Elisabetta Phelan, Suzanne Poston, Lucilla Rauh, Kathrin Rayanagoudar, Girish Renault, Kristina Ruifrok, Anneloes E Sagedal, Linda Reme Salvesen, Kjell Å Scudeller, Tânia T Shen, Gary Shub, Alexis Stafne, Signe Nilssen Surita, Fernanda Thangaratinam, Shakila Tonstad, Serena van Poppel, Mireille N.M Vinter, Christina Vistad, Ingvild Yeo, SeonAe McAuliffe, Fionnuala M |
| description | 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 |
| format | Article |
| fullrecord | <record><control><sourceid>cristin_3HK</sourceid><recordid>TN_cdi_cristin_nora_11250_2654119</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>11250_2654119</sourcerecordid><originalsourceid>FETCH-cristin_nora_11250_26541193</originalsourceid><addsrcrecordid>eNqNjE0KwkAMhbtxIeod4gEKTv0B3Yqie_clzKQ10GbKTFrpLTyyU_EAQuDBe9-Xefa-tx1aBV9Bi0pBsAFyvUVlL5AuUOy8RAL10HBFUceGgCWxA8lExWkKk0RQp_2rpjcv4vqpUCPLKQmOB3Z96jsMypY7FAWHitCSYo5JGSPHZTarsIm0-uUiW18vj_Mtt4GjspTiA5bGFPtNWRz2O2OO23-YDyd2UAc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain: individual participant data meta-analysis</title><source>NORA - Norwegian Open Research Archives</source><creator>O'Brien, Eileen C ; Segurado, Ricardo ; Geraghty, Aisling A ; Alberdi, Goiuri ; Rogozinska, Ewelina ; Astrup, Arne ; Carballo, Ruben Barakat ; Bogaerts, Annick ; Cecatti, José 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 Annette Hagen ; Harrison, Cheryce ; Hauner, Hans ; Jensen, Dorte M ; Khan, Khalid S ; Kinnunen, Tarja I ; Luoto, Riitta ; Mol, Ben Willem J ; Mørkved, Siv ; Motahari-Tabari, Narges ; Owens, Julie A ; Perales, Maria ; Petrella, Elisabetta ; Phelan, Suzanne ; Poston, Lucilla ; Rauh, Kathrin ; Rayanagoudar, Girish ; Renault, Kristina ; Ruifrok, Anneloes E ; Sagedal, Linda Reme ; Salvesen, Kjell Å ; Scudeller, Tânia T ; Shen, Gary ; Shub, Alexis ; Stafne, Signe Nilssen ; Surita, Fernanda ; Thangaratinam, Shakila ; Tonstad, Serena ; van Poppel, Mireille N.M ; Vinter, Christina ; Vistad, Ingvild ; Yeo, SeonAe ; McAuliffe, Fionnuala M</creator><creatorcontrib>O'Brien, Eileen C ; Segurado, Ricardo ; Geraghty, Aisling A ; Alberdi, Goiuri ; Rogozinska, Ewelina ; Astrup, Arne ; Carballo, Ruben Barakat ; Bogaerts, Annick ; Cecatti, José 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 Annette Hagen ; Harrison, Cheryce ; Hauner, Hans ; Jensen, Dorte M ; Khan, Khalid S ; Kinnunen, Tarja I ; Luoto, Riitta ; Mol, Ben Willem J ; Mørkved, Siv ; Motahari-Tabari, Narges ; Owens, Julie A ; Perales, Maria ; Petrella, Elisabetta ; Phelan, Suzanne ; Poston, Lucilla ; Rauh, Kathrin ; Rayanagoudar, Girish ; Renault, Kristina ; Ruifrok, Anneloes E ; Sagedal, Linda Reme ; Salvesen, Kjell Å ; Scudeller, Tânia T ; Shen, Gary ; Shub, Alexis ; Stafne, Signe Nilssen ; Surita, Fernanda ; Thangaratinam, Shakila ; Tonstad, Serena ; van Poppel, Mireille N.M ; Vinter, Christina ; Vistad, Ingvild ; Yeo, SeonAe ; McAuliffe, Fionnuala M</creatorcontrib><description>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.</description><language>eng</language><subject>adverse birth outcomes ; association ; disparities ; exercise program ; health ; obese pregnant women ; overweight ; physical activity ; risk ; sosioeconomic status</subject><creationdate>2019</creationdate><rights>info:eu-repo/semantics/openAccess</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,777,882,26548</link.rule.ids><linktorsrc>$$Uhttp://hdl.handle.net/11250/2654119$$EView_record_in_NORA$$FView_record_in_$$GNORA$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>O'Brien, Eileen C</creatorcontrib><creatorcontrib>Segurado, Ricardo</creatorcontrib><creatorcontrib>Geraghty, Aisling A</creatorcontrib><creatorcontrib>Alberdi, Goiuri</creatorcontrib><creatorcontrib>Rogozinska, Ewelina</creatorcontrib><creatorcontrib>Astrup, Arne</creatorcontrib><creatorcontrib>Carballo, Ruben Barakat</creatorcontrib><creatorcontrib>Bogaerts, Annick</creatorcontrib><creatorcontrib>Cecatti, José Guilherme</creatorcontrib><creatorcontrib>Coomarasamy, Arri</creatorcontrib><creatorcontrib>De Groot, Christianne J.M</creatorcontrib><creatorcontrib>Devlieger, Roland</creatorcontrib><creatorcontrib>Dodd, Jodie M</creatorcontrib><creatorcontrib>El Beltagy, Nermeen</creatorcontrib><creatorcontrib>Facchinetti, Fabio</creatorcontrib><creatorcontrib>Geiker, Nina Rica Wium</creatorcontrib><creatorcontrib>Guelfi, Kym</creatorcontrib><creatorcontrib>Haakstad, Lene Annette Hagen</creatorcontrib><creatorcontrib>Harrison, Cheryce</creatorcontrib><creatorcontrib>Hauner, Hans</creatorcontrib><creatorcontrib>Jensen, Dorte M</creatorcontrib><creatorcontrib>Khan, Khalid S</creatorcontrib><creatorcontrib>Kinnunen, Tarja I</creatorcontrib><creatorcontrib>Luoto, Riitta</creatorcontrib><creatorcontrib>Mol, Ben Willem J</creatorcontrib><creatorcontrib>Mørkved, Siv</creatorcontrib><creatorcontrib>Motahari-Tabari, Narges</creatorcontrib><creatorcontrib>Owens, Julie A</creatorcontrib><creatorcontrib>Perales, Maria</creatorcontrib><creatorcontrib>Petrella, Elisabetta</creatorcontrib><creatorcontrib>Phelan, Suzanne</creatorcontrib><creatorcontrib>Poston, Lucilla</creatorcontrib><creatorcontrib>Rauh, Kathrin</creatorcontrib><creatorcontrib>Rayanagoudar, Girish</creatorcontrib><creatorcontrib>Renault, Kristina</creatorcontrib><creatorcontrib>Ruifrok, Anneloes E</creatorcontrib><creatorcontrib>Sagedal, Linda Reme</creatorcontrib><creatorcontrib>Salvesen, Kjell Å</creatorcontrib><creatorcontrib>Scudeller, Tânia T</creatorcontrib><creatorcontrib>Shen, Gary</creatorcontrib><creatorcontrib>Shub, Alexis</creatorcontrib><creatorcontrib>Stafne, Signe Nilssen</creatorcontrib><creatorcontrib>Surita, Fernanda</creatorcontrib><creatorcontrib>Thangaratinam, Shakila</creatorcontrib><creatorcontrib>Tonstad, Serena</creatorcontrib><creatorcontrib>van Poppel, Mireille N.M</creatorcontrib><creatorcontrib>Vinter, Christina</creatorcontrib><creatorcontrib>Vistad, Ingvild</creatorcontrib><creatorcontrib>Yeo, SeonAe</creatorcontrib><creatorcontrib>McAuliffe, Fionnuala M</creatorcontrib><title>Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain: individual participant data meta-analysis</title><description>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.</description><subject>adverse birth outcomes</subject><subject>association</subject><subject>disparities</subject><subject>exercise program</subject><subject>health</subject><subject>obese pregnant women</subject><subject>overweight</subject><subject>physical activity</subject><subject>risk</subject><subject>sosioeconomic status</subject><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>3HK</sourceid><recordid>eNqNjE0KwkAMhbtxIeod4gEKTv0B3Yqie_clzKQ10GbKTFrpLTyyU_EAQuDBe9-Xefa-tx1aBV9Bi0pBsAFyvUVlL5AuUOy8RAL10HBFUceGgCWxA8lExWkKk0RQp_2rpjcv4vqpUCPLKQmOB3Z96jsMypY7FAWHitCSYo5JGSPHZTarsIm0-uUiW18vj_Mtt4GjspTiA5bGFPtNWRz2O2OO23-YDyd2UAc</recordid><startdate>2019</startdate><enddate>2019</enddate><creator>O'Brien, Eileen C</creator><creator>Segurado, Ricardo</creator><creator>Geraghty, Aisling A</creator><creator>Alberdi, Goiuri</creator><creator>Rogozinska, Ewelina</creator><creator>Astrup, Arne</creator><creator>Carballo, Ruben Barakat</creator><creator>Bogaerts, Annick</creator><creator>Cecatti, José Guilherme</creator><creator>Coomarasamy, Arri</creator><creator>De Groot, Christianne J.M</creator><creator>Devlieger, Roland</creator><creator>Dodd, Jodie M</creator><creator>El Beltagy, Nermeen</creator><creator>Facchinetti, Fabio</creator><creator>Geiker, Nina Rica Wium</creator><creator>Guelfi, Kym</creator><creator>Haakstad, Lene Annette Hagen</creator><creator>Harrison, Cheryce</creator><creator>Hauner, Hans</creator><creator>Jensen, Dorte M</creator><creator>Khan, Khalid S</creator><creator>Kinnunen, Tarja I</creator><creator>Luoto, Riitta</creator><creator>Mol, Ben Willem J</creator><creator>Mørkved, Siv</creator><creator>Motahari-Tabari, Narges</creator><creator>Owens, Julie A</creator><creator>Perales, Maria</creator><creator>Petrella, Elisabetta</creator><creator>Phelan, Suzanne</creator><creator>Poston, Lucilla</creator><creator>Rauh, Kathrin</creator><creator>Rayanagoudar, Girish</creator><creator>Renault, Kristina</creator><creator>Ruifrok, Anneloes E</creator><creator>Sagedal, Linda Reme</creator><creator>Salvesen, Kjell Å</creator><creator>Scudeller, Tânia T</creator><creator>Shen, Gary</creator><creator>Shub, Alexis</creator><creator>Stafne, Signe Nilssen</creator><creator>Surita, Fernanda</creator><creator>Thangaratinam, Shakila</creator><creator>Tonstad, Serena</creator><creator>van Poppel, Mireille N.M</creator><creator>Vinter, Christina</creator><creator>Vistad, Ingvild</creator><creator>Yeo, SeonAe</creator><creator>McAuliffe, Fionnuala M</creator><scope>3HK</scope></search><sort><creationdate>2019</creationdate><title>Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain: individual participant data meta-analysis</title><author>O'Brien, Eileen C ; Segurado, Ricardo ; Geraghty, Aisling A ; Alberdi, Goiuri ; Rogozinska, Ewelina ; Astrup, Arne ; Carballo, Ruben Barakat ; Bogaerts, Annick ; Cecatti, José 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 Annette Hagen ; Harrison, Cheryce ; Hauner, Hans ; Jensen, Dorte M ; Khan, Khalid S ; Kinnunen, Tarja I ; Luoto, Riitta ; Mol, Ben Willem J ; Mørkved, Siv ; Motahari-Tabari, Narges ; Owens, Julie A ; Perales, Maria ; Petrella, Elisabetta ; Phelan, Suzanne ; Poston, Lucilla ; Rauh, Kathrin ; Rayanagoudar, Girish ; Renault, Kristina ; Ruifrok, Anneloes E ; Sagedal, Linda Reme ; Salvesen, Kjell Å ; Scudeller, Tânia T ; Shen, Gary ; Shub, Alexis ; Stafne, Signe Nilssen ; Surita, Fernanda ; Thangaratinam, Shakila ; Tonstad, Serena ; van Poppel, Mireille N.M ; Vinter, Christina ; Vistad, Ingvild ; Yeo, SeonAe ; McAuliffe, Fionnuala M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-cristin_nora_11250_26541193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>adverse birth outcomes</topic><topic>association</topic><topic>disparities</topic><topic>exercise program</topic><topic>health</topic><topic>obese pregnant women</topic><topic>overweight</topic><topic>physical activity</topic><topic>risk</topic><topic>sosioeconomic status</topic><toplevel>online_resources</toplevel><creatorcontrib>O'Brien, Eileen C</creatorcontrib><creatorcontrib>Segurado, Ricardo</creatorcontrib><creatorcontrib>Geraghty, Aisling A</creatorcontrib><creatorcontrib>Alberdi, Goiuri</creatorcontrib><creatorcontrib>Rogozinska, Ewelina</creatorcontrib><creatorcontrib>Astrup, Arne</creatorcontrib><creatorcontrib>Carballo, Ruben Barakat</creatorcontrib><creatorcontrib>Bogaerts, Annick</creatorcontrib><creatorcontrib>Cecatti, José Guilherme</creatorcontrib><creatorcontrib>Coomarasamy, Arri</creatorcontrib><creatorcontrib>De Groot, Christianne J.M</creatorcontrib><creatorcontrib>Devlieger, Roland</creatorcontrib><creatorcontrib>Dodd, Jodie M</creatorcontrib><creatorcontrib>El Beltagy, Nermeen</creatorcontrib><creatorcontrib>Facchinetti, Fabio</creatorcontrib><creatorcontrib>Geiker, Nina Rica Wium</creatorcontrib><creatorcontrib>Guelfi, Kym</creatorcontrib><creatorcontrib>Haakstad, Lene Annette Hagen</creatorcontrib><creatorcontrib>Harrison, Cheryce</creatorcontrib><creatorcontrib>Hauner, Hans</creatorcontrib><creatorcontrib>Jensen, Dorte M</creatorcontrib><creatorcontrib>Khan, Khalid S</creatorcontrib><creatorcontrib>Kinnunen, Tarja I</creatorcontrib><creatorcontrib>Luoto, Riitta</creatorcontrib><creatorcontrib>Mol, Ben Willem J</creatorcontrib><creatorcontrib>Mørkved, Siv</creatorcontrib><creatorcontrib>Motahari-Tabari, Narges</creatorcontrib><creatorcontrib>Owens, Julie A</creatorcontrib><creatorcontrib>Perales, Maria</creatorcontrib><creatorcontrib>Petrella, Elisabetta</creatorcontrib><creatorcontrib>Phelan, Suzanne</creatorcontrib><creatorcontrib>Poston, Lucilla</creatorcontrib><creatorcontrib>Rauh, Kathrin</creatorcontrib><creatorcontrib>Rayanagoudar, Girish</creatorcontrib><creatorcontrib>Renault, Kristina</creatorcontrib><creatorcontrib>Ruifrok, Anneloes E</creatorcontrib><creatorcontrib>Sagedal, Linda Reme</creatorcontrib><creatorcontrib>Salvesen, Kjell Å</creatorcontrib><creatorcontrib>Scudeller, Tânia T</creatorcontrib><creatorcontrib>Shen, Gary</creatorcontrib><creatorcontrib>Shub, Alexis</creatorcontrib><creatorcontrib>Stafne, Signe Nilssen</creatorcontrib><creatorcontrib>Surita, Fernanda</creatorcontrib><creatorcontrib>Thangaratinam, Shakila</creatorcontrib><creatorcontrib>Tonstad, Serena</creatorcontrib><creatorcontrib>van Poppel, Mireille N.M</creatorcontrib><creatorcontrib>Vinter, Christina</creatorcontrib><creatorcontrib>Vistad, Ingvild</creatorcontrib><creatorcontrib>Yeo, SeonAe</creatorcontrib><creatorcontrib>McAuliffe, Fionnuala M</creatorcontrib><collection>NORA - Norwegian Open Research Archives</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>O'Brien, Eileen C</au><au>Segurado, Ricardo</au><au>Geraghty, Aisling A</au><au>Alberdi, Goiuri</au><au>Rogozinska, Ewelina</au><au>Astrup, Arne</au><au>Carballo, Ruben Barakat</au><au>Bogaerts, Annick</au><au>Cecatti, José Guilherme</au><au>Coomarasamy, Arri</au><au>De Groot, Christianne J.M</au><au>Devlieger, Roland</au><au>Dodd, Jodie M</au><au>El Beltagy, Nermeen</au><au>Facchinetti, Fabio</au><au>Geiker, Nina Rica Wium</au><au>Guelfi, Kym</au><au>Haakstad, Lene Annette Hagen</au><au>Harrison, Cheryce</au><au>Hauner, Hans</au><au>Jensen, Dorte M</au><au>Khan, Khalid S</au><au>Kinnunen, Tarja I</au><au>Luoto, Riitta</au><au>Mol, Ben Willem J</au><au>Mørkved, Siv</au><au>Motahari-Tabari, Narges</au><au>Owens, Julie A</au><au>Perales, Maria</au><au>Petrella, Elisabetta</au><au>Phelan, Suzanne</au><au>Poston, Lucilla</au><au>Rauh, Kathrin</au><au>Rayanagoudar, Girish</au><au>Renault, Kristina</au><au>Ruifrok, Anneloes E</au><au>Sagedal, Linda Reme</au><au>Salvesen, Kjell Å</au><au>Scudeller, Tânia T</au><au>Shen, Gary</au><au>Shub, Alexis</au><au>Stafne, Signe Nilssen</au><au>Surita, Fernanda</au><au>Thangaratinam, Shakila</au><au>Tonstad, Serena</au><au>van Poppel, Mireille N.M</au><au>Vinter, Christina</au><au>Vistad, Ingvild</au><au>Yeo, SeonAe</au><au>McAuliffe, Fionnuala M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain: individual participant data meta-analysis</atitle><date>2019</date><risdate>2019</risdate><abstract>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.</abstract><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_cristin_nora_11250_2654119 |
| source | NORA - Norwegian Open Research Archives |
| subjects | adverse birth outcomes association disparities exercise program health obese pregnant women overweight physical activity risk sosioeconomic status |
| title | Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain: individual participant data meta-analysis |
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