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Variations in reporting of outcomes in randomized trials on diet and physical activity in pregnancy: A systematic review

Rogozińska, E; Marlin, N; Yang, F; Dodd, JM; Guelfi, K; Teede, H; Surita, F; ... i-WIP (International Weight Management in Pregnancy) Collaborati; + view all (2017) Variations in reporting of outcomes in randomized trials on diet and physical activity in pregnancy: A systematic review. Journal of Obstetrics and Gynaecology Research , 43 (7) pp. 1101-1110. 10.1111/jog.13338. Green open access

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Abstract

AIM: Trials on diet and physical activity in pregnancy report on various outcomes. We aimed to assess the variations in outcomes reported and their quality in trials on lifestyle interventions in pregnancy. METHODS: We searched major databases without language restrictions for randomized controlled trials on diet and physical activity-based interventions in pregnancy up to March 2015. Two independent reviewers undertook study selection and data extraction. We estimated the percentage of papers reporting 'critically important' and 'important' outcomes. We defined the quality of reporting as a proportion using a six-item questionnaire. Regression analysis was used to identify factors affecting this quality. RESULTS: Sixty-six randomized controlled trials were published in 78 papers (66 main, 12 secondary). Gestational diabetes (57.6%, 38/66), preterm birth (48.5%, 32/66) and cesarian section (60.6%, 40/66), were the commonly reported 'critically important' outcomes. Gestational weight gain (84.5%, 56/66) and birth weight (87.9%, 58/66) were reported in most papers, although not considered critically important. The median quality of reporting was 0.60 (interquartile range 0.25, 0.83) for a maximum score of one. Study and journal characteristics did not affect quality. CONCLUSION: Many studies on lifestyle interventions in pregnancy do not report critically important outcomes, highlighting the need for core outcome set development.

Type: Article
Title: Variations in reporting of outcomes in randomized trials on diet and physical activity in pregnancy: A systematic review
Location: Australia
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/jog.13338
Publisher version: http://doi.org/10.1111/jog.13338
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: diet, outcome, physical activity, pregnancy, quality, randomized trial, Diet, Exercise, Female, Humans, Outcome Assessment (Health Care), Pregnancy, Pregnancy Complications, Randomized Controlled Trials as Topic
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology > MRC Clinical Trials Unit at UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10074239
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