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Variations in long-term outcome reporting among offspring followed up after lifestyle interventions in pregnancy: a systematic review

Olmedo-Requena, R; Amezcua-Prieto, C; Al Wattar, BH; Rogozinska, E; Bueno-Cavanillas, A; Juan Jiménez-Moleón, J; Thangaratinam, S; (2020) Variations in long-term outcome reporting among offspring followed up after lifestyle interventions in pregnancy: a systematic review. Journal of Perinatal Medicine , 48 (2) pp. 89-95. 10.1515/jpm-2019-0302. Green open access

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Abstract

Background: Mothers and their offspring may benefit from lifestyle interventions during pregnancy. We systematically reviewed the literature to map and evaluate the quality of long-term offspring outcomes in follow-up cohorts of randomised controlled trials (RCTs). / Methods: We searched MEDLINE, EMBASE, CINAHL, Database of Abstracts of Reviews of Effects and Cochrane Central (until March 2019) for all RCTs evaluating any lifestyle (diet or exercise) intervention during pregnancy and their follow-up cohorts. Two reviews evaluated the extracted outcomes using two standardised assessment tools, one for quality of reporting (score range 0-6) and another for the variation in outcome selection. We extracted data in duplicate and reported using natural frequencies, medians, ranges, means and standard deviation (SD). / Results: We captured 30 long-term offspring outcomes reported in six articles (four studies). Offspring anthropometric measurements were the most commonly reported outcomes. There was a large variation in the measurement tools used. The mean overall quality score for outcome reporting was 3.33 (SD 1.24), with poor reporting of secondary outcomes and limited justification for the choice of the reported outcomes. Most studies showed selective reporting for both their primary and secondary outcomes. / Conclusion: The quality of reporting for long-term offspring outcomes following lifestyle interventions in pregnancy is varied with evidence of selective outcome reporting. Developing a core outcome set will help to reduce the variations in outcome reporting to optimise future research.

Type: Article
Title: Variations in long-term outcome reporting among offspring followed up after lifestyle interventions in pregnancy: a systematic review
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1515/jpm-2019-0302
Publisher version: http://dx.doi.org/10.1515/jpm-2019-0302
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: core, follow-up cohorts, lifestyle, offspring, outcomes, reporting bias, variation
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/10091862
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