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. 2022 Jan 18;19(1):e1003883. doi: 10.1371/journal.pmed.1003883

Table 3. Pregnancy outcomes according to intervention groups.

Standard lifestyle Intensive lifestyle Rate ratio in intensive lifestyle group (95% CI) P valuea
Good live birth 29/191 (15.2%) 23/188 (12.2%) 0.81 (0.48 to 1.34) 0.404
Live birth 42/191 (22.0%) 38/188 (20.2%) 0.92 (0.62 to 1.36) 0.672
    Singleton live birth 39/42 (92.9%) 32/38 (84.2%) 0.91 (0.77 to 1.07) 0.296
    Twin live birth 3/42 (7.1%) 6/38 (15.8%) 2.21 (0.59 to 8.23) 0.296
Birth weight, grams N = 42 N = 36
3,105.9 ± 794.4 3,198.9 ± 711.7
3,189.3 (2,636.5 to 3,671.3) 3,217.7 (2,802.4 to 3,642.9) 0.952
    Low birth weight (<2,500 g) 8/42 (19.0%) 5/36 (13.9%) 0.73 (0.26 to 2.03) 0.542
    High birth weight (>4,000 g) 5/42 (11.9%) 4/36 (11.1%) 0.93 (0.27 to 3.22) 1.000
Duration of pregnancy, weeks N = 42 N = 36
37.8 ± 2.6 38.2 ± 1.7
38.8 (37.0 to 39.0) 38.3 (37.0 to 39.5) 0.984
Method of delivery
    Vaginal birth 17/40 (42.5%) 17/36 (47.2%) 1.11 (0.67 to 1.83) 0.679
    Cesarean section 23/40 (57.5%) 19/36 (52.8%) 0.92 (0.61 to 1.38) 0.679
Conception 59/191 (30.9%) 63/188 (33.5%) 1.08 (0.81 to 1.45) 0.585
    Time to conception, days N = 52 N = 59
158.1 ± 80.1 148.6 ± 62.4
163.0 (98.5 to 214.0) 160.0 (102.0 to 190.0) 0.564
Clinical pregnancy 47/191 (24.6%) 52/188 (27.7%) 1.12 (0.80 to 1.58) 0.499
Pregnancy 45/191 (23.6%) 48/188 (25.5%) 1.08 (0.76 to 1.54) 0.656
    Singleton pregnancy 42/45 (93.3%) 41/48 (85.4%) 0.92 (0.80 to 1.05) 0.319
    Twin pregnancy 3/45 (6.7%) 7/48 (14.6%) 2.19 (0.60 to 7.95) 0.319
Sex ratio at birth (boys: girls) 0.88 (21:24) 0.76 (19:25) 0.87 (0.38 to 2.00) 0.741
Pregnancy loss among women who conceived 14/59 (23.7%) 24/63 (38.1%) 1.61 (0.92 to 2.80) 0.087
    Loss in first trimester 14/59 (23.7%) 21/63 (33.3%) 1.40 (0.79 to 2.50) 0.241
        Biochemical 6/59 (10.2%) 7/63 (11.1%) 1.09 (0.39 to 3.06) 0.866
        Miscarriage 3/59 (5.1%) 10/63 (15.9%) 3.12 (0.90 to 10.79) 0.077
        Ectopic pregnancy 4/59 (6.8%) 2/63 (3.2%) 0.47 (0.09 to 2.46) 0.428
        Pregnancy of unknown location 1/59 (1.7%) 2/63 (3.2%) 1.87 (0.17 to 20.12) 1.000
Standard lifestyle Intensive lifestyle Rate ratio in intensive lifestyle group (95% CI) P value a
    Loss in second or third trimester 0/59 (0.0%) 3/63 (4.8%) NA 0.245

Live birth was defined by the delivery of a live-born infant. Good live birth was defined by the delivery of a live birth of an infant born at ≥37 weeks, with a birth weight between 2,500 and 4,000 g and without a major congenital anomaly. Conception was defined as having a rising serum level of hCG for 2 consecutive tests. Clinical pregnancy was defined by the observation of gestational sac on ultrasound. Pregnancy was defined by observation of fetal heart motion on ultrasonography. Miscarriage was defined as the loss of a clinical pregnancy.

aP values were calculated with the use of the chi-squared test or Fisher exact test for categorical data and the Wilcoxon rank sum test for continuous data.

CI, confidence interval; hCG, human chorionic gonadotropin; NA, not applicable.