Combined diet and exercise interventions for preventing gestational diabetes mellitus

Shepherd, Emily; Gomersall, Judith Streak; Tieu, Joanna; Han, Shanshan; Crowther, Caroline A; Middleton, Philippa

doi:10.1002/14651858.cd010443.pub3

Cited by 171 publications

(233 citation statements)

References 161 publications

Supporting

Mentioning

205

Contrasting

Unclassified

Order By: Relevance

Section: Discussionsupporting

confidence: 84%

“…Results of this meta‐analysis are consistent with those of previously published meta‐analyses estimating the effect of behavioural interventions in pregnancy on PPWR, as a secondary outcome . These meta‐analyses included data from three to seven included trials. Agha et al and Bain et al reported similar estimates for the mean difference (MD) in PPWR between groups (MD: −0.99 kg, 95% CI: −2.25 to 0.26 and average MD: −0.72 kg, 95% CI −1.96 to 0.51, respectively) for all follow‐up lengths.…”

Section: Discussionmentioning

confidence: 98%

“…Also, during pregnancy, there is increased contact with primary health care providers, and the awareness for healthy behaviours is heightened, creating an opportunity for weight‐related lifestyle changes . While a few previous systematic reviews and meta‐analyses have assessed the effectiveness of lifestyle interventions during pregnancy for reducing overall PPWR, none have focused on long‐term PPWR, or the progression of intervention effects over time, thus far . Long‐term PPWR measurements could better represent future weight trajectories, as weight during the first 6 weeks after delivery may be affected by changes in fat‐free mass, while fat mass may be retained well beyond this time frame .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Do lifestyle interventions during pregnancy have the potential to reduce long‐term postpartum weight retention? A systematic review and meta‐analysis

et al. 2018

View full text Add to dashboard Cite

Reducing postpartum weight retention is a promising strategy for addressing the rising prevalence of overweight and obesity in women. This systematic review and meta-analysis explored whether lifestyle interventions during pregnancy have the potential to reduce weight retention at 4 months postpartum and beyond. A search of five electronic databases for randomized controlled trials comparing the effect of weight-related lifestyle interventions beginning in pregnancy on postpartum weight retention to standard prenatal care groups was performed. Postpartum weight retention data was synthesized in a random-effects meta-analysis. Data from 14 studies of 7116 participants showed that the intervention group retained statistically significant less weight than the control group (weighted mean difference: −0.73 kg, 95% CI: −1.32 to −0.14, P = 0.015). Subgroup analysis showed this effect to be largest in studies with follow-ups from 4 to 6 months (weighted mean difference: −1.32 kg, 95% CI: −2.11 to −0.53, P = 0.001), but it remained significant until 12 months postpartum (weighted mean difference: −0.68 kg, 95% CI: −1.28 to −0.09, P = 0.023). In studies of women with a body mass index above 25.0 kg/m 2 , no significant intervention effect was observed. More high-quality studies with a follow-up beyond 12 months postpartum are needed.

show abstract

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Do lifestyle interventions during pregnancy have the potential to reduce long‐term postpartum weight retention? A systematic review and meta‐analysis

et al. 2018

View full text Add to dashboard Cite

show abstract

“…These findings go in hand with Shepherd et al (35) who detected reduced risk of GDM with their proposed diet and exercise interventions for pregnant women versus women received no intervention. Also, Pan et al (36) reported that women with GDM were older and had higher BMI than women free of GDM and Li et al (37) found the levels of FBG, PPBGG, FSI, lipid profile and HOMA-IR score were significantly higher in GDM than in normal glucose tolerance women with a positive correlation between HOMA-IR and BMI and concluded that with the increases of FBG, the progression of IR is increased and pancreatic β-cell function progressively declines.…”

Section: Discussion:-mentioning

confidence: 82%

Serum Adropin and Adipose Fatty-Acid Binding Protein at 6th Week of Pregnancy Are Significant Predictors for Development of Insulin Resistance at the 24th Week.

Sharafeldeen¹

2018

IJAR

View full text Add to dashboard Cite

“…It is also recommended to continue or initiate moderate‐intensity exercise . Recent meta‐analyses on the effects of diet and exercise interventions in pregnancy reported on benefits in reducing gestational weight gain and GDM. Furthermore, exercise interventions in pregnant women diagnosed with GDM are associated with reduced fasting and postprandial blood glucose concentration .…”

Section: Introductionmentioning

confidence: 99%

Acute responses to structured aerobic and resistance exercise in women with gestational diabetes mellitus

Kokić

Ivanišević

Kokić

et al. 2018

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

Research on the acute responses to exercise in pregnancy is scarce, especially for women affected by gestational diabetes mellitus (GDM). The aim of this study was to investigate responses to a single bout of exercise performed multiple times throughout the pregnancy in women diagnosed with GDM. Data from 18 pregnant women (aged: 32.8 ± 3.8) diagnosed with GDM, treated with diet only, were analyzed. Participants' pre-pregnancy body mass index was 24.4 ± 4.9 kg/m , 50% of them were nulliparous, and 50% of the sample regularly exercised before the pregnancy. The exercise intervention consisted of an individual structured aerobic and resistance exercise program performed twice per week from the time of diagnosis until at least the 36th week of pregnancy. The exercise program included 20 minutes of aerobic exercise, 20-25 minutes of resistance exercise, and 10 minutes of cool down. Maternal heart rate, systolic and diastolic blood pressure, temperature and fetal heart rate were measured at every exercise session, along with blood glucose on 3 occasions. In total, 365 exercise sessions were analyzed (85 in the second trimester and 280 in the third trimester), on average 20.3 ± 7.7 per participant. Heart rate and fetal heart rate were elevated during both the aerobic and resistance parts of the exercise session (P < .01) in comparison with the baseline while systolic and diastolic blood pressure did not change in the total sample. There was a slight elevation in tympanic membrane temperature during the aerobic part of the session (P < .01). All parameters returned to baseline levels by the end of the session. Glucose levels dropped from the baseline, from 4.7 ± 0.6 to 3.9 ± 0.4 mmol/L (P < .01). There were no differences in responses to exercise between the second and third trimesters, nor between pre-pregnancy exercisers and non-exercisers. The combination of aerobic and resistance exercise for women diagnosed with GDM does not have harmful short-term effects if performed according to guidelines. Likewise, exercise can be considered useful for controlling hyperglycemia in pregnancy for women affected by GDM.

show abstract

Combined diet and exercise interventions for preventing gestational diabetes mellitus

Cited by 171 publications

References 161 publications

Do lifestyle interventions during pregnancy have the potential to reduce long‐term postpartum weight retention? A systematic review and meta‐analysis

Do lifestyle interventions during pregnancy have the potential to reduce long‐term postpartum weight retention? A systematic review and meta‐analysis

Serum Adropin and Adipose Fatty-Acid Binding Protein at 6th Week of Pregnancy Are Significant Predictors for Development of Insulin Resistance at the 24th Week.

Acute responses to structured aerobic and resistance exercise in women with gestational diabetes mellitus

Contact Info

Product

Resources

About