Physical activity during pregnancy and the risk of gestational diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials

Yin, Yuan; Li, Xianglian; Tie-jun, Tao; Luo, Biru; Liao, Shu-juan

doi:10.1136/bjsports-2013-092596

Cited by 64 publications

(51 citation statements)

References 57 publications

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“…Women who develop pelvic girdle pain are also less likely to participate in regular physical activity during pregnancy6 and thus, be a risk of the complications of physical inactivity 7. Approximately 2–3% of all women report chronic pelvic girdle pain 1 year after delivery 8.…”

Section: Introductionmentioning

confidence: 99%

Exercise level before pregnancy and engaging in high-impact sports reduce the risk of pelvic girdle pain: a population-based cohort study of 39 184 women

et al. 2015

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Section: Introductionmentioning

confidence: 99%

Exercise level before pregnancy and engaging in high-impact sports reduce the risk of pelvic girdle pain: a population-based cohort study of 39 184 women

et al. 2015

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“…Even findings from meta-analyses have reached different conclusions. For example, a 2012 Cochrane review [44] and a relatively recent meta-analysis [45] concluded that a physical activity intervention did not have any significant effect on the risk of developing GDM. More recently, two meta-analyses [41,42] found that physical activity interventions can effectively prevent GDM, especially when the duration of the intervention is longer throughout pregnancy.…”

mentioning

confidence: 99%

Risk factors for gestational diabetes: is prevention possible?

2016

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Gestational diabetes mellitus (GDM), a common pregnancy complication, continues to be a significant public health and clinical problem. It carries significant short-term and long-term adverse health outcomes for both mother and offspring, which reinforces the significance of understanding risk factors, in particular modifiable factors, for GDM and of preventing the condition. Research in the past decade from observational studies has identified a few diet and lifestyle factors that are associated with GDM risk and demonstrated that time frames both before and during pregnancy may be relevant to the development of GDM. Findings from intervention studies on the effect of diet and lifestyle on the prevention of GDM have been largely controversial and inconsistent. Variations in study population, types of intervention, timing and duration of intervention and diagnostic criteria for GDM may all at least partly account for the large heterogeneity in the findings from these intervention studies. This review provides an overview of emerging diet, lifestyle, and other factors that may help to prevent GDM, and the challenges associated with prevention. It also discusses major methodological concerns about the available epidemiological studies on GDM risk factors. Findings from both observational and intervention studies are discussed.

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“…Early systematic reviews of randomized controlled trials (RCTs) (up to April 2013) suggested that evidence was inconclusive, 29 or was shown to provide a slight protective effect (up to August 2014) 30 regarding the effectiveness of physical activity in reducing GDM risk. However, another systematic review and meta-analysis (RCTs up to May 2014) concluded that structured moderate physical activity decreased the risk of GDM (by 31%), reduced excessive maternal weight gain, and is safe for mother and fetus but could not suggest recommendations for exercise prescription.…”

Section: Role Of Exercise In Preventing Gdmmentioning

confidence: 99%

Role of Exercise in Reducing Gestational Diabetes Mellitus

Mottola

Artal

2016

Clinical Obstetrics &Amp; Gynecology

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Exercise plays an important role in reducing the prevalence of gestational diabetes mellitus (GDM) in women with or without risk factors. GDM risk factors include obesity, family history of diabetes, high-risk ethnicity, increased maternal age, history of GDM, delivering a macrosomic infant, excessive gestational weight gain early in pregnancy (before glucose screening), sedentary behavior, low physical activity, and vitamin D deficiency. Most GDM patients can be managed with lifestyle modifications that include medical nutrition therapy and physical activity. When adherence is high and women are fully engaged in the exercise program, GDM can be effectively managed and prevented.

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Physical activity during pregnancy and the risk of gestational diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials

Abstract: Evidence was insufficient to suggest that physical activity during pregnancy might be effective to lower the risk of developing GDM.

Cited by 64 publications

References 57 publications

Exercise level before pregnancy and engaging in high-impact sports reduce the risk of pelvic girdle pain: a population-based cohort study of 39 184 women

Exercise level before pregnancy and engaging in high-impact sports reduce the risk of pelvic girdle pain: a population-based cohort study of 39 184 women

Risk factors for gestational diabetes: is prevention possible?

Role of Exercise in Reducing Gestational Diabetes Mellitus

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