Sedentary behaviors and gestational diabetes mellitus: A systematic review

Li, Qianqian; Zhu, Yuan; Wang, Jingyuan; Zhang, Yan; Pan, Yueshuai; Gu, Ruting; Guo, Xiaojing; Wei, Lili

doi:10.1111/jog.15090

Cited by 6 publications

(3 citation statements)

References 48 publications

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“…Previous research, which found that overweight and obese pregnant women had an increased risk of GD, may be attributable to inhibited insulin signalling release. 46 One meta-analysis pointed out that sedentary behaviour during pregnancy is not clearly associated with GD, perhaps because of reporting differences and measuring challenges, 47 but weight gain resulting from sedentary behaviour and vascular factors is confirmed as being associated with GD. Pregnant women should reduce their sedentary time and maintain a low prepregnancy BMI to prevent and reduce the risk of GD.…”

Section: Discussionmentioning

confidence: 99%

Establishment and validation of a prediction model for gestational diabetes

Wang,

He,

et al. 2023

Diabetes Obesity Metabolism

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AimTo develop a visual prediction model for gestational diabetes (GD) in pregnant women and to establish an effective and practical tool for clinical application.MethodsTo establish a prediction model, the modelling set included 1756 women enrolled in the Zunyi birth cohort, the internal validation set included 1234 enrolled women, and pregnant women in the Wuhan cohort were included in the external validation set. We established a demographic–lifestyle factor model (DLFM) and a demographic–lifestyle–environmental pollution factor model (DLEFM) based on whether the women were exposed to environmental pollutants. The least absolute shrinkage and selection lasso–logistic regression analyses were used to identify the independent predictors of GD and construct a nomogram for predicting its occurrence.ResultsThe DLEFM regression analysis showed that a family history of diabetes (odd ratio [OR] 2.28; 95% confidence interval [CI] 1.05‐4.71), a history of GD in pregnant women (OR 4.22; 95% CI 1.89‐9.41), being overweight or obese before pregnancy (OR 1.71; 95% CI 1.27‐2.29), a history of hypertension (OR 2.61; 95% CI 1.41‐4.72), sedentary time (h/day) (OR 1.16; 95% CI 1.08‐1.24), monobenzyl phthalate (OR 1.95; 95% CI 1.45‐2.67) and Q4 mono‐ethyl phthalate concentration (OR 1.85; 95% CI 1.26‐2.73) were independent predictors. The area under the receiver operating curves for the internal validation of the DLEFM and the DLFM constructed using these seven factors was 0.827 and 0.783, respectively. The calibration curve of the DLEFM was close to the diagonal line. The DLEFM was thus the more optimal model, and the one which we chose.ConclusionsA nomogram based on preconception factors was constructed to predict the occurrence of GD in the second and third trimesters. It provided an effective tool for the early prediction and timely management of GD.

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Section: Discussionmentioning

confidence: 99%

Establishment and validation of a prediction model for gestational diabetes

Wang,

He,

et al. 2023

Diabetes Obesity Metabolism

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“…Observational studies were assessed using the following items developed from the Joanna Briggs Institute critical appraisal checklists [37]: (1) study design allowed for causal inference (only for longitudinal study design); (2) random selection of study participants and/or study sites; (3) detailed description of sample characteristics; (4) valid assessment of motor competence; (5) valid assessment of executive functions; and (6) adjustment for relevant confounders in the analysis. Based on the assessment criteria, the risk bias for each included study was categorised based on the percentage of items rated as "yes" > 70% (low), 50-69% (moderate), or < 50% (high) [38,39].…”

Section: Criteria For Risk Of Bias Assessmentmentioning

confidence: 99%

Associations Between Motor Competence and Executive Functions in Children and Adolescents: A Systematic Review and Meta-analysis

Bao,

Wade,

Leahy

et al. 2024

Sports Med

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Background Motor competence and executive functions co-develop throughout childhood and adolescence, and there is emerging evidence that improvements in motor competence may have cognitive benefits in these populations. There is a need to provide a quantitative synthesis of the cross-sectional, longitudinal and experimental studies that have examined the association between motor competence and executive functions in school-aged youth. Objectives The primary aim of our systematic review was to synthesise evidence of the association between motor competence and executive functions in school-aged children and adolescents (5–18 years). Our secondary aim was to examine key moderators of this association. Methods We searched the PubMed, PsycINFO, Scopus, Ovid MEDLINE, SPORTDiscus and EMBASE databases from inception up to 27 June 2023. We included cross-sectional, longitudinal and experimental studies that assessed the association between motor competence (e.g., general motor competence, locomotor skills, object control skills and stability skills) and executive functions (e.g., general executive functions, inhibition, working memory and cognitive flexibility) in children and adolescents aged 5–18 years. Results In total, 12,117 records were screened for eligibility, and 44 studies were included. From the 44 included studies, we meta-analysed 37 studies with 251 effect sizes using a structural equation modelling approach in the statistical program R. We found a small positive association (r = 0.18, [95% confidence interval (CI) 0.13–0.22]) between motor competence and executive functions. The positive associations were observed in cross-sectional (r = 0.17, [95% CI 0.13–0.22]), longitudinal (r = 0.15, [95% CI 0.03–0.28]) and experimental studies (r = 0.25, [95% CI 0.01–0.45]). We also found that general motor competence (r = 0.25, [95% CI 0.18–0.33]), locomotor (r = 0.15, [95% CI 0.09–0.21]), object control (r = 0.14, [95% CI 0.08–0.20]) and stability (r = 0.14, [95% CI 0.08–0.20]) skills were associated with executive functions. We did not find any moderating effects for participants’ age on the associations between motor competence and executive functions. Conclusions Our findings suggest a small-to-moderate positive association between motor competence and executive functions in children and adolescents. The small number of experimental studies included in this review support the assertion that interventions targeting children’s motor competence may be a promising strategy to improve their executive functions; however, more research is needed to confirm these findings. Future studies should explore the underlying mechanisms linking motor competence and executive functions as their comprehension may be used to optimise future intervention design and delivery. PROSPERO Registration CRD42021285134.

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“…Wu et al ( 2022) 214 observaron que la actividad física no previene la aparición de DMG, aunque sí tiene un efecto positivo en la ganancia de peso de las gestantes cuando se combina con una dieta equilibrada. Por otro lado, Li et al (2021) 215 no encontraron asociación entre la conducta sedentaria y el riesgo de DMG, aunque afirman que el sedentarismo puede modificar los resultados metabólicos durante la gestación. En el estudio actual, no se encontraron diferencias en los niveles de actividad física y sedentarismo entre las gestantes con y sin DMG.…”

Section: Asociación De Los Estilos De Vida Con Dmgunclassified

Asociación de patrones nutricionales, aspectos antropométricos, y epidemiológicos con el diagnóstico de Diabetes Mellitus gestacional y resultados perinatales en gestantes usuarias del Centro de Salud Puengasí 2 y del Hospital Gineco-Obstétrico Isidro Ayora de la ciudad de Quito

Toapanta Pinta

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Diabetes is the most common metabolic disorder during pregnancy. Its development is related to multiple factors and is associated with maternal and perinatal adverse effects. The objective of this work was to determine the association of nutritional patterns, anthropometric and epidemiological aspects with the diagnosis of Gestational Diabetes Mellitus (GDM) and perinatal outcomes in pregnant women using the Puengasí 2 Health Center and the Isidro Ayora Gynecology-Obstetric Hospital. A prospective cohort study was carried out in 523 pregnant users of the Puengasí 2 Health Center and the Isidro Ayora Gynecology-Obstetric Hospital in the city of Quito from January 2021 to March 2023. The structured, Global Physical Activity Questionnaire (GPAQ), and 24-hour recall questionnaires were administered. Additionally, perinatal medical records were reviewed. Exploratory factor analysis was conducted to identify nutritional patterns. Descriptive analysis of sociodemographic and lifestyle factors was performed. Bivariate and multivariate analyses were used to establish the relationship between affinity for nutritional patterns and sociodemographic and lifestyle factors. The prevalence of GDM was also calculated. Finally, the association between affinity for nutritional patterns, anthropometric and epidemiological aspects, perinatal outcomes, and the diagnosis of GDM was analyzed. Three dietary patterns were identified. The "Dairy, Salads, and Sweet Snacks/Dressings" pattern showed a positive association with foreign nationality. The "Refined Carbohydrates" pattern showed a negative association with education equal to or less than seven years and income up to a basic salary. The "Traditional Ecuadorian" pattern showed a positive association with origin in the coastal region of Ecuador. The prevalence of GDM was 14.3%.Multivariate analysis confirmed the association of GDM with minority ethnicities (Afrodescendant and others), higher body mass index at the beginning of gestation, higher affinity for the Ecuadorian nutritional pattern, greater weight gain during pregnancy, cesarean section, and higher birth weight. No association was found between GDM and lifestyle factors such as physical activity, sedentary behavior, tobacco use or exposure, and alcohol consumption. In conclusion, three nutritional patterns were identified among pregnant women and their association with sociodemographic variables. The prevalence of gestational diabetes mellitus (DMG), currently at 14.3%, is suggested to be underestimated due to the methods used for diagnosis. Minority ethnicities, a preference for the dietary pattern known as "Traditional Ecuadorian," and higher weight gain during pregnancy are associated with an increased risk of DMG. Perinatal outcomes associated with DMG include cesarean delivery and higher birth weight. No association was found between the lifestyle of the pregnant women and the diagnosis of DMG. These findings highlight the importance of considering sociodemographic and nutritional factors in relation to DMG during pregn...

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Sedentary behaviors and gestational diabetes mellitus: A systematic review

Cited by 6 publications

References 48 publications

Establishment and validation of a prediction model for gestational diabetes

Establishment and validation of a prediction model for gestational diabetes

Associations Between Motor Competence and Executive Functions in Children and Adolescents: A Systematic Review and Meta-analysis

Asociación de patrones nutricionales, aspectos antropométricos, y epidemiológicos con el diagnóstico de Diabetes Mellitus gestacional y resultados perinatales en gestantes usuarias del Centro de Salud Puengasí 2 y del Hospital Gineco-Obstétrico Isidro Ayora de la ciudad de Quito

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