Lifestyle intervention can reduce the risk of gestational diabetes: a meta‐analysis of randomized controlled trials

@article{Song2016LifestyleIC,
  title={Lifestyle intervention can reduce the risk of gestational diabetes: a meta‐analysis of randomized controlled trials},
  author={C. Song and J. Li and Junhong Leng and Ronald C. W. Ma and X Yang},
  journal={Obesity Reviews},
  year={2016},
  volume={17},
  pages={960 - 969}
}
This study aimed to examine the effect of lifestyle intervention on the risk of gestational diabetes mellitus (GDM). We searched PubMed, Springer and other databases to retrieve articles published in English and Chinese up to 30 September 2015. The inclusion criteria were randomized controlled trials evaluating the effects of lifestyle intervention on risk of GDM. Exclusion criteria were studies with prepregnancy diabetes mellitus or interventions with nutrient supplements. Random‐effect and… 
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107 Citations
Highly Influential Citations
2
Background Citations
24
Methods Citations
6
Results Citations
2

107 Citations

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Citation Type

Prevention of gestational diabetes with a prepregnancy lifestyle intervention – findings from a randomized controlled trial
TLDR
The preconceptional lifestyle intervention applied in the present study did not reduce the incidence of GDM.
Combined diet and exercise interventions for preventing gestational diabetes mellitus.
TLDR
There was a possible reduced risk of GDM in the diet and exercise intervention group compared with the standard care group, and Findings from sensitivity analyses generally supported those observed in the main analyses.
How Can Maternal Lifestyle Interventions Modify the Effects of Gestational Diabetes in the Neonate and the Offspring? A Systematic Review of Meta-Analyses
TLDR
Lifestyle interventions reduced the risk of preterm birth and shoulder dystocia, but individually, diets or exercise alone had no effect on neonatal adverse outcomes.
Effect of a lifestyle intervention during pregnancy—findings from the Finnish gestational diabetes prevention trial (RADIEL)
TLDR
The high prevalence of impaired glucose metabolism was observed already in early pregnancy, which may have contributed to the lack of effect of the intervention.
Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain
TLDR
A MedDiet-based intervention reduces the rate of GDM and several adverse maternal-fetal outcomes in Hispanic women residing in Spain.
Improving nutrition for the prevention of gestational diabetes: Current status and perspectives
TLDR
An overview of new diets and other factors that may help prevent Gestational diabetes mellitus is provided, including new data on the possible uses of personalized diet therapy.
Interventions to prevent women from developing gestational diabetes mellitus: an overview of Cochrane Reviews.
TLDR
The evidence from Cochrane systematic reviews on the effects of interventions for preventing gestational diabetes mellitus, including diet, exercise, a combination of diet and exercise, dietary supplements, pharmaceuticals, and management of other health problems in pregnancy was summarized.
The Role of Lifestyle Intervention in the Prevention and Treatment of Gestational Diabetes.
TLDR
There is inconclusive evidence on the effects of diet or exercise as standalone therapies for GDM treatment and several key knowledge gaps remain, including how lifestyle interventions can be optimized during pregnancy, and whether intervention during preconception is effective for preventing the rising prevalence of GDM.
Lifestyle intervention to prevent gestational diabetes mellitus and adverse maternal outcomes among pregnant women at high risk for gestational diabetes mellitus
TLDR
Investigating the effects of a lifestyle intervention on gestational diabetes mellitus incidence and risk of adverse maternal outcomes among pregnant women at high risk for GDM found that women in the intervention group had a lower risk of GDM and adverse mothers outcomes, after adjusting potential confounding factors.
The Effectiveness of Smoking Cessation, Alcohol Reduction, Diet and Physical Activity Interventions in Improving Maternal and Infant Health Outcomes: A Systematic Review of Meta-Analyses
TLDR
A synthesis of evidence from meta-analyses on the effectiveness of interventions at reducing risk of adverse health outcomes in pregnancy is reported, with consistent evidence from diet and physical activity interventions for a significantly reduced mean gestational weight gain.
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References

SHOWING 1-10 OF 72 REFERENCES
Nutritional Manipulation for the Primary Prevention of Gestational Diabetes Mellitus: A Meta-Analysis of Randomised Studies
TLDR
Nutritional manipulation in pregnancy based on diet or mixed approach do not appear to reduce the risk of gestational diabetes and nutritional supplements show potential as agents for primary prevention of GDM.
Physical activity during pregnancy and the risk of gestational diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials
TLDR
Evidence was insufficient to suggest that physical activity during pregnancy might be effective to lower the risk of developing gestational diabetes mellitus, according to a systematic review and meta-analysis.
Effect of an Exercise Intervention on Gestational Diabetes Mellitus: A Randomized Controlled Trial
TLDR
It was found that a prenatal exercise intervention implemented in the second trimester did not result in a statistically significant reduction in relative odds for GDM, impaired glucose tolerance, or abnormal glucose screen, and the intervention had no effect on birth outcomes.
Physical Activity Interventions in Pregnancy and Risk of Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis
TLDR
The results from this meta-analysis suggest that physical activity in pregnancy provides a slight protective effect against the development of GDM.
Diet and exercise interventions for preventing gestational diabetes mellitus.
TLDR
Very few differences were shown between groups for the review's secondary outcomes, including for induction of labour, perineal trauma, pre-eclampsia, postpartum haemorrhage and infection, macrosomia, birthweight, small-for-gestational age, ponderal index, neonatal hypoglycaemia and so on.
The Role of Energy, Nutrients, Foods, and Dietary Patterns in the Development of Gestational Diabetes Mellitus: A Systematic Review of Observational Studies
TLDR
The findings support current dietary guidelines to limit consumption of foods containing saturated fat and cholesterol, such as processed meat and eggs, as part of an overall balanced diet.
Association between weight gain during pregnancy and pregnancy outcomes after dietary and lifestyle interventions: a meta-analysis.
TLDR
Reduction in GWG due to lifestyle interventions in pregnancy had statistically nonsignificant effects on lowering the incidence of PE, GDM, and IOL, suggesting the beneficial effect of lifestyle interventions on pregnancy outcomes is due to an effect independent of the reduction of GWG.
Gestational Diabetes Mellitus Can Be Prevented by Lifestyle Intervention: The Finnish Gestational Diabetes Prevention Study (RADIEL)
TLDR
A moderate individualized lifestyle intervention reduced the incidence of GDM by 39% in high-risk pregnant women and may have major health consequences for both the mother and the child.
Exercise during pregnancy and gestational diabetes-related adverse effects: a randomised controlled trial
TLDR
Regular moderate-intensity exercise performed over the second-third trimesters of pregnancy can be used to attenuate important GDM-related adverse outcomes.
Lifestyle interventions for overweight and obese pregnant women to improve pregnancy outcome: systematic review and meta-analysis
TLDR
The evidence suggests antenatal dietary and lifestyle intervention in obese pregnant women reduces maternal pregnancy weight gain and a trend towards a reduction in the prevalence of gestational diabetes in the overweight and obese population.
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