Show simple item record

dc.contributor.authorBennett, G
dc.contributor.authorKing, N
dc.contributor.authorRedfern, Kathy
dc.contributor.authorBreese, Brynmor
dc.date.accessioned2022-12-14T10:09:24Z
dc.date.issued2023
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.urihttp://hdl.handle.net/10026.1/20076
dc.description.abstract

Background: Gestational diabetes mellitus (GDM) characterized by dysfunction in maintaining glucose homeostasis is recognized as the most common metabolic complication associated with pregnancy leading to adverse clinical outcomes for maternal and fetal health. Although previous analysis of the findings from randomized controlled trials (RCTs) support that regular physical activity reduces the incidence of GDM during pregnancy, less is known about the optimal timing of intervention with respect to trimester stage. Objectives: To examine the interaction between both the timing and volume of supervised physical activity interventions on reducing the incidence of GDM during pregnancy. Study design: Electronic databases including CINAHL, Embase, Medline and the Cochrane library were searched for records up to 29 September 2022. Eligibility criteria were RCTs including standard antenatal care þ supervised physical activity intervention without dietary modification vs. those receiving standard antenatal care alone in women with no previous diagnosis of GDM, type 1 or type 2 diabetes mellitus. Results: Of the 3411 records identified, 20 RCTs comprising 6732 participants were included. It was found that supervised physical activity interventions decreased GDM risk when started within the first trimester (RR: 0.57, 95% CI: 0.41–0.79; p ¼ .001) and by accumulating >600 METminwk1 of exercise (RR: 0.77, 95% CI: 0.60–0.98; p ¼ .03) compared with standard antenatal care alone. Women with a BMI 25 kg/m2 experienced the greatest risk reduction in GDM following supervised exercise training (RR: 0.51, 95% CI: 0.34–0.75; p ¼ .001). Conclusion: Supervised physical activity reduces the incidence of GDM during pregnancy. It is recommended that pregnant individuals achieve a minimum of 600 METminwk1 of physical activity during the first trimester in order to reduce their odds of developing GDM. Attaining a healthy pre-pregnancy BMI is also an important determinant for the prevention of GDM with exercise.

dc.format.extent2155043-
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherTaylor and Francis Group
dc.subjectRandomized controlled trials
dc.subjectexercise
dc.subjectpregnancy
dc.subjectmetabolic health
dc.titleSupervised physical activity and the incidence of gestational diabetes mellitus: a systematic review and meta-analysis
dc.typejournal-article
dc.typeMeta-Analysis
dc.typeSystematic Review
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000898413400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue1
plymouth.volume36
plymouth.publication-statusPublished online
plymouth.journalThe Journal of Maternal-Fetal and Neonatal Medicine
dc.identifier.doi10.1080/14767058.2022.2155043
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Biomedical Sciences
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2022-11-30
dc.rights.embargodate2022-12-16
dc.identifier.eissn1476-4954
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1080/14767058.2022.2155043
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV