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Effectiveness of physical activity interventions on preventing gestational diabetes mellitus and excessive maternal weight gain: a meta-analysis.
BJOG 2015; 122(9):1167-74BJOG

Abstract

BACKGROUND

It is commonly accepted that pregnancy-related physiological changes (circulatory, respiratory, and locomotor) negatively influence the daily physical activity of pregnant women.

OBJECTIVES

The aim of this study is to conduct a meta-analysis of randomised controlled trials (RCTs) for assessing the effectiveness of physical exercise interventions during pregnancy to prevent gestational diabetes mellitus and excessive maternal weight gain.

SEARCH STRATEGY

Keywords were used to conduct a computerised search in six databases: Cochrane Library Plus, Science Direct, EMBASE, PubMed, Web of Science, and ClinicalTrials.gov.

SELECTION CRITERIA

Healthy pregnant women who were sedentary or had low levels of physical activity were selected for RCTs that included an exercise programme.

DATA COLLECTION AND ANALYSIS

Two independent reviewers extracted data and assessed the quality of the included studies. Of 4225 articles retrieved, 13 RCTs (2873 pregnant women) met the inclusion criteria. Pooled relative risk (RR) or weighted mean differences (WMDs) (depending on the outcome measure) were calculated using a random-effects model.

MAIN RESULTS

Overall, physical exercise programmes during pregnancy decreased the risk of gestational diabetes mellitus (RR = 0.69; P = 0.009), particularly when the exercise programme was performed throughout pregnancy (RR = 0.64; P = 0.038). Furthermore, decreases were also observed in maternal weight (WMD = -1.14 kg; 95% CI -1.50 to -0.78; P < 0.001). No serious adverse effects were reported.

CONCLUSION

Structured moderate physical exercise programmes during pregnancy decrease the risk of gestational diabetes mellitus and diminish maternal weight gain, and seem to be safe for the mother and the neonate; however, further studies are needed to establish recommendations.

Authors+Show Affiliations

Virgen de la Luz Hospital, Cuenca, Spain.Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, USACH, Santiago, Chile.Virgen de la Luz Hospital, Cuenca, Spain.Universidad de Castilla-La Mancha, Social and Health Care Research Centre, Cuenca, Spain.Universidad de Castilla-La Mancha, Social and Health Care Research Centre, Cuenca, Spain. Universidad de Castilla-La Mancha, School of Education, Ciudad Real, Spain.Universidad de Castilla-La Mancha, Social and Health Care Research Centre, Cuenca, Spain.

Pub Type(s)

Journal Article
Meta-Analysis
Review

Language

eng

PubMed ID

26036300

Citation

Sanabria-Martínez, G, et al. "Effectiveness of Physical Activity Interventions On Preventing Gestational Diabetes Mellitus and Excessive Maternal Weight Gain: a Meta-analysis." BJOG : an International Journal of Obstetrics and Gynaecology, vol. 122, no. 9, 2015, pp. 1167-74.
Sanabria-Martínez G, García-Hermoso A, Poyatos-León R, et al. Effectiveness of physical activity interventions on preventing gestational diabetes mellitus and excessive maternal weight gain: a meta-analysis. BJOG. 2015;122(9):1167-74.
Sanabria-Martínez, G., García-Hermoso, A., Poyatos-León, R., Álvarez-Bueno, C., Sánchez-López, M., & Martínez-Vizcaíno, V. (2015). Effectiveness of physical activity interventions on preventing gestational diabetes mellitus and excessive maternal weight gain: a meta-analysis. BJOG : an International Journal of Obstetrics and Gynaecology, 122(9), pp. 1167-74. doi:10.1111/1471-0528.13429.
Sanabria-Martínez G, et al. Effectiveness of Physical Activity Interventions On Preventing Gestational Diabetes Mellitus and Excessive Maternal Weight Gain: a Meta-analysis. BJOG. 2015;122(9):1167-74. PubMed PMID: 26036300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of physical activity interventions on preventing gestational diabetes mellitus and excessive maternal weight gain: a meta-analysis. AU - Sanabria-Martínez,G, AU - García-Hermoso,A, AU - Poyatos-León,R, AU - Álvarez-Bueno,C, AU - Sánchez-López,M, AU - Martínez-Vizcaíno,V, Y1 - 2015/06/03/ PY - 2015/03/03/accepted PY - 2015/6/4/entrez PY - 2015/6/4/pubmed PY - 2015/10/16/medline KW - Exercise KW - gestational diabetes mellitus KW - maternal weight gain KW - physical activity KW - pregnancy SP - 1167 EP - 74 JF - BJOG : an international journal of obstetrics and gynaecology JO - BJOG VL - 122 IS - 9 N2 - BACKGROUND: It is commonly accepted that pregnancy-related physiological changes (circulatory, respiratory, and locomotor) negatively influence the daily physical activity of pregnant women. OBJECTIVES: The aim of this study is to conduct a meta-analysis of randomised controlled trials (RCTs) for assessing the effectiveness of physical exercise interventions during pregnancy to prevent gestational diabetes mellitus and excessive maternal weight gain. SEARCH STRATEGY: Keywords were used to conduct a computerised search in six databases: Cochrane Library Plus, Science Direct, EMBASE, PubMed, Web of Science, and ClinicalTrials.gov. SELECTION CRITERIA: Healthy pregnant women who were sedentary or had low levels of physical activity were selected for RCTs that included an exercise programme. DATA COLLECTION AND ANALYSIS: Two independent reviewers extracted data and assessed the quality of the included studies. Of 4225 articles retrieved, 13 RCTs (2873 pregnant women) met the inclusion criteria. Pooled relative risk (RR) or weighted mean differences (WMDs) (depending on the outcome measure) were calculated using a random-effects model. MAIN RESULTS: Overall, physical exercise programmes during pregnancy decreased the risk of gestational diabetes mellitus (RR = 0.69; P = 0.009), particularly when the exercise programme was performed throughout pregnancy (RR = 0.64; P = 0.038). Furthermore, decreases were also observed in maternal weight (WMD = -1.14 kg; 95% CI -1.50 to -0.78; P < 0.001). No serious adverse effects were reported. CONCLUSION: Structured moderate physical exercise programmes during pregnancy decrease the risk of gestational diabetes mellitus and diminish maternal weight gain, and seem to be safe for the mother and the neonate; however, further studies are needed to establish recommendations. SN - 1471-0528 UR - https://www.unboundmedicine.com/medline/citation/26036300/Effectiveness_of_physical_activity_interventions_on_preventing_gestational_diabetes_mellitus_and_excessive_maternal_weight_gain:_a_meta_analysis_ L2 - https://doi.org/10.1111/1471-0528.13429 DB - PRIME DP - Unbound Medicine ER -