The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis
Abstract Background Gestational diabetes mellitus (GDM) is one of the most common complications of pregnancy and its prevalence worldwide is increasing along with enhancing type two of diabetes. Contrary results have been found in some review articles that examine the effect of exercise activities o...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-08-01
|
| Series: | Diabetology & Metabolic Syndrome |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13098-019-0470-6 |
| _version_ | 1819195125499166720 |
|---|---|
| author | Fatemeh Nasiri-Amiri Mahdi Sepidarkish Marjan Ahmad Shirvani Payam Habibipour Narges Sadat Motahari Tabari |
| author_facet | Fatemeh Nasiri-Amiri Mahdi Sepidarkish Marjan Ahmad Shirvani Payam Habibipour Narges Sadat Motahari Tabari |
| author_sort | Fatemeh Nasiri-Amiri |
| collection | DOAJ |
| description | Abstract Background Gestational diabetes mellitus (GDM) is one of the most common complications of pregnancy and its prevalence worldwide is increasing along with enhancing type two of diabetes. Contrary results have been found in some review articles that examine the effect of exercise activities on preventing GDM, regardless of obesity. Therefore, the aim of this study was to systematically review the articles on the effect of exercise activities on the prevention of GDM in obese and overweight pregnant women. Main text Literature was retrieved by formally searching PubMed, Embase, Cochrane library, Web of Science, Scopus, Proquest and by hand searching of reference lists of related articles. Finally, a total of eight literatures included, and Review manager 5.3 and STATA 14.0 statistical software were utilized for processing. In order to investigate the effect of sports activities on the incidence of GDM, the risk ratio (RR), and for quantitative indices, the standardized mean difference (SMD) with 95% confidence interval (CI) for each study was calculated. Out of 5107 papers identified, eight papers with 1441 participants included in meta-analysis (intervention group 727, control group 714). In the intervention group, 143 (19.66%, 95% CI 76.83 to 22.74) and in the control group, 196 (27.45%, 95% CI 20.24 to 30.88%), pregnant women had diabetes. The RR of gestational diabetes was 0.76 (95% CI 0.56 to 1.03, I2 = 50%, P = 0.05). In studies that the time for the intervention was three times a week or less, effect of intervention was significant in reducing the incidence of diabetes (RR: 0.59, 95% CI 0.46 to 0.76, I2 = 0%, P = 0.47). However, in studies with repeat of intervention was more than three times a week, the effect of intervention between two intervention and control groups was not different (RR: 1.03, 95% CI 0.78 to 1.35, I2 = 0%, P = 0.46). Conclusions The exercise activities, alone, in obese or overweight pregnant women did not have a significant effect on the overall incidence of GDM, but considering the effect measure, the incidence of GDM was 24% lower in the intervention group than control group. This difference is considerable in the two groups. As the systematic review literatures both represent the information gap on the research subject and pave the way for further studies so it seems that there is a need for more randomized controlled trials so that we can make a complete conclusion on the type, intensity and duration of exercise in preventing GDM. |
| first_indexed | 2024-12-23T02:07:47Z |
| format | Article |
| id | doaj.art-a917cafc82d2443589fc5cf8036e7698 |
| institution | Directory Open Access Journal |
| issn | 1758-5996 |
| language | English |
| last_indexed | 2024-12-23T02:07:47Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Diabetology & Metabolic Syndrome |
| spelling | doaj.art-a917cafc82d2443589fc5cf8036e76982022-12-21T18:03:51ZengBMCDiabetology & Metabolic Syndrome1758-59962019-08-0111111410.1186/s13098-019-0470-6The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysisFatemeh Nasiri-Amiri0Mahdi Sepidarkish1Marjan Ahmad Shirvani2Payam Habibipour3Narges Sadat Motahari Tabari4Fateme Zahra Fertility & Infertility Research Health Center, Health Research Institute, Babol University of Medical SciencesDepartment of Biostatistics and Epidemiology, Babol University of Medical SciencesDepartment of Midwifery, School of Nursing & Midwifery, Mazandaran University of Medical SciencesIslamic Azad University of Medical Science Sari BranchDepartment of Midwifery, School of Nursing & Midwifery, Mazandaran University of Medical SciencesAbstract Background Gestational diabetes mellitus (GDM) is one of the most common complications of pregnancy and its prevalence worldwide is increasing along with enhancing type two of diabetes. Contrary results have been found in some review articles that examine the effect of exercise activities on preventing GDM, regardless of obesity. Therefore, the aim of this study was to systematically review the articles on the effect of exercise activities on the prevention of GDM in obese and overweight pregnant women. Main text Literature was retrieved by formally searching PubMed, Embase, Cochrane library, Web of Science, Scopus, Proquest and by hand searching of reference lists of related articles. Finally, a total of eight literatures included, and Review manager 5.3 and STATA 14.0 statistical software were utilized for processing. In order to investigate the effect of sports activities on the incidence of GDM, the risk ratio (RR), and for quantitative indices, the standardized mean difference (SMD) with 95% confidence interval (CI) for each study was calculated. Out of 5107 papers identified, eight papers with 1441 participants included in meta-analysis (intervention group 727, control group 714). In the intervention group, 143 (19.66%, 95% CI 76.83 to 22.74) and in the control group, 196 (27.45%, 95% CI 20.24 to 30.88%), pregnant women had diabetes. The RR of gestational diabetes was 0.76 (95% CI 0.56 to 1.03, I2 = 50%, P = 0.05). In studies that the time for the intervention was three times a week or less, effect of intervention was significant in reducing the incidence of diabetes (RR: 0.59, 95% CI 0.46 to 0.76, I2 = 0%, P = 0.47). However, in studies with repeat of intervention was more than three times a week, the effect of intervention between two intervention and control groups was not different (RR: 1.03, 95% CI 0.78 to 1.35, I2 = 0%, P = 0.46). Conclusions The exercise activities, alone, in obese or overweight pregnant women did not have a significant effect on the overall incidence of GDM, but considering the effect measure, the incidence of GDM was 24% lower in the intervention group than control group. This difference is considerable in the two groups. As the systematic review literatures both represent the information gap on the research subject and pave the way for further studies so it seems that there is a need for more randomized controlled trials so that we can make a complete conclusion on the type, intensity and duration of exercise in preventing GDM.http://link.springer.com/article/10.1186/s13098-019-0470-6Gestational diabetes mellitusExerciseObese and overweightPregnancyPrevention |
| spellingShingle | Fatemeh Nasiri-Amiri Mahdi Sepidarkish Marjan Ahmad Shirvani Payam Habibipour Narges Sadat Motahari Tabari The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis Diabetology & Metabolic Syndrome Gestational diabetes mellitus Exercise Obese and overweight Pregnancy Prevention |
| title | The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis |
| title_full | The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis |
| title_fullStr | The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis |
| title_full_unstemmed | The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis |
| title_short | The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis |
| title_sort | effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women a systematic review and meta analysis |
| topic | Gestational diabetes mellitus Exercise Obese and overweight Pregnancy Prevention |
| url | http://link.springer.com/article/10.1186/s13098-019-0470-6 |
| work_keys_str_mv | AT fatemehnasiriamiri theeffectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT mahdisepidarkish theeffectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT marjanahmadshirvani theeffectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT payamhabibipour theeffectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT nargessadatmotaharitabari theeffectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT fatemehnasiriamiri effectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT mahdisepidarkish effectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT marjanahmadshirvani effectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT payamhabibipour effectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis AT nargessadatmotaharitabari effectofexerciseonthepreventionofgestationaldiabetesinobeseandoverweightpregnantwomenasystematicreviewandmetaanalysis |