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AuthorSuhail A.R., Doi
AuthorFuruya-Kanamori, Luis
AuthorToft, Egon
AuthorMusa, Omran A.H.
AuthorMohamed, Aisha M.
AuthorClark, Justin
AuthorThalib, Lukman
Available date2020-11-08T05:45:23Z
Publication Date2020-10-31
Publication NameDiabetes Research and Clinical Practice
Identifierhttp://dx.doi.org/10.1016/j.diabres.2020.108371
CitationDoi, S. A., Furuya-Kanamori, L., Toft, E., Musa, O. A., Mohamed, A. M., Clark, J., & Thalib, L. (2020). Physical activity in pregnancy prevents gestational diabetes: A meta-analysis. Diabetes Research and Clinical Practice, 168, 108371.
ISSN01688227
URIhttps://www.sciencedirect.com/science/article/pii/S0168822720306240
URIhttp://hdl.handle.net/10576/16941
AbstractAimsThe effectiveness of physical activity (PA) programs for prevention of gestational diabetes (GDM) lacks conclusive evidence. The aim of this study was to generate clear evidence regarding the effectiveness of physical activity programs in GDM prevention to guide clinical practice. MethodsPubMed/Medline, ISI Web of Science, Scopus, and EMBASE were searched to identify the randomized trials (RCTs) published until June 2019. Randomised controlled trials enrolling women at high risk before the 20th week of gestation comparing the effect of PA interventions with usual care for prevention of GDM were retrieved. Data obtained were synthesised using a bias-adjusted model of meta-analysis. ResultsA total of 1467 adult women in 11 eligible trials were included. The risk of GDM was significantly lower with PA, but only when it was delivered in the healthcare facility (RR 0.53; 95% CI 0.38–0.74). The number needed to treat with PA in pregnancy (compared to usual care) to prevent one GDM event was 18 (95% CI 14 – 29). The overall effect of PA interventions regardless of location of the intervention was RR 0.69 (95% CI 0.51 – 0.94). ConclusionsThis study provides evidence that in-facility physical activity programs started before the 20th week of gestation can significantly decrease the incidence of GDM among women at high risk.
Languageen
PublisherElsevier
SubjectGestational diabetes mellitus
Exercise
Obesity
Overweight
Pregnancy risk
TitlePhysical activity in pregnancy prevents gestational diabetes: A meta-analysis
TypeArticle
Volume Number168
dc.accessType Open Access


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