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Cited by 67Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsPhysical Activity and Health

The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis

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Nasiri-Amiri, Fatemeh, Sepidarkish, Mahdi, Shirvani, Marjan Ahmad, Habibipour, Payam, Tabari, Narges Sadat Motahari·2019·Diabetology & Metabolic Syndrome
DOI 10.1186/s13098-019-0470-6PMC PMC6712661
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Abstract

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. 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). 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.

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  • An intervention study in overweight patients by Nasiri-Amiri et al. showed a 24% reduction in the risk of GDM in women exercising no more than three times a week.

    “An intervention study in overweight patients by Nasiri-Amiri et al. showed a 24% reduction in the risk of GDM in women exercising no more than three times a week [99].”

    From Gestational Diabetes Mellitus—Recent Literature Review (2022) · cites this paper as [99]

    The Discussion reports a 24% lower GDM incidence for the overall exercise group, but a 41% lower risk in studies with exercise three times a week or less; the Results give RR 0.59 for that subgroup. The source is a systematic review and meta-analysis of intervention studies, not a single intervention study. (LLM, conf=0.94)

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Research works printed but not linked: 33

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Cited by

Sorted by citations

Authors
Nasiri-Amiri, F., Sepidarkish, M., Shirvani, M. A., Habibipour, P., & Tabari, N. S. M.
Affiliations
  • Babol University of Medical Sciences (IR)
  • Mazandaran University of Medical Sciences (IR)
  • Islamic Azad University Sari Branch (IR)
ORCID
Venue
Diabetology & Metabolic Syndrome
Publisher
Springer Science and Business Media LLC
Published
2019-08-27
Volume
11
Issue
1
Pages
72-72
ISSN
1758-5996 (ISSN-L)
DOI
10.1186/s13098-019-0470-6
PMC
PMC6712661
OpenAlex
W2970709507
Cited by
67
References
4
Citations by year
2026: 3 · 2025: 3 · 2024: 5 · 2023: 13 · 2022: 17 · 2021: 15 · 2020: 7 · 2019: 4
FWCI
1.70
Type
journal article
Language
en
Open access
Licence
Locations
  • Diabetology & Metabolic Syndrome (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
gestational diabetes mellitus, exercise during pregnancy, physical activity, maternal obesity, overweight in pregnancy, gestational diabetes prevention, exercise frequency, gestational weight gain, maternal blood pressure, maternal blood lipids, maternal body mass index, maternal weight

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