Appropriate interventions for pregnant women with indicators of metabolic syndrome on pregnancy outcomes: A systematic review

Abstract

Metabolic syndrome (MetS), a series of symptoms, including abdominal obesity, impaired glucose tolerance and insulin metabolism, hypertension, and dyslipidemia, is considered as the risk of developing cardiovascular disease and diabetes that can predispose a pregnant women to serious health problem, women in the developed as well as the developing countries. This study was aimed to investigate the effects of appropriate interventions on pregnant women with indicators of MetS to further improve the outcome of pregnancy. This systematic review was performed to extract articles of randomized controlled trials (RCT) on pregnant women with indicators of (MetS) and focusing on physical activity, dietary or lifestyle interventions on maternal health or perinatal outcomes, with searching in the Web of Science, PubMed, CDSR, Scopus, and Google Scholar were investigated. Two researchers independently evaluated the quality of the studies, being presented in all the articles and ranked the studies as high/low quality; the level of evidence was based on the number of high-quality studies and the coordination of the obtained results. Then, 17 articles, which met the inclusion criteria, were selected; among these, 7 articles studied the physical activity, 3 articles reviewed diets, 6 probed the lifestyle interventions, and 1 article was on counseling. In general, evidence suggested how the physical activity and proper diet impacts on proper weight gain during pregnancy, prevents maternal complications, and improves the outcome of pregnancy. According to the results of this systematic review, proper interventions during pregnancy can have a positive effect on maternal weight gain and the general health condition of pregnant women with indicators of MetS.

COVID-19 Pandemic as an Excellent Opportunity for Global Health Diplomacy

“…It could also act as a soft power to achieve the geopolitical influence ( 3 , 42 ) deescalate political tensions between and among nations. The practice of health diplomacy also enhances the cohesion of national, regional, and continental efforts to resolve health crises ( 42 ), attain a political reputation in the international arena, and be recognized as a global health benevolant ( 3 ) in reinforcing international peace and stability ( 43 ).…”

Serum lipid levels in relation to clinical outcomes in pregnant women with gestational diabetes mellitus: an observational cohort study

“…We combined the diagnostic criteria of dyslipidemia in general Chinese population and clinical data during pregnancy, pregnant women whose TC > 6.20 mmol/L and TG > 2.30 mmol/L or to either of them were diagnosed with hyperlipidemia. Expect for pregnancy complications [ 15 ], maternal dyslipidemia has also been proved to be closely linked with adverse pregnancy outcomes [ 14 ]. We found that women with hyperlipidemia compared with these in normal lipid group had higher incidence of GDM and cesarean section.…”

“…Recent studies described a positive association between gestational dyslipidaemia and the adverse birthweight outcomes [ 13 ]. Additionally, pregnancy-induced hyperlipidemia has also been proved to be closely linked with cesarean delivery and postpartum hemorrhage [ 14 ]. Though moderately increased lipidemia preforms a fundamental role during pregnancy, there are still controversies on the relationship between maternal lipid disturbances and perinatal outcomes [ 15 ].…”

Investigating the association between metabolic syndrome conditions and perinatal mental illness: a national administrative claims study

“…Metabolic syndrome (MetS) is a global public health issue characterized by cardiovascular risk factors [1][2][3]. MetS are diagnosed if one has 3 or more of the following conditions, obesity, diabetes, hypertension, low HDL or high LDL (also referred here to as conditions related to MetS i.e.…”