Diet and exercise interventions for preventing gestational diabetes mellitus

Crane, Morven; Bain, Emily; Tieu, Joanna; Han, Shanshan; Middleton, Philippa; Crowther, Caroline A

doi:10.1002/14651858.cd010443

Cited by 7 publications

(2 citation statements)

References 52 publications

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“…GDM occurs when maternal insulin secretion is unable to compensate for increased insulin resistance in pregnancy. Maternal hyperglycaemia leads to increased transplacental glucose transport, fetal hyperglycaemia and hyperinsulinaemia and accelerated fetal growth [51,52].…”

Section: Prediction and Prevention Of Gdmmentioning

confidence: 99%

The first trimester: Prediction and prevention of the great obstetrical syndromes

Sweeting

Park

Hyett

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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Section: Prediction and Prevention Of Gdmmentioning

confidence: 99%

The first trimester: Prediction and prevention of the great obstetrical syndromes

Sweeting

Park

Hyett

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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“…However, interventions targeting certain lifestyle factors associated with preterm birth have mixed results [ 8 , 15 , 16 ]. It is well-accepted that preterm birth is a syndrome resulting from multiple etiologic pathways, with many factors, including infection, inflammation, uteroplacental abnormity, stress, nutrition status and other immunologically mediating processes.…”

Section: Introductionmentioning

confidence: 99%

The Use of a Brief Antenatal Lifestyle Education Intervention to Reduce Preterm Birth: A Retrospective Cohort Study

Wang

Zhao

et al. 2022

Nutrients

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Preterm birth is a leading cause of neonatal and child mortality and morbidity worldwide. The aim of this study was to investigate associations between attending a brief antenatal lifestyle education seminar and preterm birth, and whether education timing modifies outcomes. A retrospective cohort study was conducted in a hospital-based antenatal care center in Beijing, China, where a free, 2 h, optional, face-to-face, midwife-led group seminar on healthy lifestyle choices during pregnancy was provided. Among the 3008 eligible women, 1107 (36.8%) attended the seminar during the first trimester, 515 (17.1%) attended during the second trimester or later, and 1386 (46.1%) did not attend. Multiparous women were more likely to not attend or to attend at a later stage. The overall prevalence of preterm birth was 8.7%, but it was higher for women who did not attend the antenatal seminar (11.5%). The risk of preterm birth for first trimester attendees decreased by 53%, and it decreased by 41% for later attendees. Estimates persisted after adjusting pre-existing and gestational covariates. Attending a brief antenatal lifestyle education seminar was associated with lower preterm birth risk, and attending during the first trimester had a better impact than later attendance. The results can inform the development of tailored preterm birth prevention strategies.

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Diet or exercise, or both, for preventing excessive weight gain in pregnancy

Muktabhant

Lawrie

Lumbiganon

et al. 2015

Cochrane Database of Systematic Reviews

468

441

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High-quality evidence indicates that diet or exercise, or both, during pregnancy can reduce the risk of excessive GWG. Other benefits may include a lower risk of caesarean delivery, macrosomia, and neonatal respiratory morbidity, particularly for high-risk women receiving combined diet and exercise interventions. Maternal hypertension may also be reduced. Exercise appears to be an important part of controlling weight gain in pregnancy and more research is needed to establish safe guidelines. Most included studies were carried out in developed countries and it is not clear whether these results are widely applicable to lower income settings.

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Diet and exercise interventions for preventing gestational diabetes mellitus

Cited by 7 publications

References 52 publications

The first trimester: Prediction and prevention of the great obstetrical syndromes

The first trimester: Prediction and prevention of the great obstetrical syndromes

The Use of a Brief Antenatal Lifestyle Education Intervention to Reduce Preterm Birth: A Retrospective Cohort Study

Diet or exercise, or both, for preventing excessive weight gain in pregnancy

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