Supervised physical activity and the incidence of gestational diabetes mellitus: a systematic review and meta-analysis

Bennett, Gill; King, Natalie; Redfern, Kathy M.; Breese, Brynmor C.

doi:10.1080/14767058.2022.2155043

Cited by 16 publications

(22 citation statements)

References 44 publications

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“…Pregnancy is a “teachable moment” in which women are amenable to changing behaviors that can benefit their and their baby's health (Kebbe et al, 2021). Considering the evidence that supervised physical activity interventions decreased GDM risk when started within the first trimester and achieved the recommended level of physical activity (Bennett et al, 2023), evaluating the physical activity of pregnant women at high risk for GDM using ART can redirect the implementation of innovative practices, with the goal of making them more effective and practical in the promotion of humanized care. However, few studies have examined physical activity in pregnant women at high risk for GDM using ART.…”

Section: Introductionmentioning

confidence: 99%

Assisted reproductive technology and physical activity among Chinese pregnant women at high risk for gestational diabetes mellitus in early pregnancy: A cross‐sectional study

Chen,

Deng,

Fan

et al. 2024

Research in Nursing & Health

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Currently, the number of pregnant women at high risk for gestational diabetes mellitus (GDM) and using assisted reproductive technology (ART) is increasing. The present study aims to explore the relationship between ART and physical activity in Chinese pregnant women at high risk for GDM in early pregnancy. A cross‐sectional study was conducted in a regional teaching hospital in Guangzhou, China, between July 2022 and March 2023. Three hundred fifty‐five pregnant women at high risk for GDM in early pregnancy completed the Chinese version of the Pregnant Physical Activity Questionnaire (PPAQ), the Pregnancy Physical Activity Knowledge Scale, the Pregnancy Physical Activity Self‐Efficacy Scale, the Pregnancy Physical Activity Social Support Scale, and a sociodemographic and obstetric characteristics data sheet. Compared to women who conceived naturally, women who used ART were more likely to be 35 years or older, unemployed, primigravidae, and to have intentionally planned their pregnancies. Women who used ART had significantly lower levels of physical activity and self‐efficacy compared to their counterparts who conceived naturally. Over half (55.6%) of women who used ART reported being physically inactive, and those with lower self‐efficacy, as well as the unemployed, were significantly more likely to be inactive. Physical inactivity is a critical clinical issue among women who use ART, especially in the context of GDM risk. Future research should develop and test physical activity programs, including enhancing physical activity self‐efficacy for women who use ART. Patient or public contribution: In this study, survey questionnaires were completed by participants among Chinese pregnant women at high risk for GDM in early pregnancy.

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Section: Introductionmentioning

confidence: 99%

Assisted reproductive technology and physical activity among Chinese pregnant women at high risk for gestational diabetes mellitus in early pregnancy: A cross‐sectional study

Chen,

Deng,

Fan

et al. 2024

Research in Nursing & Health

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“…In addition, physical activity is a lifestyle behavior that has multiple health bene ts, including improvements in mental and cardiometabolic health. Pregnant women could bene t from regular physical activity, in terms of reduced symptoms of anxiety, and reduced risk for GDM [31][32][33], excessive gestational weight gain, symptoms of post-partum depression, risk of preeclampsia, gestational hypertension, antenatal anxiety and depressive symptomology [34]. A recent preprint by Alves et al suggests that physical activity can mediate the association between prenatal GDM and anxiety symptoms in children [35].…”

Section: Introductionmentioning

confidence: 99%

The effects of exercise on anxiety symptoms in women with gestational diabetes mellitus

TAOUSANI,

Savvaki,

Grammatikopoulou

et al. 2024

Preprint

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Purpose Anxiety is a common mental health issue during pregnancy. Moreover, women with Gestational Diabetes Mellitus (GDM), seem to cope with higher levels of anxiety, being at a higher risk for several health and mental complications. Regular physical exercise in women with GDM is suggested to improve metabolic and reproductive outcomes. However, there are no specific guidelines for exercise in women with GDM. The aim of this study was to investigate the effect of exercise on anxiety symptoms in pregnant women with GDM. Methods The present non-randomized, open-label clinical trial aimed to investigate the effect of physical exercise on anxiety symptoms in women with GDM. Forty-three women were assigned to three study groups: (a) Advice (n = 17), Walking (n = 14) and Mixed Exercise (n = 12), from GDM diagnosis to delivery. Results According to Beck Anxiety Inventory (BAI) scores, all groups showed normal anxiety changes or mild anxiety levels pre- and post-intervention (pre-intervention range: 2.98–17.95, post-intervention range: 4.2–17.6), but none experienced severe anxiety. Conclusion In the present study, a trend of self-selected pace walking to reduce the BAI scores was detected as the Walking groups had lower scores after the intervention, however this trend did not reach statistical significance. Brisk walking (30–45 min) three times per week may create positive changes in both the treatment plan and the anxiety state of women with GDM. Moreover, the study confirms that routine medical care, counseling and support by an interdisciplinary team are protective against anxiety in women with GDM.

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“…For instance, gestational diabetes mellitus (GDM) and pre-eclampsia are strong predictors of future type 2 diabetes mellitus and CVD risk 3 12–19. Lifestyle and pharmaceutical intervention studies during the perinatal period have shown mixed success in reducing the risk of pregnancy complications20–24 and/or chronic disease following complicated pregnancies,23 25–29 emphasising the importance of identifying modifiable risk factors to prevent long-term morbidity. Despite advances in understanding genetic and lifestyle risk factors, research on the contribution of environmental factors to cardiometabolic disease risk during and after pregnancy is underdeveloped 30…”

Section: Introductionmentioning

confidence: 99%

Cohort profile: the Environmental Reproductive and Glucose Outcomes (ERGO) Study (Boston, Massachusetts, USA) — a prospective pregnancy cohort study of the impacts of environmental exposures on parental cardiometabolic health

Preston,

Quinn,

Williams

et al. 2024

BMJ Open

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PurposePregnancy and the postpartum period are increasingly recognised as sensitive windows for cardiometabolic disease risk. Growing evidence suggests environmental exposures, including endocrine-disrupting chemicals (EDCs), are associated with an increased risk of pregnancy complications that are associated with long-term cardiometabolic risk. However, the impact of perinatal EDC exposure on subsequent cardiometabolic risk post-pregnancy is less understood. The Environmental Reproductive and Glucose Outcomes (ERGO) Study was established to investigate the associations of environmental exposures during the perinatal period with post-pregnancy parental cardiometabolic health.ParticipantsPregnant individuals aged ≥18 years without pre-existing diabetes were recruited at <15 weeks of gestation from Boston, Massachusetts area hospitals. Participants completed ≤4 prenatal study visits (median: 12, 19, 26, 36 weeks of gestation) and 1 postpartum visit (median: 9 weeks), during which we collected biospecimens, health histories, demographic and behavioural data, and vitals and anthropometric measurements. Participants completed a postpartum fasting 2-hour 75 g oral glucose tolerance test. Clinical data were abstracted from electronic medical records. Ongoing (as of 2024) extended post-pregnancy follow-up visits occur annually following similar data collection protocols.Findings to dateWe enrolled 653 unique pregnancies and retained 633 through delivery. Participants had a mean age of 33 years, 10% (n=61) developed gestational diabetes and 8% (n=50) developed pre-eclampsia. Participant pregnancy and postpartum urinary phthalate metabolite concentrations and postpartum glycaemic biomarkers were quantified. To date, studies within ERGO found higher exposure to phthalates and phthalate mixtures, and separately, higher exposure to radioactive ambient particulate matter, were associated with adverse gestational glycaemic outcomes. Additionally, certain personal care products used in pregnancy, notably hair oils, were associated with higher urinary phthalate metabolite concentrations, earlier gestational age at delivery and lower birth weight.Future plansFuture work will leverage the longitudinal data collected on pregnancy and cardiometabolic outcomes, environmental exposures, questionnaires, banked biospecimens and paediatric data within the ERGO Study.

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Supervised physical activity and the incidence of gestational diabetes mellitus: a systematic review and meta-analysis

Cited by 16 publications

References 44 publications

Assisted reproductive technology and physical activity among Chinese pregnant women at high risk for gestational diabetes mellitus in early pregnancy: A cross‐sectional study

Assisted reproductive technology and physical activity among Chinese pregnant women at high risk for gestational diabetes mellitus in early pregnancy: A cross‐sectional study

The effects of exercise on anxiety symptoms in women with gestational diabetes mellitus

Cohort profile: the Environmental Reproductive and Glucose Outcomes (ERGO) Study (Boston, Massachusetts, USA) — a prospective pregnancy cohort study of the impacts of environmental exposures on parental cardiometabolic health

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