Exercise during pregnancy for preventing gestational diabetes mellitus and hypertensive disorders: An umbrella review of randomised controlled trials and an updated meta-analysis
Autor
Martínez-Vizcaíno, Vicente
Sanabria-Martínez, Gema
Fernández-Rodríguez, Rubén
Cavero-Redondo, Iván
Pascual-Morena, Carlos
Álvarez-Bueno, Celia
Martínez-Hortelano, José Alberto
Resumen
Objective: This study aimed to provide, through an umbrella review, an overview of the effect of single exercise interventions during pregnancy on gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDP). Also, to update the current evidence through an updated meta-analysis. Design: Umbrella review. Setting: PubMed, EMBASE, Web of Science, Cochrane database of systematic reviews, Epistemonikos, SPORTDiscus, Clinicaltrials.gov, and PROSPERO register were searched from the database inception until August 2021. Population: Peer-reviewed systematic reviews and meta-analyses of randomised controlled trials (RCTs) and RCTs samples. Methods: Random-effects model was used to calculate relative risk with 95% confidence interval in the updated meta-analysis. The reference category was the groups that received usual prenatal care. AMSTAR 2 and the Cochrane Collaboration tool were used to assess the quality and GRADE approach was used to assess the overall certainly of evidence. Main outcome measures: GDM and HDP relative risk. Results: Twenty-three systematic reviews and meta-analyses; and 63 RCTs were included. Single exercise interventions reduced the incidence of GDM and HDP in most systematic reviews and meta-analyses. Moreover, exercise interventions during pregnancy decrease the incidence of developing GDM and GH, particularly when they are supervised, have a low to moderate intensity level, and are initiated during the first trimester of pregnancy. Conclusion: Based on the findings, obstetric and physical exercise professionals could recommend exercise interventions during pregnancy as an effective strategy to improve maternal outcomes. © 2022 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.
Colecciones
Ítems relacionados
Mostrando ítems relacionados por Título, autor o materia.
-
Article
Glycated haemoglobin A1c as a predictor of preeclampsia in type 1 diabetic pregnant women: A systematic review and meta-analysis (2020)
Cavero-Redondo I.; Martínez-Vizcaíno V.; Soriano-Cano A.; Martínez-Hortelano J.A.; Sanabria-Martínez G.; Álvarez-Bueno C. (Elsevier B.V., 2018) -
Article
Exercise versus metformin to improve pregnancy outcomes among overweight pregnant women: A systematic review and network meta-analysis (2021)
Pascual-Morena, Carlos; Cavero-Redondo, Iván; Álvarez-Bueno, Celia; Lucerón-Lucas-Torres, Maribel Isabel; Sanabria-Martínez, Gema; Poyatos-Leõn, Raquel; Rodríguez-Martín, Beatriz; Martinez Vizcaino, Vicente J. (MDPI AG, 2021-08-02)Being overweight is associated with pregnancy-related disorders such as gestational diabetes mellitus (GDM), hypertensive disorders of pregnancy (HDP), and excessive maternal weight gain (MWG). Exercise and metformin reduce ... -
Review
Pregnancy leisure physical activity and children's neurodevelopment: a narrative review (2020)
Álvarez-Bueno C.; Cavero-Redondo I.; Sánchez-López M.; Garrido-Miguel M.; Martínez-Hortelano J.A.; Martínez-Vizcaíno V. (Blackwell Publishing Ltd, 2018)