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Pre-Pregnancy Body Mass Index and Risk of Macrosomia and Large for Gestational Age Births with Gestational Diabetes Mellitus as a Mediator: A Prospective Cohort Study in Central China
Review

Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review

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Department of Preventive Medicine and Public Health, Universidad de Granada, 18016 Granada, Spain
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Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco
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Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
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Instituto de Investigación Biosanitaria (ibs.GRANADA), 18014 Granada, Spain
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Department of Obstetrics and Gynecology, Universidad de Granada, 18016 Granada, Spain
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Obstetrics and Gynecology Service, Virgen de las Nieves University Hospital, 18014 Granada, Spain
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Authors to whom correspondence should be addressed.
Academic Editor: Annunziata Lapolla
Nutrients 2022, 14(10), 2066; https://doi.org/10.3390/nu14102066
Received: 22 April 2022 / Accepted: 12 May 2022 / Published: 14 May 2022
(This article belongs to the Special Issue Diet, Exercise and Gestational Diabetes Mellitus)
Several epidemiological studies have analyzed the effects of lifestyle modification on reducing the risk of gestational diabetes mellitus (GDM); however, their results remain inconsistent. This umbrella review aims to evaluate the effects of diet and/or physical activity interventions during pregnancy on preventing GDM. Systematic reviews and meta-analysis of randomized clinical trials reporting preventive effects of diet and/or physical activity in reducing the incidence of GDM were included from PubMed, Web of Science, Scopus and Cochrane library. Two authors independently assessed the overlapping and quality of the 35 selected reviews using AMSTAR 2. The results, although variable, tend to defend the protective role of diet and physical activity interventions separately and independently of each other in the prevention of GDM. However, the results for the combined interventions show a possible protective effect; however, it is not entirely clear because most of the analyzed meta-analyses tend to approach 1, and heterogeneity cannot be ruled out. Establishing conclusions about the most efficient type of intervention and a dose–effect relationship was not feasible given the low quality of systematic reviews (83% low to critically low) and the variability in reporting interventions. Therefore, more studies with better quality and definition of the interventions are required. The protocol was previously registered in PROSPERO as CRD42021237895. View Full-Text
Keywords: gestational diabetes mellitus; dietary intervention; physical activity intervention; randomized controlled clinical trials; experimental studies; systematic reviews; meta-analysis gestational diabetes mellitus; dietary intervention; physical activity intervention; randomized controlled clinical trials; experimental studies; systematic reviews; meta-analysis
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MDPI and ACS Style

Kouiti, M.; Hernández-Muñiz, C.; Youlyouz-Marfak, I.; Salcedo-Bellido, I.; Mozas-Moreno, J.; Jiménez-Moleón, J.J. Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review. Nutrients 2022, 14, 2066. https://doi.org/10.3390/nu14102066

AMA Style

Kouiti M, Hernández-Muñiz C, Youlyouz-Marfak I, Salcedo-Bellido I, Mozas-Moreno J, Jiménez-Moleón JJ. Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review. Nutrients. 2022; 14(10):2066. https://doi.org/10.3390/nu14102066

Chicago/Turabian Style

Kouiti, Malak, Cristian Hernández-Muñiz, Ibtissam Youlyouz-Marfak, Inmaculada Salcedo-Bellido, Juan Mozas-Moreno, and José J. Jiménez-Moleón. 2022. "Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review" Nutrients 14, no. 10: 2066. https://doi.org/10.3390/nu14102066

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