Exercise during pregnancy for preventing gestational diabetes mellitus and hypertensive disorders: An umbrella review of randomised controlled trials and an updated meta-analysis

dc.creatorMartínez-Vizcaíno, Vicente
dc.creatorSanabria-Martínez, Gema
dc.creatorFernández-Rodríguez, Rubén
dc.creatorCavero-Redondo, Iván
dc.creatorPascual-Morena, Carlos
dc.creatorÁlvarez-Bueno, Celia
dc.creatorMartínez-Hortelano, José Alberto
dc.date2024-04-10T00:04:45Z
dc.date2024-04-10T00:04:45Z
dc.date2023
dc.date.accessioned2024-07-17T21:15:34Z
dc.date.available2024-07-17T21:15:34Z
dc.identifier10.1111/1471-0528.17304
dc.identifier14700328
dc.identifierhttps://hdl.handle.net/20.500.12728/10379
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9509862
dc.descriptionObjective: 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.
dc.descriptionConsejería de Educación, Cultura y Deportes—Junta de Comunidades de Castilla-La Mancha; Consejería de Educación, Cultura y Deportes—Junta de Comunidades de Castilla‐La Mancha; Federación Española de Enfermedades Raras, FEDER, (SBPLY/17/180501/000533); Universidad de Castilla-La Mancha, UCLM, (2018‐CPUCLM‐7939)
dc.formatapplication/pdf
dc.languageen
dc.publisherJohn Wiley and Sons Inc
dc.subjectaerobic
dc.subjectdiabetes
dc.subjectgestation
dc.subjectglucose
dc.subjecthypertension
dc.subjectmaternal
dc.subjectmotor activity
dc.subjectphysical activity
dc.subjectpre-eclampsia
dc.subjectpregnancy
dc.titleExercise during pregnancy for preventing gestational diabetes mellitus and hypertensive disorders: An umbrella review of randomised controlled trials and an updated meta-analysis
dc.typeArticle


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