Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

966 questions · 1,015 findings · 90 reviews · Headline outcomes only

No studies found 256 · 25.2%GRADE not reported 62 · 6.1%Very low 271 · 26.7%Low 269 · 26.5%Moderate 111 · 10.9%High 46 · 4.5%

Dietary fibre (all study interventions) vs control

Number of participantswith at least one recurrent adenoma · people with a history of colorectal adenomas

Dietary fibre (all study interventions) showed no clear difference in number of participantswith at least one recurrent adenoma compared with control (low certainty).

1 finding from 1 review

Dietary fibre (all study interventions) vs control

Number of participantswith at least one adenoma 1 cm or greater · people with a history of colorectal adenomas

Dietary fibre (all study interventions) showed no clear difference in number of participantswith at least one adenoma 1 cm or greater compared with control (low certainty).

1 finding from 1 review

Adverse event outcomes for dietary combined with physical activity interventions vs standard‐of‐care therapy

GDM · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus

Combined diet and exercise interventions showed no clear difference in GDM compared with standard care (mother) (moderate certainty).

1 finding from 1 review

Adverse event outcomes for dietary combined with physical activity interventions vs standard‐of‐care therapy

Large‐for‐gestational age · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus

Combined diet and exercise interventions showed no clear difference in large‐for‐gestational age compared with standard care (child) (low certainty).

1 finding from 1 review

Adverse event outcomes for dietary combined with physical activity interventions vs standard‐of‐care therapy

Neonatal hypoglycaemia · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus

Combined diet and exercise interventions showed no clear difference in neonatal hypoglycaemia compared with standard care (child) (low certainty).

1 finding from 1 review

Adverse event outcomes for dietary combined with physical activity interventions vs standard‐of‐care therapy

Z score BMI · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus

Combined diet and exercise interventions showed no clear difference in childhood adiposity (latest time reported) (BMI z score) compared with standard care (child) (low certainty).

1 finding from 1 review

Adverse event outcomes for dietary combined with physical activity interventions vs standard‐of‐care therapy

Type 2 diabetes mellitus · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus
2 findings from 1 review

Adverse event outcomes for dietary combined with physical activity interventions vs standard‐of‐care therapy

Hypertensive disorders of pregnancy: pre‐eclampsia · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus

Combined diet and exercise interventions showed no clear difference in hypertensive disorders of pregnancy (pre‐eclampsia) compared with standard care (mother) (low certainty).

1 finding from 1 review

Adverse event outcomes for dietary combined with physical activity interventions vs standard‐of‐care therapy

Hypertensive disorders of pregnancy (pregnancy‐induced hypertension) · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus

It is very uncertain whether combined diet and exercise interventions changes hypertensive disorders of pregnancy (pregnancy‐induced… compared with standard care (mother) (very low certainty).

1 finding from 1 review

Adverse event outcomes for dietary combined with physical activity interventions vs standard‐of‐care therapy

Caesarean section · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus

Combined diet and exercise interventions showed no clear difference in caesarean section compared with standard care (mother) (moderate certainty).

1 finding from 1 review