Cochrane · systematic review · CD006674
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus
Tieu, J, Shepherd, E, Middleton, P, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 16 · 57.1%Very low 6 · 21.4%Low 6 · 21.4%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Dietary advice interventions versus standard care (maternal outcomes)
Population: pregnant women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Gestational diabetes Dietary advice interventions vs standard care (maternal outcomes) | RR 0.6 [0.35, 1.04] | 5 studies · 1279 participants | Very low |
Hypertensive disorders of pregnancy (pregnancy‐induced hypertension) Dietary advice interventions vs standard care (maternal outcomes) | RR 0.3 [0.1, 0.88] | 2 studies · 282 participants | Low |
Hypertensive disorders of pregnancy (pre‐eclampsia) Dietary advice interventions vs standard care (maternal outcomes) | RR 0.61 [0.25, 1.46] | 2 studies · 282 participants | Low |
Caesarean section Dietary advice interventions vs standard care (maternal outcomes) | RR 0.98 [0.78, 1.24] | 4 studies · 1194 participants | Low |
Perineal trauma (anal sphincter injury) Dietary advice interventions vs standard care (maternal outcomes) | RR 0.83 [0.23, 3.08] | 1 study · 759 participants | Very low Downgraded: imprecision, inconsistency |
Gestational weight gain (kg) Dietary advice interventions vs standard care (maternal outcomes) | no estimate extracted | 5 studies · 1336 participants | Low |
Postnatal depression Dietary advice interventions vs standard care (maternal outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Dietary advice interventions versus standard care (child outcomes)
Population: pregnant women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality Dietary advice interventions vs standard care (child outcomes) | no estimate extracted | 1 study · 159 participants | Very low Downgraded: imprecision |
Large‐for‐gestational age Dietary advice interventions vs standard care (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Mortality or morbidity composite outcome Dietary advice interventions vs standard care (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Neonatal hypoglycaemia Dietary advice interventions vs standard care (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood adiposity: skinfold thickness at 6 months (mm) Dietary advice interventions vs standard care (child outcomes) | no estimate extracted | 1 study · 132 participants | Low Downgraded: imprecision |
Chilhood/adulthood type 2 diabetes mellitus Dietary advice interventions vs standard care (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood neurosensory disability Dietary advice interventions vs standard care (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Low‐GI dietary advice versus moderate‐ to high‐GI dietary advice (maternal outcomes)
Population: pregnant women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Gestational diabetes Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes) | RR 0.91 [0.63, 1.31] | 4 studies · 912 participants | Low |
Hypertensive disorders of pregnancy Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Caesarean birth Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes) | RR 1.27 [0.79, 2.04] | 2 studies · 201 participants | Very low Downgraded: imprecision, inconsistency |
Perineal trauma Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Gestational weight gain (kg) Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes) | no estimate extracted | 4 studies · 787 participants | Very low Downgraded: imprecision, inconsistency |
Postnatal depression Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Type 2 diabetes mellitus Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Low‐GI dietary advice versus moderate‐ to high‐GI dietary advice (child outcomes)
Population: pregnant women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Large‐for‐gestational age Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes) | RR 0.6 [0.19, 1.86] | 3 studies · 777 participants | Very low |
Mortality or morbidity composite outcome Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Neonatal hypoglycaemia Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood adiposity Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Chilhood/adulthood type 2 diabetes mellitus Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood neurosensory disability Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes) | no estimate extracted | 0 studies · 0 participants | Ungraded |