Cochrane · systematic review · CD007145

Diet or exercise, or both, for preventing excessive weight gain in pregnancy

Muktabhant, B, Lawrie, TA, Lumbiganon, P, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 2 · 28.6%High 4 · 57.1%

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

All diet and/or exercise interventions compared to standard/other care for preventing excessive weight gain in pregnancy

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Excessive weight gain
All diet and/or exercise interventions vs standard/other care
RR 0.8 [0.73, 0.87]24 studies · 7096 participantsHigh
Mean GWG (kg)
All diet and/or exercise interventions vs standard/other care
no estimate extractedNRNo studies
Low weight gain
All diet and/or exercise interventions vs standard/other care
RR 1.14 [1.02, 1.27]11 studies · 4422 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Preterm birth
All diet and/or exercise interventions vs standard/other care
RR 0.91 [0.68, 1.22]16 studies · 5923 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Pre‐eclampsia
All diet and/or exercise interventions vs standard/other care
RR 0.95 [0.77, 1.16]15 studies · 5330 participantsHigh
Caesarean delivery
All diet and/or exercise interventions vs standard/other care
RR 0.95 [0.88, 1.03]28 studies · 7534 participantsHigh
Macrosomia Infant birthweight > 4000 g
All diet and/or exercise interventions vs standard/other care
RR 0.93 [0.86, 1.02]27 studies · 8598 participantsHigh