Cochrane · systematic review · CD010443
Combined diet and exercise interventions for preventing gestational diabetes mellitus
Shepherd, E, Gomersall, JC, Tieu, J, 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
15
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 5 · 33.3%Very low 1 · 6.7%Low 5 · 33.3%Moderate 4 · 26.7%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
Combined diet and exercise interventions versus standard care (mother)
Population: pregnant women, excluding women already diagnosed with GDM, type 1 or type 2 diabetes
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
GDM Combined diet and exercise interventions vs standard care (mother) | RR 0.85 [0.71, 1.01] | 19 studies · 6633 participants | Moderate Downgraded: risk of bias, inconsistency |
Hypertensive disorders of pregnancy (pre‐eclampsia) Combined diet and exercise interventions vs standard care (mother) | RR 0.98 [0.79, 1.22] | 8 studies · 5366 participants | Low Downgraded: risk of bias, imprecision |
Hypertensive disorders of pregnancy (pregnancy‐induced hypertension/hypertension) Combined diet and exercise interventions vs standard care (mother) | RR 0.78 [0.47, 1.27] | 6 studies · 3073 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Caesarean section Combined diet and exercise interventions vs standard care (mother) | RR 0.95 [0.88, 1.02] | 14 studies · 6089 participants | Moderate Downgraded: risk of bias |
Perineal trauma Combined diet and exercise interventions vs standard care (mother) | RR 1.27 [0.78, 2.05] | 2 studies · 2733 participants | Moderate Downgraded: imprecision |
Gestational weight gain (kg) Combined diet and exercise interventions vs standard care (mother) | no estimate extracted | 16 studies · 5052 participants | Moderate Downgraded: risk of bias, inconsistency |
Postnatal depression Combined diet and exercise interventions vs standard care (mother) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Type 2 diabetes mellitus Combined diet and exercise interventions vs standard care (mother) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Combined diet and exercise interventions versus standard care (child)
Population: pregnant women, excluding women already diagnosed with GDM, type 1 or type 2 diabetes
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality Combined diet and exercise interventions vs standard care (child) | RR 0.82 [0.42, 1.63] | 2 studies · 3757 participants | Low Downgraded: imprecision |
Large‐for‐gestational age Combined diet and exercise interventions vs standard care (child) | RR 0.93 [0.81, 1.07] | 11 studies · 5353 participants | Low Downgraded: imprecision |
Mortality or morbidity composite Combined diet and exercise interventions vs standard care (child) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Neonatal hypoglycaemia Combined diet and exercise interventions vs standard care (child) | RR 1.42 [0.67, 2.98] | 2 studies · 3653 participants | Low Downgraded: imprecision, inconsistency |
Childhood adiposity (latest time reported) (BMI z score) Combined diet and exercise interventions vs standard care (child) | MD 0.05 | 2 studies · 794 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Type 2 diabetes mellitus Combined diet and exercise interventions vs standard care (child) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Neurosensory disability Combined diet and exercise interventions vs standard care (child) | no estimate extracted | 0 studies · 0 participants | Ungraded |