Cochrane · systematic review · CD011970
Lifestyle interventions for the treatment of women with gestational diabetes
Brown, J, Alwan, NA, West, 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
18
current version
GRADE rated
13
No studies
5
Included studies
NR
No studies 5 · 27.8%Ungraded 0 · 0%Very low 1 · 5.6%Low 7 · 38.9%Moderate 4 · 22.2%High 1 · 5.6%
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
Lifestyle interventions versus control ‐ Maternal outcomes
Population: Women with gestational diabetes
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypertensive disorders of pregnancy (pre‐eclampsia) Lifestyle interventions vs control ‐ Maternal outcomes | RR 0.7 [0.4, 1.22] | 4 studies · 2796 participants | Low Downgraded: inconsistency |
Perineal trauma/tear Lifestyle interventions vs control ‐ Maternal outcomes | RR 1.04 [0.93, 1.18] | 1 study · 1000 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Caesarean section Lifestyle interventions vs control ‐ Maternal outcomes | RR 0.9 [0.78, 1.05] | 10 studies · 3545 participants | Low |
Induction of labour Lifestyle interventions vs control ‐ Maternal outcomes | RR 1.2 [0.99, 1.46] | 4 studies · 2699 participants | High |
Postnatal depression Lifestyle interventions vs control ‐ Maternal outcomes | RR 0.49 [0.31, 0.78] | 1 study · 573 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Postnatal weight retention or return to pre‐pregnancy weight Lifestyle interventions vs control ‐ Maternal outcomes | RR 1.75 [1.05, 2.9] | 1 study · 156 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Development of type 2 diabetes ( Lifestyle interventions vs control ‐ Maternal outcomes | RR 0.98 [0.54, 1.76] | 2 studies · 486 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Lifestyle versus control ‐ Neonatal and later outcomes
Population: Women with gestational diabetes
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Large‐for‐gestational age Lifestyle vs control ‐ Neonatal and later outcomes | RR 0.6 [0.5, 0.71] | 6 studies · 2994 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Perinatal (fetal and neonatal death) and later infant mortality Lifestyle vs control ‐ Neonatal and later outcomes | RR 0.09 [0.01, 1.7] | 2 studies · 1988 participants | Low |
Composite outcome in infant (death, shoulder dystocia, nerve palsy, bone fracture) Lifestyle vs control ‐ Neonatal and later outcomes | RR 0.57 [0.21, 1.55] | 2 studies · 1930 participants | Very low Downgraded: inconsistency |
Neonatal hypoglycaemia Lifestyle vs control ‐ Neonatal and later outcomes | RR 0.99 [0.65, 1.52] | 6 studies · 3000 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Adiposity (neonatal) ‐ Neonatal fat mass (g) Lifestyle vs control ‐ Neonatal and later outcomes | no estimate extracted | 1 study · 958 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Adiposity (child) ‐ Childhood BMI > 85th percentile Lifestyle vs control ‐ Neonatal and later outcomes | RR 0.91 [0.75, 1.11] | 3 studies · 767 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Adiposity (adult) not measured Lifestyle vs control ‐ Neonatal and later outcomes | no estimate extracted | NR | No studies |
Diabetes (type 2) (child) ‐ not measured Lifestyle vs control ‐ Neonatal and later outcomes | no estimate extracted | NR | No studies |
Diabetes (type 2) (adult) ‐ not measured Lifestyle vs control ‐ Neonatal and later outcomes | no estimate extracted | NR | No studies |
Neurosensory disability (child) ‐ not measured Lifestyle vs control ‐ Neonatal and later outcomes | no estimate extracted | NR | No studies |
Neurosensory disability (adult) ‐ not measured Lifestyle vs control ‐ Neonatal and later outcomes | no estimate extracted | NR | No studies |