Effective interventions in preventing gestational diabetes mellitus: A systematic review and meta-analysis
| Title: | Effective interventions in preventing gestational diabetes mellitus: A systematic review and meta-analysis |
|---|---|
| Authors: | Takele WW; Vesco KK; Josefson J; Redman LM; Hannah W; Bonham MP; Chen M; Chivers SC; Fawcett AJ; Grieger JA; Habibi N; Leung GKW; Liu K; Mekonnen EG; Pathirana M; Quinteros A; Taylor R; Zhou SJ; Franks PW; Rich SS; Wagner R; Vilsboll T; Udler MS; Tuomi T; Sweeting A; Sims EK; Sherr JL; Semple RK; Reynolds RM; Redondo MJ; Pratley RE; Pop-Busui R; Pollin TI; Perng W; Pearson ER; Ozanne SE; Owen KR; Oram R; Murphy R; Mohan V; Misra S; Meigs JB; Mathioudakis N; Mathieu C; Ma RCW; Loos RJF; Laffel LM; Kwak SH; Josefson JL; Hood KK; Hivert M-F; Hirsch IB; Hattersley AT; Griffin K; Greeley SAW; Gottlieb PA; Gomez MF; Gloyn AL; Florez JC; Dennis JM; Costacou T; Boyle K; Billings LK; Brown RJ; Philipson LH; Nolan JJ; Eckel RH; Sherifali D; Mixter E; Gruber C; de Souza R; Auh S; Zhu Y; Zhang C; Saint-Martin C; Provenzano M; Pomares-Millan H; Njolstad PR; Nakabuye M; Molnes J; McGovern A; Maloney KA; Flanagan SE; de Franco E; Aukrust I; Polak M; Beltrand J; Zhang Y; Yu G; White SL; Wentworth JM; Vatier C; Van der Schueren B; Urazbayeva M; Ukke GG; Tye SC; Stoy J; Stefan N; Steck AK; Steenackers N; Stanislawski MA; Speake C; Sheu WH-H; Selvin E; Scholtens DM; Monaco GSF; Sarkar S; Kanbour S; Santhakumar V; Saeed Z; Ried-Larsen M; Ray D; Jain R; Powe CE; Petrie JR; Perez D; Pazmino S; Pankow JS; Onengut-Gumuscu S; Motala AA; Morton RW; Lowe WL; Long SA; Libman IM; Leong A; Koivula RW; Jones AG; Johnson RK; Hoag B; Ismail HM; Harris-Kawano A; Huang C; Hansen T; Guasch-Ferre M; Goodarzi MO; Gitelman SE; Fitzpatrick SL; Fitipaldi H; Fernandez-Balsells MM; Evans-Molina C; Dudenhoffer-Pfeifer M; DiMeglio LA; Dickens LT; Deutsch AJ; Dawed AY; Dabelea D; Clemmensen C; Chikowore T; Cheng F; Andersen MK; Amouyal C; Young K; Yamamoto JM; Wong JJ; Wang CC; Wallace AS; Tosur M; Thuesen ACB; Tam CH-T; Svalastoga P; Sevilla-Gonzalez M; Semnani-Azad Z; Schon M; Rooney MR; Raghavan S; Prystupa K; Pilla SJ; Patel KA; Ozkan B; Naylor RN; Most J; Morieri ML; Miller RG; Mclennan N-M; Massey R; Mannisto JME; Lim L-L; Kreienkamp RJ; Kettunen JLT; Kahkoska AR; Jacobsen LM; Ikle JM; Hughes A; Haider E; Gaillard R; Gingras V; Gillard P; Francis EC; Felton JL; Duan D; Cromer SJ; Corcoy R; Colclough K; Clark AL; Bodhini D; Benham JL; Aiken C; Ahmad A; Merino J; Tobias DK; Lim S |
| Source: | Communications Medicine, December 2024 |
| Publisher Information: | Springer Nature |
| Publication Year: | 2024 |
| Collection: | Newcastle University Library ePrints Service |
| Description: | © The Author(s) 2024.Background: Lifestyle choices, metformin, and dietary supplements may prevent GDM, but the effect of intervention characteristics has not been identified. This review evaluated intervention characteristics to inform the implementation of GDM prevention interventions. Methods: Ovid, MEDLINE/PubMed, and EMBASE databases were searched. The Template for Intervention Description and Replication (TIDieR) framework was used to examine intervention characteristics (who, what, when, where, and how). Subgroup analysis was performed by intervention characteristics. Results: 116 studies involving 40,940 participants are included. Group-based physical activity interventions (RR 0.66; 95% CI 0.46, 0.95) reduce the incidence of GDM compared with individual or mixed (individual and group) delivery format (subgroup p-value = 0.04). Physical activity interventions delivered at healthcare facilities reduce the risk of GDM (RR 0.59; 95% CI 0.49, 0.72) compared with home-based interventions (subgroup p-value = 0.03). No other intervention characteristics impact the effectiveness of all other interventions. Conclusions: Dietary, physical activity, diet plus physical activity, metformin, and myoinositol interventions reduce the incidence of GDM compared with control interventions. Group and healthcare facility-based physical activity interventions show better effectiveness in preventing GDM than individual and community-based interventions. Other intervention characteristics (e.g. utilization of e-health) don’t impact the effectiveness of lifestyle interventions, and thus, interventions may require consideration of the local context. |
| Document Type: | article in journal/newspaper |
| File Description: | application/pdf |
| Language: | unknown |
| Relation: | https://eprints.ncl.ac.uk/301441; https://eprints.ncl.ac.uk/fulltext.aspx?url=301441/C0A81E9A-17CC-4534-BD1A-06B320BA3E37.pdf&pub_id=301441 |
| Availability: | https://eprints.ncl.ac.uk/301441 |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: | edsbas.3EF807EB |
| Database: | BASE |