PDF(Pubmed)
Abstract：
BACKGROUND: Nowadays, pregnant women require more individualized attention in their assistance process during pregnancy. One of the aspects that requires the most focus is the suitability of carrying out physical activity. The objective of this meta-review is to find out the effects of physical activity during pregnancy on the incidence of GDM compared to women who do not perform physical activity.
METHODS: A search was conducted in Cochrane, CSIC, Ebscohost, Proquest, Pubmed, Scielo, and Scopus. The search focused on systematic reviews and meta-analyses published in the last five years. The AMSTAR-2 scale was used as a quality assessment tool for the final sample.
RESULTS: A total of 18 systematic reviews and meta-analyses were included. Sixteen of them found out that physical activity during pregnancy has preventive effects for GDM compared with women who lacked physical activity. Among the studies, we found a reduction in the risk of GDM of between 24% and 38% and odds ratios ranging between 0.39 and 0.83 calculated for a 95% CI. Only two studies did not find statistically significant effects. Other variables such as type and duration of physical activity, overweight and obesity, gestational age, etc., were also considered.
CONCLUSIONS: Physical activity prevents the incidence of GDM. The main characteristics that enhance this preventive effect are starting at the initial stages of pregnancy and maintaining during the whole pregnancy as well as combining strength and aerobic exercise at a low to moderate intensity.
METHODS: A search was conducted in Cochrane, CSIC, Ebscohost, Proquest, Pubmed, Scielo, and Scopus. The search focused on systematic reviews and meta-analyses published in the last five years. The AMSTAR-2 scale was used as a quality assessment tool for the final sample.
RESULTS: A total of 18 systematic reviews and meta-analyses were included. Sixteen of them found out that physical activity during pregnancy has preventive effects for GDM compared with women who lacked physical activity. Among the studies, we found a reduction in the risk of GDM of between 24% and 38% and odds ratios ranging between 0.39 and 0.83 calculated for a 95% CI. Only two studies did not find statistically significant effects. Other variables such as type and duration of physical activity, overweight and obesity, gestational age, etc., were also considered.
CONCLUSIONS: Physical activity prevents the incidence of GDM. The main characteristics that enhance this preventive effect are starting at the initial stages of pregnancy and maintaining during the whole pregnancy as well as combining strength and aerobic exercise at a low to moderate intensity.
摘要：
背景：如今，孕妇在怀孕期间的援助过程中需要更多的个性化关注。最需要关注的方面之一是进行身体活动的适用性。这项荟萃审查的目的是找出与不进行体育锻炼的女性相比，怀孕期间体育锻炼对GDM发病率的影响。
方法：在Cochrane进行了搜索，CSIC,Ebscohost,Proquest,Pubmed,Scielo,还有Scopus.搜索的重点是过去五年发表的系统评价和荟萃分析。AMSTAR-2量表用作最终样本的质量评估工具。
结果：共纳入18篇系统综述和meta分析。他们中有16人发现，与缺乏体育锻炼的女性相比，怀孕期间的体育锻炼对GDM具有预防作用。在研究中，我们发现,对于95%CI,GDM的风险降低了24%~38%,比值比在0.39~0.83之间.只有两项研究没有发现统计学上的显着影响。其他变量，如身体活动的类型和持续时间，超重和肥胖，胎龄,等。,也考虑过。
结论：体力活动可预防GDM的发生。增强这种预防效果的主要特征是从怀孕的初始阶段开始，并在整个怀孕期间保持，以及在低至中等强度下结合强度和有氧运动。
方法：在Cochrane进行了搜索，CSIC,Ebscohost,Proquest,Pubmed,Scielo,还有Scopus.搜索的重点是过去五年发表的系统评价和荟萃分析。AMSTAR-2量表用作最终样本的质量评估工具。
结果：共纳入18篇系统综述和meta分析。他们中有16人发现，与缺乏体育锻炼的女性相比，怀孕期间的体育锻炼对GDM具有预防作用。在研究中，我们发现,对于95%CI,GDM的风险降低了24%~38%,比值比在0.39~0.83之间.只有两项研究没有发现统计学上的显着影响。其他变量，如身体活动的类型和持续时间，超重和肥胖，胎龄,等。,也考虑过。
结论：体力活动可预防GDM的发生。增强这种预防效果的主要特征是从怀孕的初始阶段开始，并在整个怀孕期间保持，以及在低至中等强度下结合强度和有氧运动。
