Lifestyle interventions for type 2 diabetes prevention in women with prior gestational diabetes : a systematic review and meta-analysis of behavioural, anthropometric and metabolic outcomes
Gilinsky, A.S. and Kirk, A.F. and Hughes, A. R. and Lindsay, R.S. (2015) Lifestyle interventions for type 2 diabetes prevention in women with prior gestational diabetes : a systematic review and meta-analysis of behavioural, anthropometric and metabolic outcomes. Preventive Medicine Reports, 2. pp. 448-461. (https://doi.org/10.1016/j.pmedr.2015.05.009)
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Abstract
Purpose. To systematically review lifestyle interventions for women with prior Gestational Diabetes Mellitus (GDM) to report study characteristics, intervention design and study quality and explore changes in 1) diet, physical activity and sedentary behaviour; 2) anthropometric outcomes and; 3) glycaemic control and diabetes risk. Methods. Databases (Web of Science, CCRCT, EMBASE and Science DIRECT) were searched (1980 to April 2014) using keywords for controlled or pre–post design trials of lifestyle intervention targeting women with previous GDM reporting at least one behavioural, anthropometric or diabetes outcome. Selected studies were narratively synthesized with anthropometric and glycaemic outcomes synthesized using meta-analysis. Results. Three of 13 included studies were rated as low bias risk. Recruitment rates were poor but study retention good. Six of 11 studies reporting on physical activity reported favourable intervention effects. All six studies reporting on diet reported favourable intervention effects. In meta-analysis, significant weight-loss was attributable to one Chinese population study (WMD = − 1.06 kg (95% CI = − 1.68, − 0.44)). Lifestyle interventions did not change fasting blood glucose (WMD = − 0.05 mmol/L, 95% CI = − 0.21, 0.11) or type 2 diabetes risk. Conclusions. Lack of methodologically robust trials gives limited evidence for the success of lifestyle interventions in women with prior GDM. Recruitment into trials is challenging.
ORCID iDs
Gilinsky, A.S., Kirk, A.F. ORCID: https://orcid.org/0000-0002-6534-3763, Hughes, A. R. ORCID: https://orcid.org/0000-0001-8602-1299 and Lindsay, R.S.;-
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Item type: Article ID code: 53950 Dates: DateEventJune 2015Published24 May 2015Published Online18 May 2015AcceptedSubjects: Medicine > Public aspects of medicine > Personal health and hygiene, including exercise, nutrition Department: Faculty of Humanities and Social Sciences (HaSS) > Psychological Sciences and Health > Physical Activity for Health Depositing user: Pure Administrator Date deposited: 10 Aug 2015 13:22 Last modified: 02 Dec 2024 12:21 Related URLs: URI: https://strathprints.strath.ac.uk/id/eprint/53950