SynthesisBMC public health2025
Preventive effects of different types of exercises during pregnancy on gestational diabetes: a systematic review and network meta-analysis.
Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Optimal types and doses of exercise for improving sleep quality in perinatal women: a systematic review and network meta-analysis based on randomized controlled trials.BMC pregnancy and childbirth · 2026Pooled it
- Dietary fiber supplementation mitigates gestational diabetes risk and preterm birth via gut microbiota modulation: a randomized controlled trial.Frontiers in endocrinology · 2026Trial
- Risk of gestational diabetes by aerobic and resistance exercise during the first and second trimesters.Pregnancy (Hoboken, N.J.) · 2026Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundExercise is known to reduce the risk of gestational diabetes mellitus (GDM). However, the effectiveness of various exercise regimens in preventing GDM remains unclear, and the optimal approach has yet to be identified. This study aims to perform a systematic review and network meta-analysis to evaluate the preventive effects of different exercise interventions on GDM and to identify the most effective exercise strategy for its prevention.
methodsA comprehensive search of seven databases was conducted for studies published before March 2025 that examined the relationship between exercise during pregnancy and the risk of GDM. All literature underwent a rigorous screening process based on pre-defined inclusion and exclusion criteria. The quality of evidence was assessed using the Cochrane Risk of Bias (RoB) tool. Data analysis, heterogeneity testing, publication bias assessment, and sensitivity analysis were performed using the Stata 17.0 software.
results(1) Meta-analysis revealed that the risk of GDM was significantly lower in the exercise intervention group compared to the conventional care group (OR 0.56, 95% CI = 0.44-0.71). (2) Subgroup analysis indicated that aerobic exercise (OR 0.40, 95% CI = 0.25-0.64), yoga (OR 0.19, 95% CI = 0.05-0.69), and diet and exercise guidance (OR 0.53, 95% CI = 0.37-0.76) significantly reduced the risk of GDM compared to the control group. Exercise intervention during pregnancy effectively reduced the risk of GDM in healthy individuals (OR 0.63, 95% CI = 0.43-0.93), overweight and/or obese individuals (OR 0.53, 95% CI = 0.36-0.79), and pregnant women at risk of GDM (OR 0.53, 95% CI = 0.34-0.82). Additionally, exercise intervention initiated in early pregnancy significantly prevented the development of GDM (OR 0.51, 95% CI = 0.39-0.68). (3) Network meta-analysis results demonstrated that yoga had the lowest surface under the cumulative ranking curve (SUCRA = 6.8%), suggesting that yoga was the most effective intervention in reducing the risk of GDM.
conclusionVarious types of exercise, including yoga, aerobic exercise, and diet and exercise guidance, are effective in preventing GDM during pregnancy. Among these, yoga appears to be particularly promising and could be considered for inclusion in preventive care strategies for pregnant women.
trial registrationThe study was registered on the International Prospective Registry of Systematic Reviews (PROSPERO) database (CRD42024552641) on 10 June 2024.
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