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dc.contributor.authorKouiti, Malak
dc.contributor.authorHernández-Muñiz, Cristian
dc.contributor.authorYoulyouz-Marfak, Ibtissam
dc.contributor.authorSalcedo Bellido, Inmaculada 
dc.contributor.authorMozas Moreno, Juan 
dc.contributor.authorJiménez Moleón, José Juan 
dc.date.accessioned2022-06-07T12:34:32Z
dc.date.available2022-06-07T12:34:32Z
dc.date.issued2022-05-14
dc.identifier.citationKouiti, M.; Hernández-Muñiz, C.; Youlyouz-Marfak, I.; Salcedo-Bellido, I.; Mozas-Moreno, J.; Jiménez-Moleón, J.J. Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review. Nutrients 2022, 14, 2066. [https://doi.org/10.3390/nu14102066]es_ES
dc.identifier.urihttp://hdl.handle.net/10481/75314
dc.descriptionSupplementary Materials: The following are available online at https://www.mdpi.com/article/ 10.3390/nu14102066/s1, Tables S1–S3: Search strategy, Table S4: Excluded studies and justification, Figure S1: Quality of included reviews assessed by Amstar 2, Tables S5–S9: Overlapping assessment, Table S10: Description of physical activity intervention in included systematic reviews, Table S11: Description of diet intervention in included systematic reviews, Table S12: Description of mixed intervention in included systematic review.es_ES
dc.descriptionAcknowledgments: The authors thank Ingrid de Ruiter, MBChB, for English language and editing support. The results of this study are part of the doctoral thesis of Malak Kouiti.es_ES
dc.description.abstractSeveral epidemiological studies have analyzed the effects of lifestyle modification on reducing the risk of gestational diabetes mellitus (GDM); however, their results remain inconsistent. This umbrella review aims to evaluate the effects of diet and/or physical activity interventions during pregnancy on preventing GDM. Systematic reviews and meta-analysis of randomized clinical trials reporting preventive effects of diet and/or physical activity in reducing the incidence of GDM were included from PubMed, Web of Science, Scopus and Cochrane library. Two authors independently assessed the overlapping and quality of the 35 selected reviews using AMSTAR 2. The results, although variable, tend to defend the protective role of diet and physical activity interventions separately and independently of each other in the prevention of GDM. However, the results for the combined interventions show a possible protective effect; however, it is not entirely clear because most of the analyzed meta-analyses tend to approach 1, and heterogeneity cannot be ruled out. Establishing conclusions about the most efficient type of intervention and a dose–effect relationship was not feasible given the low quality of systematic reviews (83% low to critically low) and the variability in reporting interventions. Therefore, more studies with better quality and definition of the interventions are required. The protocol was previously registered in PROSPERO as CRD42021237895.es_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.rightsAtribución 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/es/*
dc.subjectGestational diabetes mellituses_ES
dc.subjectDietary interventiones_ES
dc.subjectPhysical activity interventiones_ES
dc.subjectRandomized controlled clinical trialses_ES
dc.subjectExperimental studieses_ES
dc.subjectSystematic reviewes_ES
dc.subjectMeta-analysises_ES
dc.titlePreventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Reviewes_ES
dc.typejournal articlees_ES
dc.rights.accessRightsopen accesses_ES
dc.identifier.doi10.3390/nu14102066
dc.type.hasVersionVoRes_ES


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