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Lookup NU author(s): Dr Rachel Taylor
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 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.
Author(s): 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, Mekonnen EG, Gruber C, Fawcett AJ, 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, Hannah W, Wentworth JM, Vatier C, Van der Schueren B, Urazbayeva M, Ukke GG, 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, Grieger JA, 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, Lim S
Publication type: Article
Publication status: Published
Journal: Communications Medicine
Year: 2024
Volume: 4
Issue: 1
Online publication date: 20/04/2024
Acceptance date: 22/03/2024
Date deposited: 08/10/2024
ISSN (electronic): 2730-664X
Publisher: Springer Nature
URL: https://doi.org/10.1038/s43856-024-00491-1
DOI: 10.1038/s43856-024-00491-1
Data Access Statement: All data used to produce this study was gathered from published studies. The key terms and search strategies built to retrieve studies are available in Supplementary Table 1 of the Supplementary Information file. The list of included studies is available in Supplementary Data 1. All other relevant data that support the findings of the study are available from the corresponding author upon reasonable request.
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