Effective interventions in preventing gestational diabetes mellitus: A systematic review and meta-analysis

Wubet Worku Takele; Kimberly K. Vesco; Jami Josefson; Leanne M. Redman; Wesley Hannah; Maxine P. Bonham; Mingling Chen; Sian C. Chivers; Andrea J. Fawcett; Jessica A. Grieger; Nahal Habibi; Gloria K.W. Leung; Kai Liu; Eskedar G. Mekonnen; Maleesa Pathirana; Alejandra Quinteros; Rachael Taylor; Gebresilasea G. Ukke; Shao J. Zhou; Paul W. Franks; Stephen S. Rich; Robert Wagner; Tina Vilsbøll; Miriam S. Udler; Tiinamaija Tuomi; Arianne Sweeting; Emily K. Sims; Jennifer L. Sherr; Robert K. Semple; Rebecca M. Reynolds; Maria J. Redondo; Richard E. Pratley; Rodica Pop-Busui; Toni I. Pollin; Wei Perng; Ewan R. Pearson; Susan E. Ozanne; Katharine R. Owen; Richard Oram; Rinki Murphy; Viswanathan Mohan; Shivani Misra; James B. Meigs; Nestoras Mathioudakis; John J. Nolan; Mathias Ried-Larsen; Torben Hansen; Christoffer Clemmensen; Mette K. Andersen; Anne Cathrine B. Thuesen; ADA/EASD PMDI

doi:10.1038/s43856-024-00491-1

Effective interventions in preventing gestational diabetes mellitus: A systematic review and meta-analysis

Wubet Worku Takele, Kimberly K. Vesco, Jami Josefson, Leanne M. Redman, Wesley Hannah, Maxine P. Bonham, Mingling Chen, Sian C. Chivers, Andrea J. Fawcett, Jessica A. Grieger, Nahal Habibi, Gloria K.W. Leung, Kai Liu, Eskedar G. Mekonnen, Maleesa Pathirana, Alejandra Quinteros, Rachael Taylor, Gebresilasea G. Ukke, Shao J. Zhou, Paul W. FranksStephen S. Rich, Robert Wagner, Tina Vilsbøll (Medlem af forfattergruppering), Miriam S. Udler, Tiinamaija Tuomi, Arianne Sweeting, Emily K. Sims, Jennifer L. Sherr, Robert K. Semple, Rebecca M. Reynolds, Maria J. Redondo, Richard E. Pratley, Rodica Pop-Busui, Toni I. Pollin, Wei Perng, Ewan R. Pearson, Susan E. Ozanne, Katharine R. Owen, Richard Oram, Rinki Murphy, Viswanathan Mohan, Shivani Misra, James B. Meigs, Nestoras Mathioudakis, John J. Nolan (Medlem af forfattergruppering), Mathias Ried-Larsen (Medlem af forfattergruppering), Torben Hansen (Medlem af forfattergruppering), Christoffer Clemmensen (Medlem af forfattergruppering), Mette K. Andersen (Medlem af forfattergruppering), Anne Cathrine B. Thuesen (Medlem af forfattergruppering), ADA/EASD PMDI

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Abstract

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.

Originalsprog	Engelsk
Artikelnummer	75
Tidsskrift	Communications medicine
Vol/bind	4
Udgave nummer	1
ISSN	2730-664X
DOI	https://doi.org/10.1038/s43856-024-00491-1
Status	Udgivet - 20 apr. 2024

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10.1038/s43856-024-00491-1Licens: CC BY

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Takele, W. W., Vesco, K. K., Josefson, J., Redman, L. M., Hannah, W., Bonham, M. P., Chen, M., Chivers, S. C., Fawcett, A. J., Grieger, J. A., Habibi, N., Leung, G. K. W., Liu, K., Mekonnen, E. G., Pathirana, M., Quinteros, A., Taylor, R., Ukke, G. G., Zhou, S. J., ... ADA/EASD PMDI (2024). Effective interventions in preventing gestational diabetes mellitus: A systematic review and meta-analysis. Communications medicine, 4(1), Artikel 75. https://doi.org/10.1038/s43856-024-00491-1

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, Ukke, GG, Zhou, SJ, Franks, PW, Rich, SS, Wagner, R, Vilsbøll, 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, Nolan, JJ, Ried-Larsen, M, Hansen, T, Clemmensen, C, Andersen, MK, Thuesen, ACB & ADA/EASD PMDI 2024, 'Effective interventions in preventing gestational diabetes mellitus: A systematic review and meta-analysis', Communications medicine, bind 4, nr. 1, 75. https://doi.org/10.1038/s43856-024-00491-1

@article{0bec846aa6664b198cdcc65f4c802f19,

title = "Effective interventions in preventing gestational diabetes mellitus: A systematic review and meta-analysis",

abstract = "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{\textquoteright}t impact the effectiveness of lifestyle interventions, and thus, interventions may require consideration of the local context.",

author = "Takele, {Wubet Worku} and Vesco, {Kimberly K.} and Jami Josefson and Redman, {Leanne M.} and Wesley Hannah and Bonham, {Maxine P.} and Mingling Chen and Chivers, {Sian C.} and Fawcett, {Andrea J.} and Grieger, {Jessica A.} and Nahal Habibi and Leung, {Gloria K.W.} and Kai Liu and Mekonnen, {Eskedar G.} and Maleesa Pathirana and Alejandra Quinteros and Rachael Taylor and Ukke, {Gebresilasea G.} and Zhou, {Shao J.} and Franks, {Paul W.} and Rich, {Stephen S.} and Robert Wagner and Tina Vilsb{\o}ll and Udler, {Miriam S.} and Tiinamaija Tuomi and Arianne Sweeting and Sims, {Emily K.} and Sherr, {Jennifer L.} and Semple, {Robert K.} and Reynolds, {Rebecca M.} and Redondo, {Maria J.} and Pratley, {Richard E.} and Rodica Pop-Busui and Pollin, {Toni I.} and Wei Perng and Pearson, {Ewan R.} and Ozanne, {Susan E.} and Owen, {Katharine R.} and Richard Oram and Rinki Murphy and Viswanathan Mohan and Shivani Misra and Meigs, {James B.} and Nestoras Mathioudakis and Nolan, {John J.} and Mathias Ried-Larsen and Torben Hansen and Christoffer Clemmensen and Andersen, {Mette K.} and Thuesen, {Anne Cathrine B.} and {ADA/EASD PMDI}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

month = apr,

day = "20",

doi = "10.1038/s43856-024-00491-1",

language = "English",

volume = "4",

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issn = "2730-664X",

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TY - JOUR

T1 - Effective interventions in preventing gestational diabetes mellitus

T2 - A systematic review and meta-analysis

AU - Takele, Wubet Worku

AU - Vesco, Kimberly K.

AU - Josefson, Jami

AU - Redman, Leanne M.

AU - Hannah, Wesley

AU - Bonham, Maxine P.

AU - Chen, Mingling

AU - Chivers, Sian C.

AU - Fawcett, Andrea J.

AU - Grieger, Jessica A.

AU - Habibi, Nahal

AU - Leung, Gloria K.W.

AU - Liu, Kai

AU - Mekonnen, Eskedar G.

AU - Pathirana, Maleesa

AU - Quinteros, Alejandra

AU - Taylor, Rachael

AU - Ukke, Gebresilasea G.

AU - Zhou, Shao J.

AU - Franks, Paul W.

AU - Rich, Stephen S.

AU - Wagner, Robert

AU - Udler, Miriam S.

AU - Tuomi, Tiinamaija

AU - Sweeting, Arianne

AU - Sims, Emily K.

AU - Sherr, Jennifer L.

AU - Semple, Robert K.

AU - Reynolds, Rebecca M.

AU - Redondo, Maria J.

AU - Pratley, Richard E.

AU - Pop-Busui, Rodica

AU - Pollin, Toni I.

AU - Perng, Wei

AU - Pearson, Ewan R.

AU - Ozanne, Susan E.

AU - Owen, Katharine R.

AU - Oram, Richard

AU - Murphy, Rinki

AU - Mohan, Viswanathan

AU - Misra, Shivani

AU - Meigs, James B.

AU - Mathioudakis, Nestoras

AU - ADA/EASD PMDI

A2 - Vilsbøll, Tina

A2 - Nolan, John J.

A2 - Ried-Larsen, Mathias

A2 - Hansen, Torben

A2 - Clemmensen, Christoffer

A2 - Andersen, Mette K.

A2 - Thuesen, Anne Cathrine B.

PY - 2024/4/20

Y1 - 2024/4/20

N2 - 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.

AB - 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.

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U2 - 10.1038/s43856-024-00491-1

DO - 10.1038/s43856-024-00491-1

M3 - Journal article

C2 - 38643248

AN - SCOPUS:85204733185

SN - 2730-664X

VL - 4

JO - Communications medicine

JF - Communications medicine

IS - 1

M1 - 75

ER -

Effective interventions in preventing gestational diabetes mellitus: A systematic review and meta-analysis

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