Associations of Diet and Physical Activity with Risk for Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis.
Associations of Diet and Physical Activity with Risk for Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis.
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DOI：
10.3390/nu10060698
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发表时间：
2018-05-30
期刊：
影响因子：
5.9
通讯作者：
Flood VM
中科院分区：
文献类型：
--
作者：
Mijatovic-Vukas J;Capling L;Cheng S;Stamatakis E;Louie J;Cheung NW;Markovic T;Ross G;Senior A;Brand-Miller JC;Flood VM
妊娠期糖尿病(GDM)和相关并发症的发病率不断上升，促使人们呼吁识别与妊娠期糖尿病(GDM)相关的潜在可改变的危险因素。我们系统地回顾了考察特定饮食和/或体力活动(PA)因素与妊娠期糖尿病风险的观察性研究的科学文献。我们的检索包括PubMed、Medline、CINAHL/EBSCO、Science Direct和EMBASE，共鉴定出1167篇文章，其中40篇符合我们的纳入标准(例如，单身怀孕、报告的怀孕前/早期怀孕期间的饮食或PA数据以及作为结果衡量标准的GDM)。使用美国饮食协会修改后的质量标准检查表对研究进行质量评估。在最后的40项研究中，72%的研究获得了肯定的质量评级，28%的研究被评为中性。最终分析纳入了30,871名孕妇的数据。饮食研究被归类为咖啡因、碳水化合物、脂肪、蛋白质、钙、快餐和公认的饮食模式。地中海饮食(MedDiet)、停止高血压的饮食方法(DASH)和替代健康饮食指数饮食(AHEI)等饮食与GDM的相对风险降低15%-38%相关。相比之下，经常食用土豆、肉类/加工肉类和来自动物来源的蛋白质(%能量)与GDM风险增加有关。与无PA相比，孕前或怀孕早期PA分别使妊娠期糖尿病的发病几率降低30%和21%。孕前每周从事90分钟的休闲活动与妊娠期糖尿病的风险降低46%相关。我们得出结论，类似于MedDiet/DASH饮食的饮食以及怀孕前或怀孕早期较高的PA水平分别与GDM的风险或几率较低相关。这项系统评价在Propero()注册为CRD42016027795。
Rising rates of gestational diabetes mellitus (GDM) and related complications have prompted calls to identify potentially modifiable risk factors that are associated with gestational diabetes mellitus (GDM). We systematically reviewed the scientific literature for observational studies examining specific dietary and/or physical activity (PA) factors and risk of GDM. Our search included PubMed, Medline, CINAHL/EBSCO, Science Direct and EMBASE, and identified 1167 articles, of which 40 met our inclusion criteria (e.g., singleton pregnancy, reported diet or PA data during pre-pregnancy/early pregnancy and GDM as an outcome measure). Studies were assessed for quality using a modified Quality Criteria Checklist from American Dietetic Association. Of the final 40 studies, 72% obtained a positive quality rating and 28% were rated neutral. The final analysis incorporated data on 30,871 pregnant women. Dietary studies were categorised into either caffeine, carbohydrate, fat, protein, calcium, fast food and recognized dietary patterns. Diets such as Mediterranean Diet (MedDiet), Dietary Approaches to Stop Hypertension (DASH) diet and Alternate Healthy Eating Index diet (AHEI) were associated with 15–38% reduced relative risk of GDM. In contrast, frequent consumption of potato, meat/processed meats, and protein (% energy) derived from animal sources was associated with an increased risk of GDM. Compared to no PA, any pre-pregnancy or early pregnancy PA was associated with 30% and 21% reduced odds of GDM, respectively. Engaging in >90 min/week of leisure time PA before pregnancy was associated with 46% decreased odds of GDM. We conclude that diets resembling MedDiet/DASH diet as well as higher PA levels before or in early pregnancy were associated with lower risks or odds of GDM respectively. The systematic review was registered at PROSPERO () as CRD42016027795.
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影响因子：
4.5
作者：
Collison KS;Zaidi MZ;Subhani SN;Al-Rubeaan K;Shoukri M;Al-Mohanna FA
通讯作者：
Al-Mohanna FA
怀孕后的体重和健康行为的变化因妊娠糖尿病而复杂化：Cardia研究。
影响因子：
6.9
作者：
Bennett, Wendy L.;Liu, Su-Hsun;Yeh, Hsin-Chieh;Nicholson, Wanda K.;Gunderson, Erica P.;Lewis, Cora E.;Clark, Jeanne M.
通讯作者：
Clark, Jeanne M.
影响因子：
3.5
作者：
Baptiste-Roberts, Kesha;Ghosh, Payal;Nicholson, Wanda K.
通讯作者：
Nicholson, Wanda K.
影响因子：
16.2
作者：
Bao, Wei;Li, Shanshan;Zhang, Cuilin
通讯作者：
Zhang, Cuilin
DOI：
10.1136/bmj.h6898
发表时间：
2016-01-12
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Bao W;Tobias DK;Hu FB;Chavarro JE;Zhang C
通讯作者：
Zhang C