Sedentary behavior and the risk of gestational diabetes mellitus: a systematic review
10.3760/cma.j.cn115624-20210412-00193
- VernacularTitle:久坐行为与妊娠期糖尿病发病风险的系统评价
- Author:
Qianqian LI
1
;
Lili WEI
;
Jingyuan WANG
;
Yan ZHANG
;
Ruting GU
;
Xiaojing GUO
;
Xinwei ZHANG
;
Tong SUN
Author Information
1. 青岛大学附属医院护理部，青岛 266003
- Keywords:
Gestational diabetes mellitus;
Sedentary lifestyle;
Systematic review
- From:
Chinese Journal of Health Management
2021;15(6):574-580
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the relationship between sedentary behavior (SB) and the risk of developing gestational diabetes mellitus (GDM).Methods:PubMed, Medline, EMBASE, CINAHL, the Cochrane Library, the Rehabilitation & Sports Medicine Source, the Sedentary Behavior Research Database (SBRD), Wanfang Database, the China Journal full-text database, and the China Biomedical Literature Database were searched for cohort studies, case-control studies, and cross-sectional studies concerning the risk of SB and GDM from the establishment of the database to January 2021. Two researchers screened the literature, extracted data, evaluated the quality of the data according to the inclusion and exclusion criteria, and, finally, produced a descriptive analysis of the results.Results:A total of 11 studies were included, including eight cohort studies, two cross-sectional studies, and one case-control study. The overall quality of the studies was moderate. The prevalence of GDM was 5.04%-26.81%, and the prevalence of SB before and during pregnancy was 39.47%-40.21% and 28.86%-93.50%, respectively. In terms of the prevalence of SB before pregnancy, four moderate-quality studies reported no association with GDM risk. In terms of SB during pregnancy, four moderate-quality studies reported no association with GDM risks, and four studies (one of high quality and three of moderate quality) reported an association with GDM risks, two of which focused on the second trimester. There was considerable heterogeneity between studies on the diagnosis of GDM and SB.Conclusion:SB before pregnancy is not associated with the risk of GDM, while the relationship between SB and the risk of GDM is unclear, but the level of SB in the second trimester of pregnancy may be positively associated with the risk of GDM.
