Effectiveness of Pre‐Pregnancy Weight Loss Interventions on the Risk of Gestational Diabetes Mellitus in Overweight or Obese Women: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials.

Objective: To synthesize randomized controlled trials (RCTs) regarding the effectiveness of pre‐pregnancy weight loss interventions on the risk of gestational diabetes mellitus (GDM) in women with overweight or obesity. Methods: Comprehensive literature searches were conducted across nine databases...

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Publicado en:Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 23; no. 3; pp. 1 - 11
Autores principales: Jiang, Yucheng, Mao, Yilin, Li, Li, Wang, Na, Zhu, Zheng, Ding, Yan
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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        10.1111/wvn.70128
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        atl: Effectiveness of Pre‐Pregnancy Weight Loss Interventions on the Risk of Gestational Diabetes Mellitus in Overweight or Obese Women: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials.
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          Jiang, Yucheng
          Mao, Yilin
          Li, Li
          Wang, Na
          Zhu, Zheng
          Ding, Yan
        affil: Obstetrics and Gynaecology Hospital of Fudan University, Shanghai, China
      sug:
        subj:
          Prepregnancy Care
          Weight Reduction Programs
          Diabetes Mellitus, Gestational Risk Factors
          Diabetes Mellitus, Gestational Prevention and Control
          Obesity Therapy
          Treatment Outcomes
          Risk Assessment
          Obesity Complications
          Human
          Systematic Review
          Meta Analysis
          Pregnancy
          Female
          Body Weight
          Body Mass Index
          Confidence Intervals
          Odds Ratio
          Pregnancy Complications
          Checklists
          Descriptive Statistics
          Data Analysis Software
          Adult
          PubMed
          Medline
          Embase
          Cochrane Library
          CINAHL Database
          Adult: 19-44 years
          Female
      ab: Objective: To synthesize randomized controlled trials (RCTs) regarding the effectiveness of pre‐pregnancy weight loss interventions on the risk of gestational diabetes mellitus (GDM) in women with overweight or obesity. Methods: Comprehensive literature searches were conducted across nine databases from inception to May 2024. RCTs comparing pre‐pregnancy weight loss interventions with blank control or active control among adult women with overweight or obesity were included. Meta‐analyses, using a random‐effects model, were performed to pool results of RCTs. Results: Six studies, including 1632 participants, were included. The effectiveness of pre‐pregnancy weight loss interventions on changes in weight and body mass index (BMI) was statistically significant (mean difference [MD] = −6.02, 95% confidence interval [CI] [−8.94, −3.10], I2 = 98%; MD = −2.22, 95% CI [−3.44, −1.00], I2 = 98%). However, there was no statistically significant difference in the risk of GDM in women receiving pre‐pregnancy weight loss interventions compared with controls (Odd Ratio [OR] = 0.70, 95% CI [0.48, 1.03], I2 = 2%). Linking Evidence to Action: Pre‐pregnancy weight loss interventions do not significantly impact the risk of GDM in women with overweight or obesity. Due to the small number of studies, small sample size, and large heterogeneity of pre‐pregnancy weight loss interventions, further research is required. Trial Registration: ClinicalTrials.gov identifier: CRD42023482808
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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