{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T07:06:17Z","timestamp":1764227177154,"version":"3.46.0"},"reference-count":95,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:00:00Z","timestamp":1718236800000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Health professionals and their patients should understand the importance of evidence. In the case of gestational diabetes mellitus, which is often associated with an abnormally high body mass index, the immediate and long-term outcome of women and their offspring depends in part on advice and implementation of lifestyle changes before, during and after pregnancy.<\/jats:p>\n                  <jats:p>Up to September 2023, MEDLINE, CENTRAL, and WEB OF SCIENCE were used to identify systematic reviews and meta-analyses on the prevention of gestational diabetes. The ROBIS and AMSTAR criteria were analyzed for all systematic reviews.<\/jats:p>\n                  <jats:p>A total of 36 systematic reviews were identified. Dietary interventions, physical activity or a combined approach all reduced adverse pregnancy outcomes such as gestational diabetes, pregnancy-induced hypertension and related morbidities. Within the randomized controlled trials included in the 36 systematic reviews, the type, intensity and frequency of interventions varied widely. The primary outcomes, reporting and methodological quality of the 36 systematic reviews and meta-analyses also varied.<\/jats:p>\n                  <jats:p>The meta-analysis with the highest ROBIS and AMSTAR-2 scores was selected to design an icon array based on a fact box simulating 100 patients.<\/jats:p>\n                  <jats:p>We propose a methodology for selecting the best evidence and transforming it into a format that illustrates the benefits and harms in a way that can be understood by lay patients, even if they cannot read. This model can be applied to counselling for expectant mothers in low and high-income countries, regardless of socioeconomic status, provided that women have access to appropriately trained healthcare providers.<\/jats:p>","DOI":"10.1055\/a-2295-1725","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T18:31:03Z","timestamp":1718303463000},"page":"564-572","source":"Crossref","is-referenced-by-count":1,"title":["Systematic Reviews on the Prevention of Adverse Pregnancy Outcomes Related to Maternal Obesity to Improve Evidence-Based Counselling"],"prefix":"10.1055","volume":"84","author":[{"given":"Susann","family":"Behnam","sequence":"additional","affiliation":[{"name":"Clara Angela Foundation Witten und Berlin, Witten, Germany"},{"name":"Philipps University Marburg, Marburg, Germany"},{"name":"Dr. Horst Schmidt Hospital, Wiesbaden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgit","family":"Arabin","sequence":"additional","affiliation":[{"name":"Clara Angela Foundation Witten und Berlin, Witten, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1080\/01443610020026083","article-title":"Identifying gestational diabetes mellitus and the effect of different diagnostic criteria","volume":"21","author":"K Wiener","year":"2001","journal-title":"J Obstet Gynaecol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"109050","DOI":"10.1016\/j.diabres.2021.109050","article-title":"IDF Diabetes Atlas: Estimation of Global and Regional Gestational Diabetes Mellitus Prevalence for 2021 by International Association of Diabetes in Pregnancy Study Group\u2019s Criteria","volume":"183","author":"H Wang","year":"2022","journal-title":"Diabetes Res Clin Pract"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e067946","DOI":"10.1136\/bmj-2021-067946","article-title":"Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta-analysis","volume":"377","author":"W Ye","year":"2022","journal-title":"BMJ"},{"issue":"S 2","key":"ref4","doi-asserted-by":"publisher","first-page":"111","DOI":"10.2337\/diab.34.2.s111","article-title":"Gestational diabetes mellitus. Correlations between the phenotypic and genotypic characteristics of the mother and abnormal glucose tolerance during the first year postpartum","volume":"34","author":"BE Metzger","year":"1985","journal-title":"Diabetes"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3389\/fped.2017.00069","article-title":"Pregnancy: An Underutilized Window of Opportunity to Improve Long-term Maternal and Infant Health-An Appeal for Continuous Family Care and Interdisciplinary Communication","volume":"5","author":"B Arabin","year":"2017","journal-title":"Front Pediatr"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1191","DOI":"10.1097\/AOG.0b013e3181f60da7","article-title":"Recommendations for weight gain during pregnancy in the context of the obesity epidemic","volume":"116","author":"KM Rasmussen","year":"2010","journal-title":"Obstet Gynecol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"S42","DOI":"10.1016\/j.placenta.2010.07.015","article-title":"Screening for pre-eclampsia--lessons from aneuploidy screening","volume":"32","author":"HS Cuckle","year":"2011","journal-title":"Placenta"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1515\/jpm-2014-0149","article-title":"First trimester prediction of maternal glycemic status","volume":"43","author":"R Gabbay-Benziv","year":"2015","journal-title":"J Perinat Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1002\/pd.4707","article-title":"Optimal first trimester preeclampsia prediction: a comparison of multimarker algorithm, risk profiles and their sequential application","volume":"36","author":"R Gabbay-Benziv","year":"2016","journal-title":"Prenat Diagn"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1002\/pd.2636","article-title":"Prediction of gestational diabetes mellitus by maternal factors and biomarkers at 11 to 13 weeks","volume":"31","author":"S Nanda","year":"2011","journal-title":"Prenat Diagn"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/S1701-2163(15)30995-6","article-title":"Adolescent pregnancy outcomes in the province of Ontario: a cohort study","volume":"35","author":"N Fleming","year":"2013","journal-title":"J Obstet Gynaecol Can"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1161\/HYPERTENSIONAHA.110.156810","article-title":"Breathing life into the lifecourse approach: pregnancy history and cardiovascular disease in women","volume":"56","author":"JW Rich-Edwards","year":"2010","journal-title":"Hypertension"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1136\/bmj.325.7356.157","article-title":"Pregnancy complications and maternal cardiovascular risk: opportunities for intervention and screening?","volume":"325","author":"N Sattar","year":"2002","journal-title":"BMJ"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.bpobgyn.2014.05.009","article-title":"Diabetes in low-resourced countries","volume":"29","author":"E Ashwal","year":"2015","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1136\/bmj.298.6673.564","article-title":"Growth in utero, blood pressure in childhood and adult life, and mortality from cardiovascular disease","volume":"298","author":"DJ Barker","year":"1989","journal-title":"BMJ"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1080\/00016340701207682","article-title":"Abnormal fetal growth is associated with gestational diabetes mellitus later in life: population-based register study","volume":"86","author":"R Claesson","year":"2007","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1897","DOI":"10.2337\/dc06-0460","article-title":"Impaired insulin secretion after prenatal exposure to the Dutch famine","volume":"29","author":"SR de Rooij","year":"2006","journal-title":"Diabetes Care"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1055\/s-2007-1002070","article-title":"Decreased beta-cell function in women with previous small for gestational age infants","volume":"25","author":"B Persson","year":"1993","journal-title":"Horm Metab Res"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1016\/j.earlhumdev.2006.07.001","article-title":"The Dutch famine and its long-term consequences for adult health","volume":"82","author":"T Roseboom","year":"2006","journal-title":"Early Hum Dev"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1016\/j.exger.2005.09.007","article-title":"Perinatal programming of obesity","volume":"40","author":"R Simmons","year":"2005","journal-title":"Exp Gerontol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"812","DOI":"10.1016\/S2352-4642(18)30273-6","article-title":"Influence of maternal obesity on the association between common pregnancy complications and risk of childhood obesity: an individual participant data meta-analysis","volume":"2","author":"B Patro Golab","year":"2018","journal-title":"Lancet Child Adolesc Health"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1016\/S2213-8587(20)30024-3","article-title":"Glycaemic status during pregnancy and longitudinal measures of fetal growth in a multi-racial US population: a prospective cohort study","volume":"8","author":"M Li","year":"2020","journal-title":"Lancet Diabetes Endocrinol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1111\/j.1399-5448.2007.00258.x","article-title":"Prevalence of metabolic markers of insulin resistance in offspring of gestational diabetes pregnancies","volume":"9","author":"EJ Keely","year":"2008","journal-title":"Pediatr Diabetes"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"e290","DOI":"10.1542\/peds.2004-1808","article-title":"Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus","volume":"115","author":"CM Boney","year":"2005","journal-title":"Pediatrics"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1002\/(SICI)1520-6661(200001\/02)9:1<83::AID-MFM17>3.0.CO;2-O","article-title":"Effect of diabetes in pregnancy on offspring: follow-up research in the Pima Indians","volume":"9","author":"D Dabelea","year":"2000","journal-title":"J Matern Fetal Med"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1046\/j.1369-6513.2001.00140.x","article-title":"A measure of informed choice","volume":"4","author":"TM Marteau","year":"2001","journal-title":"Health Expect"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1177\/0272989X07306786","article-title":"The drug facts box: providing consumers with simple tabular data on drug benefit and harm","volume":"27","author":"LM Schwartz","year":"2007","journal-title":"Med Decis Making"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"87","DOI":"10.7326\/0003-4819-155-2-201107190-00004","article-title":"Communicating data about the benefits and harms of treatment: a randomized trial","volume":"155","author":"S Woloshin","year":"2011","journal-title":"Ann Intern Med"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"847","DOI":"10.1177\/0272989X15587676","article-title":"Understanding the Harms and Benefits of Cancer Screening: A Model of Factors That Shape Informed Decision Making","volume":"35","author":"D Petrova","year":"2015","journal-title":"Med Decis Making"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1177\/2168479015572370","article-title":"Communicating Benefit and Risk Information in Direct-to-Consumer Print Advertisements: A Randomized Study","volume":"49","author":"HW Sullivan","year":"2015","journal-title":"Ther Innov Regul Sci"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"h6967","DOI":"10.1136\/bmj.h6967","article-title":"Full disclosure about cancer screening","volume":"352","author":"G Gigerenzer","year":"2016","journal-title":"BMJ"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"2381468316665365","DOI":"10.1177\/2381468316665365","article-title":"A simple tool for communicating the benefits and harms of health interventions: A guide for creating a fact box","volume":"1","author":"M McDowell","year":"2016","journal-title":"MDM Policy Pract"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1136\/bmj.312.7023.71","article-title":"Evidence based medicine: what it is and what it isn\u2019t","volume":"312","author":"DL Sackett","year":"1996","journal-title":"BMJ"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"1721","DOI":"10.1007\/s00394-017-1567-z","article-title":"A systematic review of dietary interventions for gestational weight gain and gestational diabetes in overweight and obese pregnant women","volume":"57","author":"R Lamminp\u00e4\u00e4","year":"2018","journal-title":"Eur J Nutr"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1111\/aogs.12829","article-title":"Systematic review of antenatal dietary and lifestyle interventions in women with a normal body mass index","volume":"95","author":"CM O\u2019Brien","year":"2016","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"e0115526","DOI":"10.1371\/journal.pone.0115526","article-title":"Nutritional manipulation for the primary prevention of gestational diabetes mellitus: a meta-analysis of randomised studies","volume":"10","author":"E Rogozinska","year":"2015","journal-title":"PloS One"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1186\/1471-2393-11-81","article-title":"Systematic review of clinical trials on dietary interventions to prevent excessive weight gain during pregnancy among normal weight, overweight and obese women","volume":"11","author":"I Tanentsapf","year":"2011","journal-title":"BMC Pregnancy Childbirth"},{"issue":"01","key":"ref38","doi-asserted-by":"publisher","first-page":"CD006674","DOI":"10.1002\/14651858.CD006674.pub3","article-title":"Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus","author":"J Tieu","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1007\/s00394-016-1306-x","article-title":"Effects of low-glycemic-index diets in pregnancy on maternal and newborn outcomes in pregnant women: a meta-analysis of randomized controlled trials","volume":"57","author":"R Zhang","year":"2018","journal-title":"Eur J Nutr"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"e0291732","DOI":"10.1371\/journal.pone.0291732","article-title":"The effects of plant-based dietary patterns on the risk of developing gestational diabetes mellitus: A systematic review and meta-analysis","volume":"18","author":"Y Zhu","year":"2023","journal-title":"PLoS One"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"4824","DOI":"10.1080\/14767058.2020.1868429","article-title":"Effect of Mediterranean diet for pregnant women: a meta-analysis of randomized controlled trials","volume":"35","author":"Y Zhang","year":"2022","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1007\/s40279-016-0565-2","article-title":"Leisure-Time Physical Activity in Pregnancy and Maternal-Child Health: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Cohort Studies","volume":"47","author":"SG da Silva","year":"2017","journal-title":"Sports Med"},{"issue":"07","key":"ref43","doi-asserted-by":"publisher","first-page":"CD009021","DOI":"10.1002\/14651858.CD009021.pub2","article-title":"Exercise for pregnant women for preventing gestational diabetes mellitus","author":"S Han","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1167","DOI":"10.1111\/1471-0528.13429","article-title":"Effectiveness of physical activity interventions on preventing gestational diabetes mellitus and excessive maternal weight gain: a meta-analysis","volume":"122","author":"G Sanabria-Mart\u00ednez","year":"2015","journal-title":"BJOG"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1007\/s40618-017-0673-3","article-title":"Influence of exercise intervention on gestational diabetes mellitus: a systematic review and meta-analysis","volume":"40","author":"J Zheng","year":"2017","journal-title":"J Endocrinol Invest"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"1367","DOI":"10.1136\/bjsports-2018-099355","article-title":"Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis","volume":"52","author":"MH Davenport","year":"2018","journal-title":"Br J Sports Med"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"2155043","DOI":"10.1080\/14767058.2022.2155043","article-title":"Supervised physical activity and the incidence of gestational diabetes mellitus: a systematic review and meta-analysis","volume":"36","author":"G Bennett","year":"2023","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1186\/s13098-019-0470-6","article-title":"The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis","volume":"11","author":"F Nasiri-Amiri","year":"2019","journal-title":"Diabetol Metab Syndr"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"6069","DOI":"10.3390\/ijerph20126069","article-title":"The Effects of Exercise during Pregnancy on Gestational Diabetes Mellitus, Preeclampsia, and Spontaneous Abortion among Healthy Women-A Systematic Review and Meta-Analysis","volume":"20","author":"CP Paulsen","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"e12428","DOI":"10.1111\/cob.12428","article-title":"The safety and efficacy of supervised exercise on pregnant women with overweight\/obesity: A systematic review and meta-analysis of randomized controlled trials","volume":"11","author":"HFL Muhammad","year":"2021","journal-title":"Clin Obes"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"3490","DOI":"10.3390\/jcm10163490","article-title":"Exercise versus Metformin to Improve Pregnancy Outcomes among Overweight Pregnant Women: A Systematic Review and Network Meta-Analysis","volume":"10","author":"C Pascual-Morena","year":"2021","journal-title":"J Clin Med"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"852","DOI":"10.23736\/S0022-4707.23.14578-6","article-title":"Effects of aerobic exercise performed during pregnancy on hypertension and gestational diabetes: a systematic review and meta-analysis","volume":"63","author":"J Zhang","year":"2023","journal-title":"J Sports Med Phys Fitness"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/j.ejogrb.2021.05.030","article-title":"Effects on the maternal-fetal health outcomes of various physical activity types in healthy pregnant women. A systematic review and meta-analysis","volume":"262","author":"JR D\u00edaz-Burrueco","year":"2021","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1097\/OGX.0000000000000673","article-title":"The Effectiveness of Regular Exercise Programs in the Prevention of Gestational Diabetes Mellitus-A Systematic Review","volume":"74","author":"B Makaruk","year":"2019","journal-title":"Obstet Gynecol Surv"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1111\/birt.12396","article-title":"Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta-analysis","volume":"46","author":"MC Du","year":"2019","journal-title":"Birth"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1186\/s12884-018-2068-7","article-title":"The effect of exercise during pregnancy on gestational diabetes mellitus in normal-weight women: a systematic review and meta-analysis","volume":"18","author":"WK Ming","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"e34804","DOI":"10.1097\/MD.0000000000034804","article-title":"The effects of exercise intervention on complications and pregnancy outcomes in pregnant women with overweight or obesity: A systematic review and meta-analysis","volume":"102","author":"J Kuang","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.diabres.2018.04.010","article-title":"Interventions designed to reduce excessive gestational weight gain can reduce the incidence of gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials","volume":"141","author":"CJ Bennett","year":"2018","journal-title":"Diabetes Res Clin Pract"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/1741-7015-10-47","article-title":"Lifestyle interventions for overweight and obese pregnant women to improve pregnancy outcome: systematic review and meta-analysis","volume":"10","author":"E Oteng-Ntim","year":"2012","journal-title":"BMC Med"},{"issue":"11","key":"ref60","doi-asserted-by":"publisher","first-page":"CD010443","DOI":"10.1002\/14651858.CD010443.pub3","article-title":"Combined diet and exercise interventions for preventing gestational diabetes mellitus","author":"E Shepherd","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"960","DOI":"10.1111\/obr.12442","article-title":"Lifestyle intervention can reduce the risk of gestational diabetes: a meta-analysis of randomized controlled trials","volume":"17","author":"C Song","year":"2016","journal-title":"Obes Rev"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"e2088","DOI":"10.1136\/bmj.e2088","article-title":"Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence","volume":"344","author":"S Thangaratinam","year":"2012","journal-title":"BMJ"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"j3119","DOI":"10.1136\/bmj.j3119","article-title":"Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials","volume":"358","author":"International Weight Management in Pregnancy (i-WIP) Collaborative Group","year":"2017","journal-title":"BMJ"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"e29126","DOI":"10.1097\/MD.0000000000029126","article-title":"Effectiveness of five interventions used for prevention of gestational diabetes: A network meta-analysis","volume":"101","author":"Q Tang","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1001\/jamainternmed.2021.6373","article-title":"Association of Antenatal Diet and Physical Activity-Based Interventions With Gestational Weight Gain and Pregnancy Outcomes: A Systematic Review and Meta-analysis","volume":"182","author":"HJ Teede","year":"2022","journal-title":"JAMA Intern Med"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1111\/1471-0528.15467","article-title":"Improving the effectiveness of lifestyle interventions for gestational diabetes prevention: a meta-analysis and meta-regression","volume":"126","author":"XY Guo","year":"2019","journal-title":"BJOG"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1055\/a-1926-6636","article-title":"Lifestyle Interventions to Improve Pregnancy Outcomes: a Systematic Review and Specified Meta-Analyses","volume":"82","author":"S Behnam","year":"2022","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1038\/s43856-023-00366-x","article-title":"Participant characteristics in the prevention of gestational diabetes as evidence for precision medicine: a systematic review and meta-analysis","volume":"3","author":"S Lim","year":"2023","journal-title":"Commun Med (Lond)"},{"key":"ref69","doi-asserted-by":"publisher","first-page":"2383","DOI":"10.3390\/nu14122383","article-title":"Prevention of Gestational Diabetes Mellitus and Gestational Weight Gain Restriction in Overweight\/Obese Pregnant Women: A Systematic Review and Network Meta-Analysis","volume":"14","author":"S Wu","year":"2022","journal-title":"Nutrients"},{"issue":"S 6","key":"ref70","doi-asserted-by":"publisher","first-page":"1975S","DOI":"10.3945\/ajcn.110.001032","article-title":"Effect of dietary and lifestyle factors on the risk of gestational diabetes: review of epidemiologic evidence","volume":"94","author":"C Zhang","year":"2011","journal-title":"Am J Clin Nutr"},{"key":"ref71","doi-asserted-by":"publisher","first-page":"h6898","DOI":"10.1136\/bmj.h6898","article-title":"Pre-pregnancy potato consumption and risk of gestational diabetes mellitus: prospective cohort study","volume":"352","author":"W Bao","year":"2016","journal-title":"BMJ"},{"key":"ref72","doi-asserted-by":"publisher","first-page":"446","DOI":"10.3945\/ajcn.111.026294","article-title":"A prospective study of prepregnancy dietary fat intake and risk of gestational diabetes","volume":"95","author":"K Bowers","year":"2012","journal-title":"Am J Clin Nutr"},{"key":"ref73","doi-asserted-by":"publisher","first-page":"2223","DOI":"10.2337\/dc06-0266","article-title":"Dietary fiber intake, dietary glycemic load, and the risk for gestational diabetes mellitus","volume":"29","author":"C Zhang","year":"2006","journal-title":"Diabetes Care"},{"key":"ref74","doi-asserted-by":"publisher","first-page":"2001","DOI":"10.2337\/dc12-2018","article-title":"Prepregnancy dietary protein intake, major dietary protein sources, and the risk of gestational diabetes mellitus: a prospective cohort study","volume":"36","author":"W Bao","year":"2013","journal-title":"Diabetes Care"},{"key":"ref75","doi-asserted-by":"publisher","first-page":"289","DOI":"10.3945\/ajcn.111.028266","article-title":"Prepregnancy adherence to dietary patterns and lower risk of gestational diabetes mellitus","volume":"96","author":"DK Tobias","year":"2012","journal-title":"Am J Clin Nutr"},{"key":"ref76","doi-asserted-by":"publisher","first-page":"770","DOI":"10.1097\/AOG.0b013e3181b6c105","article-title":"Association between regular exercise and excessive newborn birth weight","volume":"114","author":"KM Owe","year":"2009","journal-title":"Obstet Gynecol"},{"key":"ref77","doi-asserted-by":"publisher","first-page":"e96","DOI":"10.1111\/j.1600-0838.2009.00918.x","article-title":"Sports and leisure-time physical activity in pregnancy and birth weight: a population-based study","volume":"20","author":"HK Hegaard","year":"2010","journal-title":"Scand J Med Sci Sports"},{"key":"ref78","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/j.ypmed.2011.04.014","article-title":"Prevalence and correlates of objectively measured physical activity and sedentary behavior among US pregnant women","volume":"53","author":"KR Evenson","year":"2011","journal-title":"Prev Med"},{"key":"ref79","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1590\/s0034-89102007000200002","article-title":"Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study","volume":"41","author":"MR Domingues","year":"2007","journal-title":"Rev Saude Publica"},{"key":"ref80","first-page":"461","article-title":"Effect of metformin on maternal and neonatal outcomes in pregnant obese non-diabetic women: A meta-analysis","volume":"15","author":"A Elmaraezy","year":"2017","journal-title":"Int J Reprod Biomed"},{"issue":"12","key":"ref81","doi-asserted-by":"publisher","first-page":"CD011507","DOI":"10.1002\/14651858.CD011507.pub2","article-title":"Antenatal dietary supplementation with myo-inositol in women during pregnancy for preventing gestational diabetes","author":"TJ Crawford","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"02","key":"ref82","doi-asserted-by":"publisher","first-page":"CD009951","DOI":"10.1002\/14651858.CD009951.pub2","article-title":"Probiotics for preventing gestational diabetes","author":"HL Barrett","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"ref83","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1002\/uog.19084","article-title":"Metformin for prevention of hypertensive disorders of pregnancy in women with gestational diabetes or obesity: systematic review and meta-analysis of randomized trials","volume":"52","author":"E Kalafat","year":"2018","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref84","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.bpobgyn.2016.12.009","article-title":"Irresponsible and responsible resource management in obstetrics","volume":"43","author":"B Arabin","year":"2017","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"ref85","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3389\/fped.2017.00069","article-title":"Pregnancy: An Underutilized Window of Opportunity to Improve Long-term Maternal and Infant Health-An Appeal for Continuous Family Care and Interdisciplinary Communication","volume":"5","author":"B Arabin","year":"2017","journal-title":"Front Pediatr"},{"key":"ref86","doi-asserted-by":"publisher","first-page":"1513","DOI":"10.1001\/jama.2012.362","article-title":"Eliminating waste in US health care","volume":"307","author":"DM Berwick","year":"2012","journal-title":"JAMA"},{"key":"ref87","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1111\/1471-0528.15587","article-title":"Inconclusive evidence for optimal preterm birth prevention","volume":"126","author":"AH Shennan","year":"2019","journal-title":"BJOG"},{"key":"ref88","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.1111\/1471-0528.14506","article-title":"Inadvertent P-hacking among trials and systematic reviews of the effect of progestogens in pregnancy? A systematic review and meta-analysis","volume":"124","author":"M Prior","year":"2017","journal-title":"BJOG"},{"volume-title":"Chapter 8: Assessing Risk of Bias in included Studies","year":"2011","author":"J Higgins","key":"ref89"},{"key":"ref90","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1177\/0272989X07306786","article-title":"The drug facts box: providing consumers with simple tabular data on drug benefit and harm","volume":"27","author":"LM Schwartz","year":"2007","journal-title":"Med Decis Making"},{"key":"ref91","doi-asserted-by":"publisher","first-page":"2381468316665365","DOI":"10.1177\/2381468316665365","article-title":"A Simple Tool for Communicating the Benefits and Harms of Health Interventions: A Guide for Creating a Fact Box","volume":"1","author":"M McDowell","year":"2016","journal-title":"MDM Policy Pract"},{"key":"ref92","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1111\/1471-0528.13764","article-title":"Development of composite outcomes for individual patient data (IPD) meta-analysis on the effects of diet and lifestyle in pregnancy: a Delphi survey","volume":"123","author":"E Rogozinska","year":"2016","journal-title":"BJOG"},{"key":"ref93","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1186\/s12884-020-03071-y","article-title":"Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications","volume":"20","author":"Y Sun","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"issue":"S 1","key":"ref94","doi-asserted-by":"publisher","first-page":"S15","DOI":"10.1016\/S2214-109X(23)00098-0","article-title":"An intergenerational life-course approach to address early childhood obesity and adiposity: the Healthy Life Trajectories Initiative (HeLTI)","volume":"11","author":"K Kumaran","year":"2023","journal-title":"Lancet Glob Health"},{"key":"ref95","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1377\/hlthaff.27.3.759","article-title":"The triple aim: care, health, and cost","volume":"27","author":"DM Berwick","year":"2008","journal-title":"Health Aff (Millwood)"}],"container-title":["Geburtshilfe und Frauenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2295-1725.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T07:01:35Z","timestamp":1764226895000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2295-1725"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":95,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2024,6,13]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2295-1725","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0016-5751","1438-8804"],"issn-type":[{"type":"print","value":"0016-5751"},{"type":"electronic","value":"1438-8804"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}