{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:37:17Z","timestamp":1788863837549,"version":"build-2803163510"},"reference-count":66,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:00:00Z","timestamp":1718236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Regional Development Fund (ERDF) [Fondo Europeo de Desarrollo Regional (FEDER)","award":["DOCM 27\/01\/2021"],"award-info":[{"award-number":["DOCM 27\/01\/2021"]}]},{"name":"European Regional Development Fund (ERDF) [Fondo Europeo de Desarrollo Regional (FEDER)","award":["SBPLY\/23\/180502\/000002"],"award-info":[{"award-number":["SBPLY\/23\/180502\/000002"]}]},{"DOI":"10.13039\/501100011698","name":"Junta de Comunidades de Castilla-La Mancha (Spain)","doi-asserted-by":"publisher","award":["DOCM 27\/01\/2021"],"award-info":[{"award-number":["DOCM 27\/01\/2021"]}],"id":[{"id":"10.13039\/501100011698","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011698","name":"Junta de Comunidades de Castilla-La Mancha (Spain)","doi-asserted-by":"publisher","award":["SBPLY\/23\/180502\/000002"],"award-info":[{"award-number":["SBPLY\/23\/180502\/000002"]}],"id":[{"id":"10.13039\/501100011698","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Fondo Social Europeo Plus","award":["DOCM 27\/01\/2021"],"award-info":[{"award-number":["DOCM 27\/01\/2021"]}]},{"name":"Fondo Social Europeo Plus","award":["SBPLY\/23\/180502\/000002"],"award-info":[{"award-number":["SBPLY\/23\/180502\/000002"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Background: Nowadays, pregnant women require more individualized attention in their assistance process during pregnancy. One of the aspects that requires the most focus is the suitability of carrying out physical activity. The objective of this meta-review is to find out the effects of physical activity during pregnancy on the incidence of GDM compared to women who do not perform physical activity. Methods: A search was conducted in Cochrane, CSIC, Ebscohost, Proquest, Pubmed, Scielo, and Scopus. The search focused on systematic reviews and meta-analyses published in the last five years. The AMSTAR-2 scale was used as a quality assessment tool for the final sample. Results: A total of 18 systematic reviews and meta-analyses were included. Sixteen of them found out that physical activity during pregnancy has preventive effects for GDM compared with women who lacked physical activity. Among the studies, we found a reduction in the risk of GDM of between 24% and 38% and odds ratios ranging between 0.39 and 0.83 calculated for a 95% CI. Only two studies did not find statistically significant effects. Other variables such as type and duration of physical activity, overweight and obesity, gestational age, etc., were also considered. Conclusions: Physical activity prevents the incidence of GDM. The main characteristics that enhance this preventive effect are starting at the initial stages of pregnancy and maintaining during the whole pregnancy as well as combining strength and aerobic exercise at a low to moderate intensity.<\/jats:p>","DOI":"10.3390\/life14060755","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T08:52:10Z","timestamp":1718355130000},"page":"755","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Physical Activity during Pregnancy and Risk of Gestational Diabetes Mellitus: A Meta-Review"],"prefix":"10.3390","volume":"14","author":[{"given":"Carmen","family":"Rute-Larrieta","sequence":"first","affiliation":[{"name":"Hospital Universitario Severo Ochoa, Legan\u00e9s, 28914 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Mota-C\u00e1tedra","sequence":"additional","affiliation":[{"name":"Hospital Universitario de Toledo, 45007 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7781-872X","authenticated-orcid":false,"given":"Juan Manuel","family":"Carmona-Torres","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain"},{"name":"Facultad de Fisioterapia y Enfermer\u00eda, Universidad de Castilla-La Mancha, Campus Tecnol\u00f3gico F\u00e1brica de Armas, Edificio 6. Despacho 1.4, Avd. Carlos III s\/n, 45071 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5741-7606","authenticated-orcid":false,"given":"Victoria","family":"Mazoteras-Pardo","sequence":"additional","affiliation":[{"name":"Facultad de Enfermer\u00eda de Ciudad Real, Universidad de Castilla-La Mancha, 13071 Ciudad Real, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0743-8657","authenticated-orcid":false,"given":"Esperanza","family":"Barroso-Corroto","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain"},{"name":"Facultad de Fisioterapia y Enfermer\u00eda, Universidad de Castilla-La Mancha, Campus Tecnol\u00f3gico F\u00e1brica de Armas, Edificio 6. Despacho 1.4, Avd. Carlos III s\/n, 45071 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Navarrete-Tejero","sequence":"additional","affiliation":[{"name":"Facultad de Fisioterapia y Enfermer\u00eda, Universidad de Castilla-La Mancha, Campus Tecnol\u00f3gico F\u00e1brica de Armas, Edificio 6. Despacho 1.4, Avd. Carlos III s\/n, 45071 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5376-9580","authenticated-orcid":false,"given":"Michail","family":"Zografakis-Sfakianakis","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, 71401 Crete, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0300-0650","authenticated-orcid":false,"given":"Athina","family":"Patelarou","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, 71401 Crete, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Manuela","family":"Martins","sequence":"additional","affiliation":[{"name":"Abel Salazar Biomedical Sciences Institute, University of Porto, 4099-002 Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana da Concein\u00e7ao Alves","family":"Faria","sequence":"additional","affiliation":[{"name":"Abel Salazar Biomedical Sciences Institute, University of Porto, 4099-002 Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3661-3584","authenticated-orcid":false,"given":"Jos\u00e9 Alberto","family":"Laredo-Aguilera","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain"},{"name":"Facultad de Fisioterapia y Enfermer\u00eda, Universidad de Castilla-La Mancha, Campus Tecnol\u00f3gico F\u00e1brica de Armas, Edificio 6. Despacho 1.4, Avd. Carlos III s\/n, 45071 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"500","DOI":"10.6018\/eglobal.16.2.238861","article-title":"Perspectivas do cuidado de enfermagem na gesta\u00e7\u00e3o de alto risco: Revis\u00e3o integrativa","volume":"16","author":"Amorim","year":"2017","journal-title":"Enfermer\u00eda Glob."},{"key":"ref_2","first-page":"719","article-title":"Actividad f\u00edsica en embarazadas y su influencia en par\u00e1metros materno-fetales: Revisi\u00f3n sistem\u00e1tica","volume":"30","author":"Villar","year":"2014","journal-title":"Nutr. Hosp."},{"key":"ref_3","unstructured":"(2022, December 06). USA Centros para el Control y Prevenci\u00f3n de Enfermedades (CDC) [Internet]; [Actualizado 14 ene 2022], Available online: https:\/\/www.cdc.gov\/physicalactivity\/basics\/spanish\/los-beneficios-de-la-actividad-fisica.htm."},{"key":"ref_4","unstructured":"World Health Organization (2022, November 24). WHO Guidelines on Physical Activity and Sedentary Behavior. Ginebra. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240015128."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/j.recesp.2014.04.007","article-title":"Ejercicio f\u00edsico y salud","volume":"67","author":"Cordero","year":"2014","journal-title":"Rev. Esp. Cardiol."},{"key":"ref_6","unstructured":"(2022, November 26). Sport and Physical Activity\u2014September 2022\u2014Eurobarometer Survey. Available online: https:\/\/europa.eu\/eurobarometer\/surveys\/detail\/2668."},{"key":"ref_7","unstructured":"Madrid 2020 (2022, November 26). Instituto Nacional de Estad\u00edstica. Available online: https:\/\/www.ine.es\/ss\/Satellite?c=INESeccion_C&cid=1259944495973&p=1254735110672&pagename=ProductosYServicios%2FPYSLayout&param1=PYSDetalleFichaIndicador&param3=1259937499084."},{"key":"ref_8","first-page":"125","article-title":"Actividad f\u00edsica y ejercicio en la mujer","volume":"25","author":"Rivas","year":"2018","journal-title":"Rev. Colomb. Cardiol."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Laredo-Aguilera, J.A., Cobo-Cuenca, A.I., Santacruz-Salas, E., Martins, M.M., Rodr\u00edguez-Borrego, M.A., L\u00f3pez-Soto, P.J., and Carmona-Torres, J.M. (2019). Levels of Physical Activity, Obesity and Related Factors in Young Adults Aged 18\u201330 during 2009\u20132017. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16204033"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1515\/jpm-2021-0315","article-title":"Physical exercise in pregnancy: Benefits, risks and prescription","volume":"50","author":"Ribeiro","year":"2021","journal-title":"J. Perinat. Med."},{"key":"ref_11","first-page":"329","article-title":"El ejercicio f\u00edsico en el embarazo y\/o el posparto frente a la fatiga percibida","volume":"5","year":"2020","journal-title":"J. Negat. No Posit. Results"},{"key":"ref_12","first-page":"68","article-title":"Prescripci\u00f3n del ejercicio f\u00edsico durante el embarazo","volume":"3","author":"Mata","year":"2010","journal-title":"Rev. Andal. Med. Deporte"},{"key":"ref_13","unstructured":"(2022, November 24). Estilos de Vida Saludable\u2014Recomendaciones Generales de Actividad F\u00edsica Durante el Embarazo y Postparto. Available online: https:\/\/estilosdevidasaludable.sanidad.gob.es\/actividadFisica\/actividad\/recomendaciones\/embarazadasYPostparto\/home.htm."},{"key":"ref_14","unstructured":"Sociedad Espa\u00f1ola de Ginecolog\u00eda y Obstetricia (2020). Trastornos hipertensivos en la gestaci\u00f3n. Prog. Obs. Ginecol., 63, 244\u2013272."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/S0304-5013(06)72664-4","article-title":"Ejercicio f\u00edsico y los resultados del embarazo","volume":"49","year":"2006","journal-title":"Prog. Obstet. Y Ginecol."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Ko\u0142oma\u0144ska-Bogucka, D., and Mazur-Bialy, A.I. (2019). Physical Activity and the Occurrence of Postnatal Depression-A Systematic Review. Medicina, 55.","DOI":"10.3390\/medicina55090560"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"S200","DOI":"10.2337\/dc21-S014","article-title":"14. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes\u20142021","volume":"44","author":"Association","year":"2021","journal-title":"Diabetes Care"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jogn.2021.10.007","article-title":"Systematic Review of Lifestyle Interventions for Gestational Diabetes Mellitus in Pregnancy and the Postpartum Period","volume":"51","author":"Huang","year":"2022","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Keating, N., Coveney, C., McAuliffe, F.M., and Higgins, M.F. (2022). Aerobic or Resistance Exercise for Improved Glycaemic Control and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus: A Systematic Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191710791"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Laredo-Aguilera, J.A., Gallardo-Bravo, M., Rabanales-Sotos, J.A., Cobo-Cuenca, A.I., and Carmona-Torres, J.M. (2020). Physical Activity Programs during Pregnancy Are Effective for the Control of Gestational Diabetes Mellitus. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17176151"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Cilar Budler, L., and Budler, M. (2022). Physical Activity during Pregnancy: A Systematic Review for the Assessment of Current Evidence with Future Recommendations. BMC Sports Sci. Med. Rehabil., 14.","DOI":"10.1186\/s13102-022-00524-z"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Chan, C.W.H., Yeung, E.A., and Law, B.M.H. (2019). Effectiveness of Physical Activity Interventions on Pregnancy-Related Outcomes among Pregnant Women: A Systematic Review. Int. J. Environ. Res. Public Health, 16, PMC 6571580.","DOI":"10.3390\/ijerph16101840"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1123\/jpah.2019-0604","article-title":"Physical Activity During Pregnancy and Preterm Birth: Findings From the 2015 Pelotas (Brazil) Birth Cohort Study","volume":"17","author":"Mielke","year":"2020","journal-title":"J. Phys. Act. Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1016\/j.midw.2014.04.010","article-title":"Physical activity, sedentary behaviour and fetal macrosomia in uncomplicated pregnancies: A prospective cohort study","volume":"30","author":"Reid","year":"2014","journal-title":"Midwifery"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12978-020-00932-9","article-title":"Association between maternal lifestyle factors and low birth weight in preterm and term births: A case-control study","volume":"17","author":"Xi","year":"2020","journal-title":"Reprod. Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e14710","DOI":"10.14814\/phy2.14710","article-title":"Physical activity differentially regulates VEGF, PlGF, and their receptors in the human placenta","volume":"9","author":"Bhattacharjee","year":"2021","journal-title":"Physiol. Rep."},{"key":"ref_27","first-page":"72","article-title":"Indicaciones y contraindicaciones del ejercicio f\u00edsico en la mujer embarazada","volume":"40","year":"2013","journal-title":"Clin. Investig. Ginecol. Obs."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s12966-015-0191-7","article-title":"Adherence to physical activity guidelines in mid-pregnancy does not reduce sedentary time: An observational study","volume":"12","author":"Blomme","year":"2015","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1111\/1753-0407.12519","article-title":"Effects of weekly supervised exercise or physical activity counseling on fasting blood glucose in women diagnosed with gestational diabetes mellitus: A systematic review and meta-analysis of randomized trials","volume":"9","author":"Bgeginski","year":"2017","journal-title":"J. Diabetes"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Muktabhant, B., Lawrie, T.A., Lumbiganon, P., and Laopaiboon, M. (2015). Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database Syst. Rev., 2015.","DOI":"10.1002\/14651858.CD007145.pub3"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Pascual-Morena, C., Cavero-Redondo, I., \u00c1lvarez-Bueno, C., Lucer\u00f3n-Lucas-Torres, M., Sanabria-Mart\u00ednez, G., Poyatos-Le\u00f3n, R., Rodr\u00edguez-Mart\u00edn, B., and Mart\u00ednez-Vizca\u00edno, V. (2021). Exercise versus metformin to improve pregnancy outcomes among overweight pregnant women: A systematic review and network meta-analysis. J. Clin. Med., 10, PMC 8397096.","DOI":"10.3390\/jcm10163490"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/j.jclinepi.2009.06.005","article-title":"Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement","volume":"62","author":"Moher","year":"2009","journal-title":"J. Clin. Epidemiol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"j4008","DOI":"10.1136\/bmj.j4008","article-title":"AMSTAR 2: A critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both","volume":"358","author":"Shea","year":"2017","journal-title":"BMJ"},{"key":"ref_34","doi-asserted-by":"crossref","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":"Davenport","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Ming, W.-K., Ding, W., Zhang, C.J.P., Zhong, L., Long, Y., Li, Z., Sun, C., Wu, Y., Chen, H., and Chen, H. (2018). The effect of exercise during pregnancy on gestational diabetes mellitus in normal-weight women: A systematic review and meta-analysis. BMC Pregnancy Childbirth, 18.","DOI":"10.1186\/s12884-018-2068-7"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1136\/bjsports-2018-099829","article-title":"Glucose responses to acute and chronic exercise during pregnancy: A systematic review and meta-analysis","volume":"52","author":"Davenport","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_37","doi-asserted-by":"crossref","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":"Muhammad","year":"2021","journal-title":"Clin. Obes."},{"key":"ref_38","doi-asserted-by":"crossref","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":"Sepidarkish","year":"2019","journal-title":"Diabetol. Metab. Syndr."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1002\/osp4.283","article-title":"Effect of exercise modality on markers of insulin sensitivity and blood glucose control in pregnancies complicated with gestational diabetes mellitus: A systematic review","volume":"4","author":"Cremona","year":"2018","journal-title":"Obes. Sci. Pract."},{"key":"ref_40","doi-asserted-by":"crossref","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":"Guo","year":"2019","journal-title":"BJOG"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e29126","DOI":"10.1097\/MD.0000000000029126","article-title":"Effectiveness of five interventions used for prevention of gestational diabetes","volume":"101","author":"Tang","year":"2022","journal-title":"Medicine"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Wu, S., Jin, J., Hu, K.L., Wu, Y., and Zhang, D. (2022). Prevention of Gestational Diabetes Mellitus and Gestational Weight Gain Restriction in Overweight\/Obese Pregnant Women: A Systematic Review and Network Meta-Analysis. Nutrients, 14.","DOI":"10.3390\/nu14122383"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"de Castro, R., Antunes, R., Mendes, D., Szumilewicz, A., and Santos-Rocha, R. (2022). Can Group Exercise Programs Improve Health Outcomes in Pregnant Women? An Updated Systematic Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19084875"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1097\/OGX.0000000000000673","article-title":"The Effectiveness of Regular Exercise Programs in the Prevention of Gestational Diabetes Mellitus\u2014A Systematic Review","volume":"74","author":"Makaruk","year":"2019","journal-title":"Obs. Gynecol. Surv."},{"key":"ref_45","doi-asserted-by":"crossref","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":"Bennett","year":"2023","journal-title":"J. Matern.-Fetal Neonatal Med."},{"key":"ref_46","doi-asserted-by":"crossref","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","volume":"262","author":"Khan","year":"2021","journal-title":"A Syst. Rev. Meta-Anal. Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Mijatovic-Vukas, J., Capling, L., Cheng, S., Stamatakis, E., Louie, J., Cheung, N.W., Markovic, T., Ross, G., Senior, A., and Brand-Miller, J.C. (2018). Associations of Diet and Physical Activity with Risk for Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis. Nutrients, 10.","DOI":"10.3390\/nu10060698"},{"key":"ref_48","first-page":"6069","article-title":"Los efectos del ejercicio durante el embarazo en la diabetes mellitus gestacional, la preeclampsia y el aborto espont\u00e1neo en mujeres sanas: Una revisi\u00f3n sistem\u00e1tica y metan\u00e1lisis","volume":"20","author":"Paulsen","year":"2023","journal-title":"Rev. Int. Investig. Ambient. Y Salud P\u00fablica"},{"key":"ref_49","first-page":"852","article-title":"Effects of aerobic exercise performed during pregnancy on hypertension and gestational diabetes: A systematic review and meta-analysis","volume":"63","author":"Zhang","year":"2023","journal-title":"J. Sports Med. Phys. Fit."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Tsironikos, G.I., Potamianos, P., Zakynthinos, G.E., Tsolaki, V., Tatsioni, A., and Bargiota, A. (2023). Effectiveness of Lifestyle Interventions during Pregnancy on Preventing Gestational Diabetes Mellitus in High-Risk Women: A Systematic Review and Meta-Analyses of Published RCTs. J. Clin. Med., 12.","DOI":"10.3390\/jcm12227038"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s13098-023-01217-4","article-title":"Interventions in preconception and pregnant women at risk of gestational diabetes; a systematic review and meta-analysis of randomised controlled trials","volume":"16","author":"Quotah","year":"2024","journal-title":"Diabetol. Metab. Syndr."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Paulsen, C.P., Bandak, E., Edemann-Callesen, H., Juhl, C.B., and H\u00e4ndel, M.N. (2023). The Effects of Exercise during Pregnancy on Gestational Diabetes Mellitus, Preeclampsia, and Spontaneous Abortion among Healthy Women\u2014A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20126069"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Zakaria, H., Abusanana, S., Mussa, B.M., Al Dhaheri, A.S., Stojanovska, L., Mohamad, M.N., Saleh, S.T., Ali, H.I., and Cheikh Ismail, L. (2023). The Role of Lifestyle Interventions in the Prevention and Treatment of Gestational Diabetes Mellitus. Medicina, 59.","DOI":"10.3390\/medicina59020287"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"223","DOI":"10.2337\/dc10-1368","article-title":"Physical Activity Before and During Pregnancy and Risk of Gestational Diabetes Mellitus: A meta-analysis","volume":"34","author":"Tobias","year":"2011","journal-title":"Diabetes Care"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1249\/MSS.0000000000000547","article-title":"Exercise Is Associated with a Reduction in Gestational Diabetes Mellitus","volume":"47","author":"Cordero","year":"2015","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.ajog.2017.01.037","article-title":"A randomized clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women","volume":"216","author":"Wang","year":"2017","journal-title":"Am. J. Obs. Gynecol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"107924","DOI":"10.1016\/j.diabres.2019.107924","article-title":"Prevention of gestational diabetes mellitus in overweight or obese pregnant women: A network meta-analysis","volume":"158","author":"Chatzakis","year":"2019","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_58","doi-asserted-by":"crossref","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":"Du","year":"2019","journal-title":"Birth"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1249\/MSS.0000000000001941","article-title":"Benefits of Physical Activity during Pregnancy and Postpartum: An Umbrella Review","volume":"51","author":"Dipietro","year":"2019","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Sun, Y., Shen, Z., Zhan, Y., Wang, Y., Ma, S., Zhang, S., Liu, J., Wu, S., Feng, Y., and Chen, Y. (2020). Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications. BMC Pregnancy Childbirth, 20.","DOI":"10.1186\/s12884-020-03071-y"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1111\/jog.15205","article-title":"Incidence of gestational diabetes mellitus before and after the COVID-19 lockdown: A retrospective cohort study","volume":"48","author":"Torella","year":"2022","journal-title":"J. Obstet. Gynaecol. Res."},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Uria-Minguito, A., Silva-Jos\u00e9, C., S\u00e1nchez-Pol\u00e1n, M., D\u00edaz-Blanco, \u00c1., Garc\u00eda-Benasach, F., Mart\u00ednez, V.C., Alzola, I., and Barakat, R. (2022). The Effect of Online Supervised Exercise throughout Pregnancy on the Prevention of Gestational Diabetes in Healthy Pregnant Women during COVID-19 Pandemic: A Randomized Clinical Trial. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192114104"},{"key":"ref_63","first-page":"e232","article-title":"Combination of a structured aerobic and resistance exercise improves glycaemic control in pregnant women diagnosed with gestational diabetes mellitus","volume":"31","author":"Ivanisevic","year":"2018","journal-title":"A Randomised Control. Trial. Women Birth"},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Chen, H., Fang, X., Wong, T.-H., Chan, S.N., Akinwunmi, B., Ming, W.-K., Zhang, C.J.P., and Wang, Z. (2022). Physical Activity during Pregnancy: Comparisons between Objective Measures and Self-Reports in Relation to Blood Glucose Levels. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19138064"},{"key":"ref_65","doi-asserted-by":"crossref","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","year":"2015","journal-title":"BJOG"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1097\/AOG.0000000000000691","article-title":"Physical Activity Interventions in Pregnancy and Risk of Gestational Diabetes Mellitus","volume":"125","author":"Russo","year":"2015","journal-title":"Obstet. Gynecol."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/14\/6\/755\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:57:59Z","timestamp":1760108279000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/14\/6\/755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,13]]},"references-count":66,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["life14060755"],"URL":"https:\/\/doi.org\/10.3390\/life14060755","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,13]]}}}