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dc.contributor.authorDavenport, M.H.
dc.contributor.authorSobierajski, F.
dc.contributor.authorMottola, Michelle
dc.contributor.authorSkow, Rachel
dc.contributor.authorMeah, Victoria L.
dc.contributor.authorPoitras, Veronica
dc.contributor.authorGray, Casey
dc.contributor.authorJaramillo Garcia, Alejandra
dc.contributor.authorBarrowman, Nick
dc.contributor.authorRiske, Laurel
dc.contributor.authorJames, Marina
dc.contributor.authorNagpal, Taniya
dc.contributor.authorMarchand, Andree-Anne
dc.contributor.authorSlater, Linda
dc.contributor.authorAdamo, Kristi
dc.contributor.authorDavies, Gregory
dc.contributor.authorBarakat, Ruben
dc.contributor.authorRuchat, Stephanie-May
dc.date.accessioned2019-04-17T09:30:51Z
dc.date.available2019-04-17T09:30:51Z
dc.date.issued2018-10-18
dc.identifier.citationDavenport, M.H., Sobierajski, F., Mottola, M.F., Skow, R.J., Meah, V.L., Poitras, V.J., Gray, C.E., Garcia, A.J., Barrowman, N., Riske, L. and James, M. (2018) 'Glucose responses to acute and chronic exercise during pregnancy: a systematic review and meta-analysis', British Journal of Sports Medicine, 52(21), pp.1357-1366. DOI: 10.1136/bjsports-2018-099829.en_US
dc.identifier.issn1473-0480
dc.identifier.urihttp://hdl.handle.net/10369/10432
dc.descriptionArticle published in British Journal of Sports Medicine on 18 October 2018, available at: http://dx.doi.org/10.1136/bjsports-2018-099829.en_US
dc.description.abstractObjective. To perform a systematic review and meta-analysis to explore the relationship between prenatal exercise and glycaemic control. Design. Systematic review with random-effects meta-analysis and meta-regression. Data sources. Online databases were searched up to 6 January 2017. Study eligibility criteria. Studies of all designs were included (except case studies and reviews) if they were published in English, Spanish or French, and contained information on the population (pregnant women without contraindication to exercise), intervention (subjective or objective measures of frequency, intensity, duration, volume or type of acute or chronic exercise, alone (‘exercise-only’) or in combination with other intervention components (eg, dietary; ‘exercise+cointervention’) at any stage of pregnancy), comparator (no exercise or different frequency, intensity, duration, volume and type of exercise) and outcome (glycaemic control). Results. A total of 58 studies (n=8699) were included. There was ‘very low’ quality evidence showing that an acute bout of exercise was associated with a decrease in maternal blood glucose from before to during exercise (6 studies, n=123; mean difference (MD) −0.94 mmol/L, 95% CI −1.18 to −0.70, I2=41%) and following exercise (n=333; MD −0.57 mmol/L, 95% CI −0.72 to −0.41, I2=72%). Subgroup analysis showed that there were larger decreases in blood glucose following acute exercise in women with diabetes (n=26; MD −1.42, 95% CI −1.69 to −1.16, I2=8%) compared with those without diabetes (n=285; MD −0.46, 95% CI −0.60 to −0.32, I2=62%). Finally, chronic exercise-only interventions reduced fasting blood glucose compared with no exercise postintervention in women with diabetes (2 studies, n=70; MD −2.76, 95% CI −3.18 to −2.34, I2=52%; ‘low’ quality of evidence), but not in those without diabetes (9 studies, n=2174; MD −0.05, 95% CI −0.16 to 0.05, I2=79%). Conclusion. Acute and chronic prenatal exercise reduced maternal circulating blood glucose concentrations, with a larger effect in women with diabetes.en_US
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofseriesBritish Journal of Sports Medicine;
dc.titleGlucose responses to acute and chronic exercise during pregnancy: a systematic review and meta-analysisen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1136/bjsports-2018-099829
dcterms.dateAccepted2018-09-05
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-04-17
rioxxterms.funder.project37baf166-7129-4cd4-b6a1-507454d1372een_US


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