Spencer C Evans, Paula J Fite
Dual Pathways from Reactive Aggression to Depressive Symptoms in Children: Further Examination of the Failure Model
Journal of abnormal child psychology
aimed investigating preventive role exercise intervention pregnancy highrisk women gestational diabetes mellitus gdm searched pubmed central scopus randomized controlled trials rcts evaluated exercise interventions pregnancy women high risk gdm data combined random effects models study heterogeneity cochrans q statistic extent study effects variability i2 95 confidence interval ci estimated sensitivity analyses examined effect population intervention study characteristics also evaluated potential publication bias among 1508 highrisk women analyzed 9 rcts 374 248 160 214 intervention 214 281 control group developed gdm women received exercise intervention pregnancy less likely develop gdm compared followed standard prenatal care 070 95ci 052 093 pvalue 002 q 1008 pvalue 026 i2 21 95ci 0 62 studies low attrition bias also showed similar result 070 95ci 051 097 pvalue 003 protective effect also supported analysis limited studies including women low education level 055 95ci 040 074 pvalue 00001 studies exercise intervention duration 20 weeks 054 95ci 040 074 pvalue 00007 studies motivation component intervention 069 95ci 050 096 pvalue 003 could exclude large variability study effects upper limit i2 confidence interval higher 50 analyses conclusive evidence small study effects pvalue 031 study might support protective effect exercise intervention pregnancy highrisk women prevent gdm protective result corroborated large high quality rcts