The Effectiveness of Smoking Cessation, Alcohol Reduction, Diet and Physical Activity Interventions in Improving Maternal and Infant Health Outcomes: A Systematic Review of Meta-Analyses

Hayes, Louise, McParlin, Catherine, Azevedo, Liane B, Jones, Dan, Newham, James, Olajide, Joan, McCleman, Louise and Heslehurst, Nicola (2021) The Effectiveness of Smoking Cessation, Alcohol Reduction, Diet and Physical Activity Interventions in Improving Maternal and Infant Health Outcomes: A Systematic Review of Meta-Analyses. Nutrients, 13 (3). p. 1036. ISSN 2072-6643

[img]
Preview
Text
nutrients-13-01036-v2.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (6MB) | Preview
Official URL: https://doi.org/10.3390/nu13031036

Abstract

Diet, physical activity, smoking and alcohol behaviour-change interventions delivered in pregnancy aim to prevent adverse pregnancy outcomes. This review reports a synthesis of evidence from meta-analyses on the effectiveness of interventions at reducing risk of adverse health outcomes. Sixty-five systematic reviews (63 diet and physical activity; 2 smoking) reporting 602 meta-analyses, published since 2011, were identified; no data were identified for alcohol interventions. A wide range of outcomes were reported, including gestational weight gain, hypertensive disorders, gestational diabetes (GDM) and fetal growth. There was consistent evidence from diet and physical activity interventions for a significantly reduced mean gestational weight gain (ranging from −0.21 kg (95% confidence interval −0.34, −0.08) to −5.77 kg (95% CI −9.34, −2.21). There was evidence from larger diet and physical activity meta-analyses for a significant reduction in postnatal weight retention, caesarean delivery, preeclampsia, hypertension, GDM and preterm delivery, and for smoking interventions to significantly increase birth weight. There was no statistically significant evidence of interventions having an effect on low or high birthweight, neonatal intensive care unit admission, Apgar score or mortality outcomes. Priority areas for future research to capitalise on pregnancy as an opportunity to improve the lifelong wellbeing of women and their children are highlighted.

Item Type: Article
Uncontrolled Keywords: systematic review; intervention; pregnancy; smoking; alcohol; diet; physical activity
Subjects: B100 Anatomy, Physiology and Pathology
B300 Complementary Medicine
B400 Nutrition
B700 Nursing
B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Elena Carlaw
Date Deposited: 25 Mar 2021 12:40
Last Modified: 25 Mar 2021 12:45
URI: http://nrl.northumbria.ac.uk/id/eprint/45790

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics