OBJECTIVE: This study examines the effects of circuit-type resistance training on the need for insulin in women with gestational diabetes mellitus. STUDY DESIGN:Thirty-two patients with gestational diabetes mellitus were randomly assigned either to a group that was treated with diet alone or to a group that was treated with diet plus resistance exercise. RESULTS: The number of women whose condition required insulin therapy was the same, regardless of treatment. However, a subgroup analysis that examined only overweight women (prepregnant body mass index, >25 kg/m(2)) showed a lower incidence of insulin use in the diet-plus-exercise group (P<.05). Women in the diet-plus-exercise group were prescribed less insulin (P<.05) and showed a longer delay from diagnosis to the initiation of insulin therapy (P<.05), compared with the diet-alone group. CONCLUSION:Resistance exercise training may help to avoid insulin therapy for overweight women with gestational diabetes mellitus.
RCT Entities:
OBJECTIVE: This study examines the effects of circuit-type resistance training on the need for insulin in women with gestational diabetes mellitus. STUDY DESIGN: Thirty-two patients with gestational diabetes mellitus were randomly assigned either to a group that was treated with diet alone or to a group that was treated with diet plus resistance exercise. RESULTS: The number of women whose condition required insulin therapy was the same, regardless of treatment. However, a subgroup analysis that examined only overweight women (prepregnant body mass index, >25 kg/m(2)) showed a lower incidence of insulin use in the diet-plus-exercise group (P<.05). Women in the diet-plus-exercise group were prescribed less insulin (P<.05) and showed a longer delay from diagnosis to the initiation of insulin therapy (P<.05), compared with the diet-alone group. CONCLUSION: Resistance exercise training may help to avoid insulin therapy for overweight women with gestational diabetes mellitus.
Authors: Geetha Shivakumar; Anna R Brandon; Peter G Snell; Patricia Santiago-Muñoz; Neysa L Johnson; Madhukar H Trivedi; Marlene P Freeman Journal: Depress Anxiety Date: 2010-12-13 Impact factor: 6.505
Authors: Nicolette Oostdam; Mireille N M van Poppel; Elisabeth M W Eekhoff; Maurice G A J Wouters; Willem van Mechelen Journal: BMC Pregnancy Childbirth Date: 2009-01-05 Impact factor: 3.007