Iva Sklempe Kokic1, Marina Ivanisevic2, Gianni Biolo3, Bostjan Simunic4, Tomislav Kokic5, Rado Pisot4. 1. Department of Health Studies, College of Applied Sciences "Lavoslav Ruzicka" in Vukovar, Zupanijska 50, 32000 Vukovar, Croatia. Electronic address: iskokic@vevu.hr. 2. School of Medicine, University of Zagreb, Salata 3, 10000 Zagreb, Croatia; Department of Obstetrics and Gynecology, University Hospital Centre Zagreb, Petrova 13, 10000 Zagreb, Croatia. 3. Department of Medical, Surgical and Health Sciences, Clinica Medica AOUTS, University of Trieste, Cattinara Hospital, Strada di Fiume, 447-34149 Trieste, Italy. 4. Institute for Kinesiology Research, Science and Research Center of Koper, Garibaldijeva 1, 6000 Koper, Slovenia. 5. Southmead Hospital, North Bristol NHS Trust, Southmead Way, BS10 5NB Bristol, United Kingdom; School of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Abstract
PROBLEM: Gestational diabetes mellitus, defined as any carbohydrate intolerance first diagnosed during pregnancy, is associated with a variety of adverse outcomes, both for the mother and her child. AIM: To investigate the impact of a structured exercise programme which consisted of aerobic and resistance exercises on the parameters of glycaemic control and other health-related outcomes in pregnant women diagnosed with gestational diabetes mellitus. METHODS:Thirty-eight pregnant women diagnosed with gestational diabetes mellitus were randomised to two groups. Experimental group was treated with standard antenatal care for gestational diabetes mellitus, and regular supervised exercise programme plus daily brisk walks of at least 30min. Control group received only standard antenatal care for gestational diabetes mellitus. The exercise programme was started from the time of diagnosis of diabetes until birth. It was performed two times per week and sessions lasted 50-55min. FINDINGS: The experimental group had lower postprandial glucose levels at the end of pregnancy (P<0.001). There was no significant difference between groups in the level of fasting glucose at the end of pregnancy. Also, there were no significant differences in the rate of complications during pregnancy and birth, need for pharmacological therapy, maternal body mass and body fat percentage gains during pregnancy, and neonatal Apgar scores, body mass and ponderal index. Neonatal body mass index was higher in the experimental group (P=0.035). CONCLUSION: The structured exercise programme had a beneficial effect on postprandial glucose levels at the end of pregnancy.
RCT Entities:
PROBLEM: Gestational diabetes mellitus, defined as any carbohydrate intolerance first diagnosed during pregnancy, is associated with a variety of adverse outcomes, both for the mother and her child. AIM: To investigate the impact of a structured exercise programme which consisted of aerobic and resistance exercises on the parameters of glycaemic control and other health-related outcomes in pregnant women diagnosed with gestational diabetes mellitus. METHODS: Thirty-eight pregnant women diagnosed with gestational diabetes mellitus were randomised to two groups. Experimental group was treated with standard antenatal care for gestational diabetes mellitus, and regular supervised exercise programme plus daily brisk walks of at least 30min. Control group received only standard antenatal care for gestational diabetes mellitus. The exercise programme was started from the time of diagnosis of diabetes until birth. It was performed two times per week and sessions lasted 50-55min. FINDINGS: The experimental group had lower postprandial glucose levels at the end of pregnancy (P<0.001). There was no significant difference between groups in the level of fasting glucose at the end of pregnancy. Also, there were no significant differences in the rate of complications during pregnancy and birth, need for pharmacological therapy, maternal body mass and body fat percentage gains during pregnancy, and neonatal Apgar scores, body mass and ponderal index. Neonatal body mass index was higher in the experimental group (P=0.035). CONCLUSION: The structured exercise programme had a beneficial effect on postprandial glucose levels at the end of pregnancy.
Authors: Kaleen M Lavin; Paul M Coen; Liliana C Baptista; Margaret B Bell; Devin Drummer; Sara A Harper; Manoel E Lixandrão; Jeremy S McAdam; Samia M O'Bryan; Sofhia Ramos; Lisa M Roberts; Rick B Vega; Bret H Goodpaster; Marcas M Bamman; Thomas W Buford Journal: Compr Physiol Date: 2022-03-09 Impact factor: 8.915
Authors: Brenna R Menke; Cathryn Duchette; Rachel A Tinius; Alexandria Q Wilson; Elizabeth A Altizer; Jill M Maples Journal: Int J Environ Res Public Health Date: 2022-06-10 Impact factor: 4.614
Authors: Laetitia Guillemette; Jacqueline L Hay; D Scott Kehler; Naomi C Hamm; Christopher Oldfield; Jonathan M McGavock; Todd A Duhamel Journal: Sports Med Open Date: 2018-08-02
Authors: Marianna Danielli; Clare Gillies; Roisin Clare Thomas; Sarah Emily Melford; Philip Newton Baker; Thomas Yates; Kamlesh Khunti; Bee Kang Tan Journal: J Clin Med Date: 2022-02-01 Impact factor: 4.964
Authors: José Alberto Laredo-Aguilera; María Gallardo-Bravo; Joseba Aingerun Rabanales-Sotos; Ana Isabel Cobo-Cuenca; Juan Manuel Carmona-Torres Journal: Int J Environ Res Public Health Date: 2020-08-24 Impact factor: 3.390