Home-Based Exercise Training Improves Capillary Glucose Profile in Women with Gestational Diabetes

Halse, Rhiannon E.; Wallman, Karen; Newnham, John P.; Guelfi, Kym J.

doi:10.1249/mss.0000000000000302

Cited by 68 publications

(122 citation statements)

References 37 publications

(55 reference statements)

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“…[44][45][46][47][48][49][50][51] Consistent with standard diagnostic testing for GDM occurring between 24 to 28 weeks, participants were recruited from 24 weeks gestation through to 31 weeks gestation. Parity and past history of GDM (with previous pregnancies) were reported in two of the trials.…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…Parity and past history of GDM (with previous pregnancies) were reported in two of the trials. 46,51 Five trials provided mean pre-pregnancy body mass index with a range of 25.4 to 27.6 kg/m 2 . [44][45][46][47]50 Intervention characteristics…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…Where specified, all of the exercise interventions were delivered in individual sessions. Two interventions were centre-based with direct supervision, 47,48 four interventions were predominantly home-based with a combination of direct supervision, indirect supervision (phone monitoring) and unsupervised, 45,46,50,51 and two interventions were a combination of both home and centre-based. 44,47 The duration of the exercise programs, where specifically stated, was 6 weeks, although others were until 38 weeks gestation 50 or to the end of pregnancy.…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…48 Baseline comparability of the randomised groups Baseline data, where reported, showed that the control and intervention groups were similar at baseline (see Table 3 on the eAddenda). Baseline data were reported for mean postprandial blood glucose measures by six trials, [44][45][46][47]49,51 fasting blood glucose by seven trials, [44][45][46][47][48][49]51 and HbA1c by three trials. 46,47,49 Effect of adding exercise to standard care…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…Data from seven trials, [44][45][46][47][49][50][51] with a total of 554 participants, compared the effect of exercise plus standard care with the effect of standard care alone on postprandial blood glucose levels ( Figure 2, see Figure 3 on the eAddenda for a detailed forest plot). There was a significant between-group difference in postprandial blood glucose levels favouring exercise (MD -0.45 mmol/L, 95% CI -0.68 to -0.22, I 2 = 76%).…”

Section: Postprandial Blood Glucosementioning

confidence: 99%

See 4 more Smart Citations

Exercise improves glycaemic control in women diagnosed with gestational diabetes mellitus: a systematic review

Harrison

Shields

Taylor

et al. 2016

Journal of Physiotherapy

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Section: Participant Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Postprandial Blood Glucosementioning

confidence: 99%

See 3 more Smart Citations

Exercise improves glycaemic control in women diagnosed with gestational diabetes mellitus: a systematic review

Harrison

Shields

Taylor

et al. 2016

Journal of Physiotherapy

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Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes

Brown

Ceysens

Boulvain³

2017

Cochrane Database of Systematic Reviews

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Short- and long-term outcomes of interest for this review were poorly reported. Current evidence is confounded by the large variety of exercise interventions. There was insufficient high-quality evidence to be able to determine any differences between exercise and control groups for our outcomes of interest. For the woman, both fasting and postprandial blood glucose concentrations were reduced compared with the control groups. There are currently insufficient data for us to determine if there are also benefits for the infant. The quality of the evidence in this review ranged from high to low quality and the main reason for downgrading was for risk of bias and imprecision (wide CIs, low event rates and small sample size). Development of type 2 diabetes, perineal trauma/tearing, postnatal depression, large-for-gestational age, adiposity (neonate/infant, childhood or adulthood), diabetes (childhood or adulthood) or neurosensory disability (neonate/infant) were not reported as outcomes in the included studies.Further research is required comparing different types of exercise interventions with control groups or with another exercise intervention that reports on both the short- and long-term outcomes (for both the mother and infant/child) as listed in this review.

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Effect of exercise modality on markers of insulin sensitivity and blood glucose control in pregnancies complicated with gestational diabetes mellitus: a systematic review

Cremona

O’Gorman

Cotter

et al. 2018

Obesity Science & Practice

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SummaryBackground/aimExercise can be used as a strategy to attenuate hyperglycaemia experienced during gestational diabetes mellitus (GDM). To maximize its use for clinical management, the most effective modality should be identified. The purpose of this review is to elucidate the most effective modality of exercise on insulin sensitivity and blood glucose control in pregnant women with or at risk of GDM.MethodsA search was undertaken in MEDLINE, PubMed, Scopus, CINAHL, the Cochrane Library, Embase and the Maternity & Infant Healthcare Database. Studies that met inclusion criteria were randomized controlled trials and case‐controlled studies, which compared exercise interventions with standard care during pregnancy in women with or at risk of GDM.ResultsTwo interventions using resistance training, eight using aerobic exercise and two using a combination of both modalities were included. The interventions showed consistently that requirements of insulin therapy, dosage, and latency to administration were improved in the exercise groups. Less consistent results were observed for capillary blood glucose measurements; however, both modalities and combination of modalities were effective at improving blood glucose control in already diagnosed patients and pregnant women with obesity. Discrepancies in the timing of intervention, GDM diagnostic criteria, and the different measures used to assess glucose metabolism make it difficult to draw clear recommendations.ConclusionExercising three times per week for 40–60 min at 65–75% age‐predicted heart rate maximum using cycling, walking or circuit training as a modality improved glycaemic control in GDM patients and reduced incidence of GDM in pregnant women with obesity. Further studies looking specifically at the effects of different modalities of exercise on glucose metabolism with combined strategies to enhance insulin sensitivity should be explored to maximize benefits for GDM pregnancies. Consistency in design and delivery of exercise‐only interventions is required to make recommendations on a suitable exercise prescription in this population. In practice, adherence to consensus in diagnostic cut‐offs for GDM diagnosis is fundamental for standardizing future research.

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Home-Based Exercise Training Improves Capillary Glucose Profile in Women with Gestational Diabetes

Abstract: A home-based cycling program may help to maintain daily postprandial normoglycemia in women with diet-controlled GDM.

Cited by 68 publications

References 37 publications

Exercise improves glycaemic control in women diagnosed with gestational diabetes mellitus: a systematic review

Exercise improves glycaemic control in women diagnosed with gestational diabetes mellitus: a systematic review

Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes

Effect of exercise modality on markers of insulin sensitivity and blood glucose control in pregnancies complicated with gestational diabetes mellitus: a systematic review

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