Physical activity during pregnancy is associated with a lower prevalence of gestational diabetes mellitus in Vietnam

Nguyen, Cong Luat; Pham, Ngoc Minh; Lee, A H; Nguyen, Phung Thi Hoang; Chu, Tan Khac; Ha, Anh Vo Van; Duong, Dat; Duong, Thi Hong; Binns, Colin

doi:10.1007/s00592-018-1174-3

Cited by 27 publications

(48 citation statements)

References 46 publications

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“…В данном случае физиче ская активность оказывала независимое влия ние на утилизацию глюкозы, увеличивая как инсулинопосредованный, так и инсулиннеза висимый пути ее метаболизма. Происходящее при этом повышение сродства инсулина к его клеточным рецепторам с последующим сни жением инсулинорезистентности закономер но приводило к нормализации углеводного обмена у данной категории беременных [31,32].…”

Section: понятие физической активности при беременностиunclassified

Physical activity in pregnancy: literature review

Prokhorova

Олина

2020

Perm Med J

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The paper considers modern ideas on prenatal physical activity, presents an analysis of the effects of systematic physical exercises on pregnancy, childbirth and the postpartum period, as well as on the psychological state of puerperas. The existing recommendations of the international professional communities on the issues of physical activity of pregnant women are highlighted and analyzed. The basic conditions, indications and contraindications for exercise at different gestational periods are outlined. Understanding of the benefits of adequate motor activity during pregnancy and their proper use is associated with an increase in the proportion of favorable obstetric and perinatal outcomes.

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Section: понятие физической активности при беременностиunclassified

Physical activity in pregnancy: literature review

Prokhorova

Олина

2020

Perm Med J

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“…The benefits of PA and the disadvantages of physical inactivity among the general population are well recognized [22][23][24]. However, evidence on the effect of PA during pregnancy on GDM risk is inconsistent [25][26][27][28][29][30]. While several studies showed an inverse association [25,27,30], others did not find any association [26,28,29].…”

Section: Introductionmentioning

confidence: 99%

“…However, evidence on the effect of PA during pregnancy on GDM risk is inconsistent [25][26][27][28][29][30]. While several studies showed an inverse association [25,27,30], others did not find any association [26,28,29]. However, studies reporting an inverse association, have been limited by their cross-sectional examination of PA and GDM [25][26][27], making it difficult to ascertain the cause-effect relationship.…”

Section: Introductionmentioning

confidence: 99%

“…While several studies showed an inverse association [ 25 , 27 , 30 ], others did not find any association [ 26 , 28 , 29 ]. However, studies reporting an inverse association, have been limited by their cross-sectional examination of PA and GDM [ 25 – 27 ], making it difficult to ascertain the cause-effect relationship. In addition, most of the prior studies focused on the association between total PA level or individual domain of PA (i.e., household/caregiving and occupational activity) with GDM risk.…”

Section: Introductionmentioning

confidence: 99%

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High physical activity and high sedentary behavior increased the risk of gestational diabetes mellitus among women with excessive gestational weight gain: a prospective study

Yong

Shariff

Yusof

et al. 2020

BMC Pregnancy Childbirth

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Background Although physical activity (PA) in pregnancy benefits most women, not much is known about pregnancy-related changes in PA and its association with gestational diabetes mellitus (GDM) risk. The aim of this study was to identify the trajectory of PA during pregnancy and possible associations with the risk of GDM. Methods This was a prospective cohort study of 452 pregnant women recruited from 3 health clinics in a southern state of Peninsular Malaysia. PA levels at the first, second, and third trimester were assessed using the Pregnancy Physical Activity Questionnaire. GDM was diagnosed at 24–28 weeks of gestation following the Ministry of Health Malaysia criteria. Group-based trajectory modeling was used to identify PA trajectories. Three multivariate logistic models were used to estimate the odds of trajectory group membership and GDM. Results Two distinct PA trajectories were identified: low PA levels in all intensity of PA and sedentary behavior (Group 1: 61.1%, n = 276) and high PA levels in all intensity of PA as well as sedentary behavior (Group 2: 38.9%, n = 176). Moderate and high intensity PA decreased over the course of pregnancy in both groups. Women in group 2 had significantly higher risk of GDM in two of the estimated logistic models. In all models, significant associations between PA trajectories and GDM were only observed among women with excessive gestational weight gain in the second trimester. Conclusions Women with high sedentary behavior were significantly at higher risk of GDM despite high PA levels by intensity and this association was significant only among women with excessive GWG in the second trimester. Participation in high sedentary behavior may outweigh the benefit of engaging in high PA to mitigate the risk of GDM.

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“…Several studies have reported the benefits of PA participation during pregnancy. These include reduced risk of excessive gestational weight gain [ 14 , 15 , 16 , 17 ] and of developing conditions such as gestational diabetes mellitus (GDM) [ 15 , 18 , 19 , 20 ], pre-eclampsia [ 15 , 20 , 21 , 22 ], lower levels of maternal pregnancy triglycerides and a higher concentration of high-density lipoprotein cholesterol (HDL-c), [ 23 ] and neonatal cord blood HDL-c levels [ 24 ]. Lower rates of preterm birth [ 25 , 26 , 27 ], miscarriage [ 28 ], reduced length of labour, lowered risk of caesarean delivery and complications [ 21 , 25 , 27 , 29 , 30 ], reduced risk of macrosomia [ 28 , 31 ] and reduced risk of low birth weight [ 25 ] are also counted as benefits.…”

Section: Introductionmentioning

confidence: 99%

Developing a Physical Activity Intervention Strategy for Pregnant Women in Buffalo City Municipality, South Africa: A Study Protocol

Okafor

Goon

2020

IJERPH

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Despite global awareness about the importance and health benefits of physical activity (PA) during pregnancy, several studies have reported a low prevalence of PA participation among pregnant women in both developed and developing countries. This means that most pregnant women do not meet the current PA recommended guideline of 150 min of moderate intensity PA per week. The global call to prioritise PA participation levels in the general population necessitates evaluating the factors affecting PA practice. Seemingly, pregnant women mostly from low-to-middle income countries like South Africa are often predisposed to adverse pregnancy outcomes, possibly because of limited access to, and knowledge of, improved pregnancy and health outcomes as a result of PA participation. Physical activity has been sparsely studied among pregnant South African women, and specifically, there is no known study that assesses the PA levels, patterns, beliefs, sources of information, perceived benefits, barriers, attitudes of pregnant women concerning PA and exercise participation; nor one that explores the perspectives of healthcare providers regarding prenatal PA in the Eastern Cape Province. In addition, no PA intervention strategy exists to promote PA participation in the region. This study, in attempting to fill these gaps in knowledge, adopts two phases. In Phase I, a concurrent mixed-method (quantitative and qualitative) approach assesses the following factors related to PA participation in pregnant women: participation levels, beliefs, attitudes, perceived benefits, barriers to uptake and sources of information. It further ascertains if healthcare professionals are sufficiently informed about PA and if they are advising pregnant women about the need for PA participation during pregnancy. Data will be collected through a structured questionnaire, interviews and focus group discussions. Information on socio-demographic and maternal characteristics will be obtained, and the Pregnancy Physical Activity Questionnaire (PPAQ) will assess PA during pregnancy. A sample size of 384 pregnant women is the required minimum sample for an infinite population at a confidence level of 95%, a precision level of ± 5% and at a prevalence of PA or exercise during pregnancy of 50% (p < 0.05); however, a sample size larger than the minimum number necessary will be recruited to account for possible attrition and to protect against possible data loss. Data will be analysed using a multiple logistic regression to determine the factors that predict sedentary or moderate PA levels and chi-squared analysis to determine the associations between the PA levels of the participants and socio-demographic and clinical variables. The study will assess the data collected on the above-mentioned variables and draw conclusions based on patterns and themes that emerge during analysis. Phase II of the study focuses on strategy development and validation to facilitate the promotion of PA during pregnancy. The developed strategy will be validated through the application of the Delphi technique and the administration of a checklist to selected key stakeholders through organised workshops. Understanding the level and correlates of PA participation among this special population is fundamental to designing intervention strategies to enhance their understanding of, and participation in, PA and exercise. Furthermore, this study’s findings will inform facility-based healthcare providers about the need to integrate health education on PA and pregnancy into antenatal and postnatal care visits in the setting.

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Physical activity during pregnancy is associated with a lower prevalence of gestational diabetes mellitus in Vietnam

Abstract: High levels of PA, particularly moderate-intensity and household/caregiving activities during pregnancy were associated with a lower prevalence of GDM independent of sitting time.

Cited by 27 publications

References 46 publications

Physical activity in pregnancy: literature review

Physical activity in pregnancy: literature review

High physical activity and high sedentary behavior increased the risk of gestational diabetes mellitus among women with excessive gestational weight gain: a prospective study

Developing a Physical Activity Intervention Strategy for Pregnant Women in Buffalo City Municipality, South Africa: A Study Protocol

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