Evaluation of Light Exercise in the Treatment of Gestational Diabetes

García‐Patterson, Apolonia; Martin, Esther; Ubeda, Justa; María, Miguel-Angel; Leiva, Alberto de; Corcoy, Rosa

doi:10.2337/diacare.24.11.2006

Cited by 64 publications

(42 citation statements)

References 3 publications

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“…Women who already followed an active lifestyle before pregnancy should be encouraged to continue an exercise program approved for pregnancy. This recommendation is supported by the observation of Garcia-Patterson et al [46] on 20 GDM women. Fasting and 1-hour postprandial blood glucose values were measured on control days, when the participants had to sit quietly after breakfast, and also on intervention days, when the women went for a walk of about 2.5 km.…”

Section: Exercise In Women With Gdmsupporting

confidence: 59%

Current controversies in the mechanisms and treatment of gestational diabetes

Tamás

Kerényi²

2002

Curr Diab Rep

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Gestational diabetes mellitus (GDM) is a heterogeneous entity, including carbohydrate intolerance of variable severity with onset or first recognition during pregnancy. Insulin resistance and beta-cell dysfunction are thought to be major determinants of its development. Its pathomechanism in many ways resembles that of type 2 diabetes. There is an evolving body of evidence from the last decade presenting similarities between gestational diabetes and the metabolic (insulin resistance) syndrome. These new observations suggest that GDM might be an early manifestation of the metabolic syndrome. The desired treatment target of GDM is normoglycemia. It can be reached by dietary treatment; however, if it fails, maternal glycemic monitoring or combined fetal-maternal monitoring, or even insulin (if required) can help reach it. Multiple daily insulin regimens are becoming more widely accepted for the treatment of GDM. Insulin analogues, however, need some more evidence to support their usefulness and safety during pregnancy. The screening for GDM, the reclassification, regular care, and follow-up of these women after pregnancy are of the utmost importance to delay or prevent not only type 2 diabetes but cardiovascular complications as well.

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Section: Exercise In Women With Gdmsupporting

confidence: 59%

Current controversies in the mechanisms and treatment of gestational diabetes

Tamás

Kerényi²

2002

Curr Diab Rep

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“…Avery and Walker (2001) reported that a single 30-minute bout of exercise on a cycle ergometer at 35% or 55% of maximum oxygen consumption (VO 2 max ) improved glucose excursion compared with rest in women with GDM (Avery & Walker, 2001). GarciaPatterson et al found similar results, showing that light postprandial walking at 2.5 km/h decreased glucose excursion in GDM women (Garcia-Patterson et al, 2001). Lesser et al (1996) determined the effects of a single bout of stationary cycling for 30 minutes at 60% VO 2 max , comparing six GDM women to five normal glycemic pregnant women.…”

Section: Exercise/lifestyle Management For Women With Gestational Diasupporting

confidence: 66%

Exercise Guidelines for Women with Gestational Diabetes

Mottola¹,

Ruchat²

2011

Gestational Diabetes

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“…11 Randomized trials among women with GDM have demonstrated that physical activity reduces glucose levels. 12,13 Some previous observational studies have found that physical activity before pregnancy reduces risk for GDM, 14,15 although none has evaluated associations with abnormal glucose tolerance.…”

Section: Resultsmentioning

confidence: 99%