Exercise Fails to Improve Postprandial Glycemic Excursion in Women with Gestational Diabetes

Lesser, Karen B.; Gruppuso, Philip A.; Terry, Richard; Carpenter, Marshall W.

doi:10.3109/14767059609025426

Cited by 9 publications

(10 citation statements)

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“…Postprandial glucose levels were up to 10 mg/dl lower in exercisers but no differences in outcomes were seen, perhaps because of small numbers. Lesser and colleagues 80 reported no difference in postprandial glucose levels, but this study had very small numbers (six women with GDM) and only a single bout of exercise.…”

Section: Simmons and Robertsonmentioning

confidence: 65%

Screening for gestational diabetes: a systematic review and economic evaluation

Scott

Loveman

McIntyre³

et al. 2002

Health Technol Assess

179

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Section: Simmons and Robertsonmentioning

confidence: 65%

Screening for gestational diabetes: a systematic review and economic evaluation

Scott

Loveman

McIntyre³

et al. 2002

Health Technol Assess

179

View full text Add to dashboard Cite

show abstract

“…Exercise training followed in this study consisted mainly of light resistance and toning exercises, whereas earlier exercise intervention trials in pregnant women focused mainly on aerobic exercises such as stationary cycling, [46][47][48][49][50][51] walking, [52][53][54] or other exercise modalities such as stretching, 53 and only one non-randomised study included weight lifting and strength conditioning. 55 There is compelling evidence that improved muscular strength has beneficial effects in the prevention of chronic diseases, as well as in the ability to cope with daily living activities in both healthy and diseased people.…”

Section: Discussionmentioning

confidence: 99%

Resistance exercise training during pregnancy and newborn's birth size: a randomised controlled trial

2009

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Objective: We examined the effect of light intensity resistance exercise training performed during the second and third trimester of pregnancy on the newborn's birth size. We also studied the association between maternal body weight prior to pregnancy and newborn's birth size. Design: Randomised controlled trial. Subjects: We randomly assigned 160 sedentary gravidae to either a training (n ¼ 80) or a control (n ¼ 80) group. The training programme focused on light resistance and toning exercises (three times per week, 35-40 min per session). We recorded the Apgar score, birth weight, birth length, and head circumference of the newborn, as well as gestational age at time of delivery from hospital perinatal records. We also measured maternal weight and height before parity and gestational weight gain. Results: Maternal characteristics neither differed between groups (all P40.1) nor newborn characteristics (all P40.1). Maternal body weight was positively and significantly associated with newborn's birth weight and length only in the control group (b ¼ 19.20 and 0.065, respectively, Po0.01). Conclusion: Light intensity resistance training performed over the second and third trimester of pregnancy does not have a negative impact on the newborn's body size or overall health. Exercise interventions might attenuate the adverse consequences of maternal body weight before pregnancy on the newborn's birth size.

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“…For example, one study used a randomized cross-over design to determine if 30 min of acute exercise (cycling at 60% of maximum intensity) altered the glucose and insulin responses to mixed nutrient intake 14 h postexercise. 32 The study results indicated that exercise did not alter the glucose or insulin response in either normal pregnant women or women with gestational diabetes. Likewise, 30 min of low and moderate intensity exercise in a group of diet-controlled gestational diabetic women acutely suppressed glucose and insulin concentrations, but the effect was no longer present 40 min after the exercise session.…”

Section: Effect Of Physical Activity On Insulin Resistance During Prementioning

confidence: 91%

Effects of Diet and Exercise on Insulin Resistance during Pregnancy

Clapp

2006

Metabolic Syndrome and Related Disorders

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Current evidence suggests that both diet and exercise can alter the usual increase in insulin resistance seen in Western societies during mid and late pregnancy. A low-glycemic diet combined with a low-volume exercise regimen during pregnancy decreases the glucose and insulin response to both mixed caloric intake and exercise, and probably lowers both 24-h blood glucose concentrations and the maternal substrate utilization ratio of carbohydrate/fat. The end result is a marked decrease in both maternal weight gain and size at birth. Regular weight-bearing exercise alone lowers markers of insulin resistance and lowers blood glucose concentration during and immediately after exercise during pregnancy. Changes in diet and/or physical activity appear to prevent the onset of gestational diabetes mellitus in at-risk women and may be of value in the treatment of those who develop gestational diabetes.

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Exercise Fails to Improve Postprandial Glycemic Excursion in Women with Gestational Diabetes

Cited by 9 publications

References 0 publications

Screening for gestational diabetes: a systematic review and economic evaluation

Screening for gestational diabetes: a systematic review and economic evaluation

Resistance exercise training during pregnancy and newborn's birth size: a randomised controlled trial

Effects of Diet and Exercise on Insulin Resistance during Pregnancy

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