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

Abstract

PROSPERO CRD42015019106. [Harrison AL, Shields N, Taylor NF, Frawley HC (2016) Exercise improves glycaemic control in women diagnosed with gestational diabetes mellitus: a systematic review.Journal of Physiotherapy62: 188-196].

Physical activity level in women with gestational diabetes mellitus: Lifestyle INtervention for Diabetes prevention After pregnancy (LINDA‐Brasil) study

“…In addition, for those with GDM, light walking for 25 to 40 minutes, three or four times a week, resulted in a decrease in the need for insulin, and there are suggestions that the best results may be achieved with vigorous intensity exercises . Resistance training for muscular endurance has also been reported to reduce the need for insulin, as well as insulin doses, in women with GDM and in women with GDM who are overweight, including when performed with moderate to vigorous intensity exercise, 20 to 30 min/session, 3 to 4 d/wk . However, our findings indicated that less than half the participants received counseling for physical activity practice before or after the diagnosis of GDM, behavior that could help in the management of GDM.…”

“…11,36 Resistance training for muscular endurance has also been reported to reduce the need for insulin, as well as insulin doses, in women with GDM 37 and in women with GDM who are overweight, 38 including when performed with moderate to vigorous intensity exercise, 20 to 30 min/session, 3 to 4 d/wk. 9 However, our findings indicated that less than half the participants received counseling for physical activity practice before or after the diagnosis of GDM, behavior that could help in the management of GDM. Counseling for GDM women is an important intervention for management of the condition.…”

“…7 Prevention and management of GDM involves behavioral changes, including undertaking physical activity. 1 Physical activity improves glycemic control, 8,9 insulin resistance, 10 and weight gain, 11,12 important elements for the management of GDM and prevention of T2D. 1 Despite the recognized benefits of physical activity, a lack of time is the most frequently reported barrier to undertaking physical activity worldwide.…”

Physical Exercise During Pregnancy – How Active Are Pregnant Women in Germany and How Well Informed?

“…In a current interventional study of a Chinese cohort of obese pregnant women it was shown that regular exercise (in this case cycling) was able to reduce the risk of developing gestational diabetes and excessive weight gain during pregnancy without increasing the risk of premature birth [18]. In addition, a systematic review showed that regular exercise can improve postprandial glucose levels in women with known gestational diabetes [19]. A further protective effect attributed to exercise is with regards to the development of preecclampsia: Various studies report an inverse relationship between higher prenatal exercise levels and reduced risk of preecclampsia [20,21].…”

Mechanistic Insight and Management of Diabetic Nephropathy: Recent Progress and Future Perspective

“…Nonpharmacological measures are critical to the early stages of diabetes mellitus, but people who often ignore the importance of nonpharmacological measures are often ignored, while pharmacological measures are the most frequently used therapies at this stage and the goal would be to have a drug ameliorate or correct both of these abnormalities in the patient with diabetes mellitus. Fortunately, multitudinous research continues to furnish advanced understanding of the pathophysiology and outcomes of this disease, which could help patients to change views and to control diabetes mellitus better with proper diet, applicable exercise, and advisable weight control [31]. All of these are the principles of management of diabetes; management of DN could be fit for the same principles.…”