Physical activity patterns and gestational diabetes outcomes – The wings project

Anjana, Ranjit Mohan; Sudha, Vasudevan; Lakshmipriya, Nagarajan; Anitha, Chandrasekaran; Unnikrishnan, Ranjit; Bhavadharini, Balaji; Mahalakshmi, Manni Mohanraj; Maheswari, K; Kayal, Arivudainambi; Ram, Usha; Ranjani, Harish; Ninov, Lyudmil; Deepa, Mohan; Pastakia, Sonak D.; Malanda, Belma; Belton, Anne; Mohan, Viswanathan

doi:10.1016/j.diabres.2016.04.041

Cited by 45 publications

(64 citation statements)

References 29 publications

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“…There is a paucity of evidence on the association between GDM status and physical activity, with conflicting reports [25,26]. This study identified no differences in physical activity levels between women with and without GDM in the interval following GDM screening.…”

Section: Discussionmentioning

confidence: 62%

Influence of GDM Diagnosis and Treatment on Weight Gain, Dietary Intake and Physical Activity in Pregnant Women with Obesity: Secondary Analysis of the UPBEAT Study

et al. 2020

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Obesity during pregnancy is associated with the development of gestational diabetes (GDM). This study aimed to assess if the result of an oral glucose tolerance test (OGTT) for GDM influences health (diet and physical activity) behaviours of pregnant women with obesity. In total, 1031 women who participated in the UK Pregnancies Better Eating and Activity Trial (UPBEAT) of a lifestyle intervention from early pregnancy were included. Changes in weight gain, dietary intake and physical activity following an OGTT undertaken between 27 +0 and 28 +6 weeks' and 34 and 36 weeks' gestation were examined using linear regression with appropriate adjustment for confounders. Obese women without GDM (IADPSG criteria) gained 1.9 kg (95% CI −2.2, −1.5, p < 0.001) more weight than women with GDM. Women with GDM demonstrated greater reductions in energy (-142kcal, 95%CI −242.2, −41.9, p = 0.006), carbohydrate intake (−1.5%E 95%CI -2.8, −0.3, p = 0.016) and glycaemic load (-15.2, 95%CI −23.6, -6.7, p < 0.001) and a greater increase in protein intake (2%E, 95%CI 1.3, 2.7, p < 0.001), compared to women without GDM. Trial intervention allocation did not influence any associations observed. The findings emphasise the need for strategies to optimise the health behaviours of pregnant women with obesity, following a negative OGTT for GDM.

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Section: Discussionmentioning

confidence: 62%

Influence of GDM Diagnosis and Treatment on Weight Gain, Dietary Intake and Physical Activity in Pregnant Women with Obesity: Secondary Analysis of the UPBEAT Study

et al. 2020

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“…The best type of intervention that should be recommended is unclear since all the successful programs used different exercise modalities in terms of intensity, type, duration and frequency. More recently, an initiative in India, the Wings Project, demonstrated that an intervention based on increasing total footsteps with pedometers was able to improve glycemic control in 151 women with GDM and reduce adverse neonatal outcomes in the more active tertiles when compared to their GDM counterparts in the upper tertiles of sedentary behaviour (323). Since no exercise-related injuries were experienced during pregnancy in all those studies, physical activity intervention seems safe to recommend.…”

Section: Management: Healthy Behaviour Interventionsmentioning

confidence: 99%

Diabetes and Pregnancy

Feig¹,

Berger²,

Donovan³

et al. 2018

Canadian Journal of Diabetes

239

169

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All women with pre-existing type 1 or type 2 diabetes should receive preconception care to optimize glycemic control, assess for complications, review medications and begin folic acid supplementation.• All pregnant women without known pre-existing diabetes should be screened for gestational diabetes between 24 to 28 weeks of pregnancy • If you were diagnosed with gestational diabetes during your pregnancy, it is important to:• Breastfeed immediately after birth and for a minimum of 4 months in order to prevent hypoglycemia in your newborn, obesity in childhood, and diabetes for both you and your childConflict of interest statements can be found on page S274.Can J Diabetes 42 (2018) S255-S282

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“…A pedometer was provided to all women in order to track the number of steps taken daily. Analysis of physical activity patterns in a subgroup of women with GDM followed up under the MOC has been discussed in a previous publication …”

Section: Methodsmentioning

confidence: 99%

Pregnancy outcome of gestational diabetes mellitus using a structured model of care : WINGS project (WINGS‐10)

Ram

Bhavadharini

Ranjani

et al. 2016

J of Obstet and Gynaecol

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Physical activity patterns and gestational diabetes outcomes – The wings project

Cited by 45 publications

References 29 publications

Influence of GDM Diagnosis and Treatment on Weight Gain, Dietary Intake and Physical Activity in Pregnant Women with Obesity: Secondary Analysis of the UPBEAT Study

Influence of GDM Diagnosis and Treatment on Weight Gain, Dietary Intake and Physical Activity in Pregnant Women with Obesity: Secondary Analysis of the UPBEAT Study

Diabetes and Pregnancy

Pregnancy outcome of gestational diabetes mellitus using a structured model of care : WINGS project (WINGS‐10)

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