Resistance exercise and glycemic control in women with gestational diabetes mellitus

Objective The objective of the study was to evaluate the effect of a resistance exercise program with an elastic band on insulin requirement and glycemic control in patients with gestational diabetes mellitus (GDM). Study Design Sixty-four patients with gestational diabetes mellitus were randomly as...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2010-12, Vol.203 (6), p.556.e1-556.e6
Main Authors: de Barros, Marcelo C., MSc, Lopes, Marco A.B., MD, PhD, Francisco, Rossana P.V., MD, PhD, Sapienza, Andreia D., MD, Zugaib, Marcelo, MD, PhD
Format: Article
Language:English
Subjects:
Analysis of Variance
Biological and medical sciences
Blood Glucose - analysis
Diabetes, Gestational - diagnosis
Diabetes, Gestational - therapy
Exercise - physiology
Female
Follow-Up Studies
Gestational Age
gestational diabetes mellitus
Gynecology. Andrology. Obstetrics
Humans
Hypoglycemic Agents - therapeutic use
insulin
Medical sciences
Obstetrics and Gynecology
Pregnancy
Pregnancy Outcome
Prenatal Care
Reference Values
resistance exercise
Resistance Training - instrumentation
Resistance Training - methods
Risk Assessment
Severity of Illness Index
Treatment Outcome
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Summary:Objective The objective of the study was to evaluate the effect of a resistance exercise program with an elastic band on insulin requirement and glycemic control in patients with gestational diabetes mellitus (GDM). Study Design Sixty-four patients with gestational diabetes mellitus were randomly assigned into 2 groups: an exercise group (EG; n = 32) and a control group not submitted to the exercise program (CG; n = 32). Results A significant reduction in the number of patients who required insulin was observed in the EG (7/32) compared with the CG group (18/32) ( P = .005). The percentage of time spent within the proposed target glucose range (of at least 80% of weekly measurements below the limits preestablished for the disease) was significantly higher in EG compared with the CG group (EG = 0.63 ± 0.30; CG = 0.41 ± 0.31; P = .006). Conclusion The resistance exercise program was effective in reducing the number of patients with GDM who required insulin and in improving capillary glycemic control in this population.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2010.07.015