25.11.2014

Exercise during pregnancy gestational diabetes

Chef Sam Talbot discusses American Diabetes Month and how "diabetic food" can still include your favorite comfort foods, like pasta. Women who combine toning, strength, flexibility and aerobic exercise during pregnancy significantly improve health, study finds.
Pregnant women who develop gestational diabetes usually do so during their 24th week of pregnancy, reported the American Diabetes Association (ADA). Researchers found women working out reduced the risk of gestational diabetes by more than 30 percent; women exercising throughout their entire pregnancy reduced their risk by 36 percent. Reducing risk for gestational diabetes also reduces mothers' risk for other disorders, such as pre-eclampsia, hypertension, and preterm birth. Many women are hesitant to exercise during pregnancy for fear of hurting themselves and their baby.
Mike Marsh, deputy editor-in-chief of BJOG, said the present study’s “shows a beneficial effect of exercise on healthy pregnant women who ordinarily did little or no exercise.” It’s possible this may influence future exercise recommendations for pregnant women.


The intervention group focused on moderate-intensity resistance and aerobic exercises, three times a week, 50 to 55 minute sessions during pregnancy from weeks 10-12 to weeks 38-39 weeks.
GDM diabetes was diagnosed according to the WHO criteria and the International Association for Diabetes in Pregnancy Study Group (IADPSG).
The results showed that the exercise intervention did not reduce the risk of developing GDM.
Both groups of participants had similar ages and maternal weight gain was 12% lower in the exercise group independent of whether women developed GDM.
It’s one of the most frequent complications of pregnancy, in addition to excessive weight gain — both of which may be avoided with moderate exercise.
Enrolled women, too, were an average two pounds lighter, especially if they started exercising during the second trimester of pregnancy. Children born to mothers without this type of diabetes are less likely to be overweight or obese, and are at lower risk for developing diabetes themselves.


But since the study did look at already healthy women, future research should include pregnant women following various lifestyles in order to measure moderate exercise’s true effects. The team also examined if the exercise intervention modifies the association between GDM and birth weight and risk of macrosomia, gestational age, risk of caesarean delivery and maternal weight gain (secondary outcomes). However, the exercise intervention did reduce two of the major GDM risks; having a newborn with macrosomia showed a 58% reduced risk and having a caesarean delivery showed a 34% reduced risk. These effects were even greater when women combined toning, strength, flexibility, and aerobic exercise.



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