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The Role of Exercise in the Management of Gestational Diabetes Mellitus

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Book cover Nutrition and Diet in Maternal Diabetes

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Abstract

The benefits of regular exercise during pregnancy are well established. These include both physical and psychological benefits specific to pregnancy in the short term, together with the significant life-long benefits to health conferred by regular exercise for all individuals. In addition, regular exercise plays an important role in the management of gestational diabetes mellitus (GDM), and potentially even prevention of the condition. Yet, most women are inactive during pregnancy, and many significantly reduce exercise participation during this period of their life. This chapter outlines the benefits of regular exercise during pregnancy, with a specific focus on the benefits for women with GDM, together with recommendations and special considerations for exercise prescription in this population.

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Abbreviations

Bpm:

Beats per minute

BMI:

Body mass index

GDM:

Gestational diabetes mellitus

HbA1c:

Glycated haemoglobin

HRR:

Heart rate reserve

\({\dot{\text{V}}\text{O}}_{2} \hbox{max}\) :

Maximal volume of oxygen consumption

OGTT:

Oral glucose tolerance test

References

  1. Kramer MS, McDonald SW. Aerobic exercise for women during pregnancy. Cochrane Database of Syst Rev 2006;3. Art. No.:CD000180.

    Google Scholar 

  2. Sui Z, Grivell RM, Dodd JM. Antenatal exercise to improve outcomes in overweight or obese women: a systematic review. Acta Obstet Gynecol Scand. 2012;91(5):538–45.

    Article  PubMed  Google Scholar 

  3. Barakat R, Pelaez M, Montejo R, Luaces M, Zakynthinaki M. Exercise during pregnancy improves maternal health perception: a randomized controlled trial. Am J Obstet Gynecol. 2011;204(5):402.e1–7.

    Google Scholar 

  4. Daley AJ, Foster L, Long G, Palmer C, Robinson O, Walmsley H, Ward R. The effectiveness of exercise for the prevention and treatment of antenatal depression: systematic review with meta-analysis. BJOG. 2015;122:57–63.

    Article  CAS  PubMed  Google Scholar 

  5. Lynch AM, McDonald S, Magann EF, Evans SF, Choy PL, Dawson B, Blanksby BA, Newnham JP. Effectiveness and safety of a structured swimming program in previously sedentary women during pregnancy. J Matern Fetal Neonatal Med. 2003;14(3):163–9.

    Article  CAS  PubMed  Google Scholar 

  6. Clapp JF 3rd. The course of labor after endurance exercise during pregnancy. Am J Obstet Gynecol. 1990;163(6 Pt 1):1799–805.

    Article  PubMed  Google Scholar 

  7. Kardel KR, Johansen B, Voldner N, Iversen PO, Henriksen T. Association between aerobic fitness in late pregnancy and duration of labor in nulliparous women. Acta Obstet Gynecol Scand. 2009;88(8):948–52.

    Article  PubMed  Google Scholar 

  8. Blaize AN, Pearson KJ, Newcomer SC. Impact of maternal exercise during pregnancy on offspring chronic disease susceptibility. Exerc Sport Sci Rev. 2015;43(4):198–203.

    Article  PubMed  PubMed Central  Google Scholar 

  9. May LE, Scholtz SA, Suminski R, Gustafson KM. Aerobic exercise during pregnancy influences infant heart rate variability at one month of age. Early Hum Dev. 2014;90(1):33–8.

    Article  PubMed  Google Scholar 

  10. Avery MD, Walker AJ. Acute effect of exercise on blood glucose and insulin levels in women with gestational diabetes. J Matern Fetal Med. 2001;10(1):52–8.

    Article  CAS  PubMed  Google Scholar 

  11. Davenport MH, Mottola MF, McManus R, Gratton R. A walking intervention improves capillary glucose control in women with gestational diabetes mellitus: a pilot study. Appl Physiol Nutr Metab. 2008;33(3):511–7.

    Article  CAS  PubMed  Google Scholar 

  12. Halse RE, Wallman KE, Newnham JP, Guelfi KJ. Home-based exercise training improves capillary glucose profile in women with gestational diabetes. Med Sci Sports Exerc. 2014;46(9):1702–9.

    Article  CAS  PubMed  Google Scholar 

  13. García-Patterson A, Martín E, Ubeda J, María MA, de Leiva A, Corcoy R. Evaluation of light exercise in the treatment of gestational diabetes. Diabetes Care. 2001;24(11):2006–7.

    Article  PubMed  Google Scholar 

  14. Goodyear LJ, Kahn BB. Exercise, glucose transport, and insulin sensitivity. Annu Rev Med. 1998;49(1):235–61.

    Article  CAS  PubMed  Google Scholar 

  15. Lesser KB, Gruppuso PA, Terry RB, Carpenter MW. Exercise fails to improve postprandial glycemic excursion in women with gestational diabetes. J Matern Fetal Med. 1996;5(4):211–7.

    CAS  PubMed  Google Scholar 

  16. Jovanovic-Peterson L, Durak EP, Peterson CM. Randomized trial of diet versus diet plus cardiovascular conditioning on glucose levels in gestational diabetes. Am J Obstet Gynecol. 1989;161(2):415–9.

    Article  CAS  PubMed  Google Scholar 

  17. de Barros MC, Lopes MA, Francisco RP, Sapienza AD, Zugaib M. Resistance exercise and glycemic control in women with gestational diabetes mellitus. Am J Obstet Gynecol. 2010;203(6):556.e1–6.

    Google Scholar 

  18. Avery MD, Leon AS, Kopher RA. Effects of a partially home-based exercise program for women with gestational diabetes. Obstet Gynecol. 1997;89(1):10–5.

    Article  CAS  PubMed  Google Scholar 

  19. Brankston GN, Mitchell BF, Ryan EA, Okun NB. Resistance exercise decreases the need for insulin in overweight women with gestational diabetes mellitus. Am J Obstet Gynecol. 2004;190(1):188–93.

    Article  CAS  PubMed  Google Scholar 

  20. Halse RE, Wallman KE, Dimmock JA, Newnham JP, Guelfi KJ. Home-based exercise improves fitness and exercise attitude and intention in women with GDM. Med Sci Sports Exerc. 2015;47(8):1698–704.

    Article  PubMed  Google Scholar 

  21. Clapp JF 3rd. Long-term outcome after exercising throughout pregnancy: fitness and cardiovascular risk. Am J Obstet Gynecol 2008;199(5):489.e1–6.

    Google Scholar 

  22. Barakat R, Pelaez M, Lopez C, Lucia A, Ruiz JR. Exercise during pregnancy and gestational diabetes-related adverse effects: a randomised controlled trial. Br J Sports Med. 2013;47(10):630–6.

    Article  PubMed  Google Scholar 

  23. Dempsey JC, Sorensen TK, Williams MA, et al. Prospective study of gestational diabetes mellitus risk in relation to maternal recreational physical activity before and during pregnancy. Am J Epidemiol. 2004;159(7):663–70.

    Article  PubMed  Google Scholar 

  24. Ong MJ, Guelfi KJ, Hunter T, Wallman KE, Fournier PA, Newnham JP. Supervised home-based exercise may attenuate the decline of glucose tolerance in obese pregnant women. Diabetes Metab. 2009;35(5):418–21.

    Article  CAS  PubMed  Google Scholar 

  25. Barakat R, Cordero Y, Coteron J, Luaces M, Montejo R. Exercise during pregnancy improves maternal glucose screen at 24–28 weeks: a randomised controlled trial. Br J Sports Med. 2012;46(9):656–61.

    Article  PubMed  Google Scholar 

  26. Stafne SN, Salvesen KÅ, Romundstad PR, Eggebø TM, Carlsen SM, Mørkved S. Regular exercise during pregnancy to prevent gestational diabetes: a randomized controlled trial. Obstet Gynecol. 2012;119(1):29–36.

    Article  PubMed  Google Scholar 

  27. Nobles C, Marcus BH, Stanek EJ 3rd, et al. Effect of an exercise intervention on gestational diabetes mellitus: a randomized controlled trial. Obstet Gynecol. 2015;125(5):1195–204.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Cordero Y, Mottola MF, Vargas J, Blanco M, Barakat R. Exercise is associated with a reduction in gestational diabetes mellitus. Med Sci Sports Exerc. 2015;47(7):1328–33.

    Article  PubMed  Google Scholar 

  29. Catalano P, deMouzon SH. Maternal obesity and metabolic risk to the offspring: why lifestyle interventions may have not achieved the desired outcomes. Int J Obes. 2015;39(4):642–9.

    Article  CAS  Google Scholar 

  30. Guelfi KJ, Ong MJ, Crisp NA, Fournier PA, Wallman KE, Grove JR, Doherty DA, Newnham JP. Regular exercise to prevent the recurrence of gestational diabetes mellitus: a randomized controlled trial. Obstet Gynecol. 2016;128(4):819–27.

    Google Scholar 

  31. Evenson KR, Barakat R, Brown WJ, Dargent-Molina P, Haruna M, Mikkelsen EM, Mottola MF, Owe KM, Rousham EK, Yeo S. Guidelines for physical activity during pregnancy: comparisons from around the world. Am J Lifestyle Med. 2014;8(2):102–21.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Brown WJ, Bauman AE, Bull FC, Burton NW. Development of evidence-based physical activity recommendations for adults (18–64 years). Report prepared for the Australian Government Department of Health, August 2012.

    Google Scholar 

  33. Metzger BE1, Buchanan TA, Coustan DR, de Leiva A, Dunger DB, Hadden DR, Hod M, Kitzmiller JL, Kjos SL, Oats JN, Pettitt DJ, Sacks DA, Zoupas C. Summary and recommendations of the fifth international workshop-conference on gestational diabetes mellitus. Diabetes Care. 2007;30 Suppl 2:S251–60.

    Google Scholar 

  34. Wolfe LA, Mottola MF. PARmed-X for pregnancy. Ottawa, Ont: Can Soc Exerc Physiol; 2015.

    Google Scholar 

  35. Davenport MH, Charlesworth S, Vanderspank D, Sopper MM, Mottola MF. Development and validation of exercise target heart rate zones for overweight and obese pregnant women. Appl Physiol Nutr Metab. 2008;33:984–9.

    Article  PubMed  Google Scholar 

  36. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377–81.

    Article  CAS  PubMed  Google Scholar 

  37. Ruchat SM, Davenport MH, Giroux I, Hillier M, Batada A, Sopper MM, McManus R, Hammond JA, Mottola MF. Effect of exercise intensity and duration on capillary glucose responses in pregnant women at low and high risk for gestational diabetes. Diabetes Metab Res Rev. 2012;28(8):669–78.

    Article  CAS  PubMed  Google Scholar 

  38. Katz VL. Water exercise in pregnancy. Semin Perinatol. 1996;20(4):285–91.

    Article  CAS  PubMed  Google Scholar 

  39. Halse RE, Wallman KE, Newnham JP, Guelfi KJ. Pregnant women exercise at a higher intensity during 30 min of self-paced cycling compared with walking during late gestation: implications for 2 h postprandial glucose levels. Metabolism. 2013;62(6):801–7.

    Article  CAS  PubMed  Google Scholar 

  40. Connelly M, Brown H, van der Pligt P, Teychenne M. Modifiable barriers to leisure-time physical activity during pregnancy: a qualitative study investigating first time mother’s views and experiences. BMC Pregnancy Childbirth. 2015;15:100.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Guelfi KJ, Wang C, Dimmock JA, Jackson B, Newnham JP, Yang H. A comparison of beliefs about exercise during pregnancy between Chinese and Australian pregnant women. BMC Pregnancy Childbirth. 2015;15:345.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Symons Downs D, Ulbrecht JS. Understanding exercise beliefs and behaviors in women with gestational diabetes mellitus. Diabetes Care. 2006;29(2):236–40.

    Article  PubMed  Google Scholar 

  43. Gluckman PD, Hanson MA, Cooper C, Thornburg LKL. Effect of in utero and early-life conditions on adult health and disease. N Engl J Med. 2008;359:61–73.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Kym J. Guelfi .

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Guelfi, K.J., Halse, R.E., Newnham, J.P. (2018). The Role of Exercise in the Management of Gestational Diabetes Mellitus. In: Rajendram, R., Preedy, V., Patel, V. (eds) Nutrition and Diet in Maternal Diabetes. Nutrition and Health. Humana Press, Cham. https://doi.org/10.1007/978-3-319-56440-1_23

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  • DOI: https://doi.org/10.1007/978-3-319-56440-1_23

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  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-56438-8

  • Online ISBN: 978-3-319-56440-1

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