Postprandial interval walking-effect on blood glucose in pregnant women with gestational diabetes
| Autor: | Eva Bjerre Ostenfeld, Per Ovesen, Jens Fuglsang, Charlotte Wolff Poulsen, Mette Bisgaard Andersen, Merete Daugaard |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Blood Glucose
Physical activity physical activity EXERCISE Walking CLASSIFICATION law.invention MELLITUS Randomized controlled trial law HYPERGLYCEMIA Pregnancy GLYCEMIC CONTROL medicine Fetal macrosomia CRITERIA Humans Glycemic OVERWEIGHT business.industry INSULIN SENSITIVITY Gestational age postprandial glucose Infant General Medicine medicine.disease PREVALENCE Gestational diabetes Diabetes Gestational Postprandial PHYSICAL-ACTIVITY Diabetes Mellitus Type 2 Anesthesia continuous glucose monitoring Female Pregnant Women gestational diabetes business |
| Zdroj: | Andersen, M B, Fuglsang, J, Ostenfeld, E B, Poulsen, C W, Daugaard, M & Ovesen, P G 2021, ' Postprandial interval walking-effect on blood glucose in pregnant women with gestational diabetes ', American Journal of Obstetrics & Gynecology MFM, vol. 3, no. 6, 100440 . https://doi.org/10.1016/j.ajogmf.2021.100440 |
| ISSN: | 2589-9333 |
| DOI: | 10.1016/j.ajogmf.2021.100440 |
| Popis: | BACKGROUND: During pregnancy, postprandial hyperglycemia may increase the risk of complications such as fetal macrosomia. However, evidence on beneficial effects of physical activity on postprandial hyperglycemia is sparse. OBJECTIVE: This study aimed to investigate the effect of 20 minutes of postprandial interval walking on glycemic control and glycemic variability in pregnant women diagnosed as having gestational diabetes mellitus. STUDY DESIGN: A crossover controlled trial including 14 pregnant women (gestational age 31.8±1.3 weeks) diagnosed as having gestational diabetes mellitus (75 g oral glucose load with 2-hour venous plasma glucose of ≥9.0 mmol/L) was conducted. Participants completed a 4-day intervention period and a 4-day control period with 3 days in between. In each study period, participants received a fixed and identical diet. In the intervention period, participants engaged in 20 minutes of postprandial interval walking after breakfast, lunch, and dinner. Interval walking comprised alternating 3 minutes of slow and fast intervals. Interstitial glucose concentrations were determined during both study periods with a continuous glucose monitor. The mixed effects model was used to compare differences between exercise and no exercise. RESULTS: Of note, 20 minutes of postprandial interval walking significantly reduced glycemic control during daytime hours relative to the control period (4-day mean glucose, 5.31 [5.04-5.59] vs 5.53 [5.25-5.81] mmol/L [95.6 (90.7-100.6) vs 99.5 (94.5-104.6) mg/dL]; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect