ADA: Exercise during pregnancy can better reduce the risk of gestational diabetes

After learning that she is pregnant, many mothers-to-be prepare for the birth of a healthy baby.
, proper exercise after pregnancy is the most common measure.
, however, many mothers-to-be are still confused about exactly how to exercise after pregnancy, how strong it is, and what exercise is most appropriate.
the American Pregnancy Association has reported that exercise during pregnancy can prevent symptoms such as constipation, swelling of the lower limbs, varicose veins, hemorrhoids and leg cramps.
, mothers-to-be can get a good night's sleep through exercise and help control their weight.
, however, these exercises need to be done safely.
gestational diabetes (GDM) is a common complication during pregnancy, and the incidence has increased in recent years.
GDM is associated with an increase in complications during pregnancy and has a profound effect on the long-term metabolic risks of both mother and child.
, however, since abnormal blood sugar tolerance usually returns to normal after childbirth, most of the current guidelines for clinical management focus on short-term risks during pregnancy and childbirth.
opinion paper published last year in Lancet's lancet journal, Diabetes and Endocrinology, suggests that women with a history of GDM may be 20 times more likely to develop type 2 diabetes in their lifetimes than other women.
even more frightening, these women are often associated with a range of cardiovascular risks, including obesity (BMI≥30), high blood pressure, abnormal blood lipids and even isoemia heart disease.
addition, GDM can also lead to a variety of serious perinatal complications, including hypercephaly, stillbirth, shoulder inflammation, birth injuries, congenital malformations, neonatal hypoglycemia, hypercholesterolemia.
even GDM are associated with an increase in the incidence of diabetes in childhood and ad age among future generations.
, it is a well-established fact that GDM affects the health of the fetus and mother, and the prevention and treatment of GDM is extremely urgent.
recent study, led by a team of researchers at the University of Tennessee School of Public Health, showed that at least 38 minutes of moderate-intensity exercise a day in the early stages of pregnancy (the first three months) may reduce the risk of GDM.
the results were published in the latest issue of the Journal of the American Diabetes Society (ADA), Diabetes Care.
researchers collected data (79 percent minority) from 2,246 pregnant women in Northern California from the Pregnancy Environment and Lifestyle (PETALS) study.
the questionnaire to obtain each participant's movements and obtain glucose test results from screening and diagnostic tests from electronic health records.
women are of different ethnicities and have large weight differences before pregnancy.
a mixed analysis of factors including pre-pregnancy BMI, pre-pregnancy exercise, and pregnancy weight gain.
e:1) The 75th percentile of the queue to high-intensity exercise≥ (13.2 MET-h per week or moderate exercise per week ≥264), min), 2) the current recommended amount of exercise (≥7.5 MET-h per week or moderate exercise per week ≥150 min), 3) any high intensity exercise.
results showed that 24.3 percent and 6.5 percent of all participants had abnormal blood sugar screening and were diagnosed with GDM.
After adjusting for the mixing factors, exercise reaching or exceeding the 75th percentile (i.e., at least 38 minutes of exercise per day) reduced the risk of blood sugar abnormalities and GDM detection by 4.8 per 100 pregnant women (95% CI 1.1-8.5) and 2.1 (0.2-4.1), respectively.
current guidelines recommend that pregnant women exercise for 30 minutes a day, five days a week.
Therefore, the lead author of the paper, Professor Samantha Ehrlich of the University of Tennessee, said exercise can reduce the risk of blood sugar abnormalities screening and GDM in pregnant women, but the amount required to achieve these risk reductions may be higher than currently recommended.
, reasonable exercise is not only safe and beneficial for healthy pregnant women, but also helps prevent GDM.
: Ehrlich SF, et al. Exercise During the First Trimester of Pregnancy and the Risks of Abnormal Screening and Gestational Diabetes Mellitus. Diabetes Care. 2021Feb; 44(2):425-432. doi: 10.2337/dc20-1475. MedSci Original Source: MedSci Original Copyright Notice: All text, images and audio and video materials on this website that indicate "Source: Mets Medicine" or "Source: MedSci Original" are owned by Mets Medicine and are not authorized to be reproduced by any media, website or individual, and are authorized to be reproduced with the words "Source: Mets Medicine".
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