GDM: Physical Activity (2008)
In women with GDM, what is the relationship between physical activity during pregnancy and maternal/neonatal outcomes and glycemic control?
Fourteen studies were evaluated to investigate the relationship between physical activity during pregnancy and maternal/neonatal outcomes and glycemic control in women with gestational diabetes mellitus. Regular physical activity during pregnancy reduces the risk of gestational diabetes mellitus, as well as the common discomforts of pregnancy, without a negative effect on maternal or neonatal outcomes. Physical activity for 30 minutes per day for a minimum of three times per week is needed to aid with improved glycemic control. In addition, social support may encourage women with gestational diabetes mellitus to engage in physical activity.
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
Evidence Summary: What is the relationship between physical activity during pregnancy and maternal/neonatal outcomes and glycemic control?
- Quality Rating Summary
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- Summary and Recommendations of the 4th International Workshop-Conference on Gestational Diabetes Mellitus. Metzger BE, Coustan DR. Diabetes Care 1998;21; Suppl 2:B161-167.
- Exercise during pregnancy and the postpartum period. American College of Obstetricians and Gynecologists Technical Bulletin Number 189 - February 1994. Int J Gynecol Obstet 1994;45:65-70.
- Avery MD, Walker AJ. Acute effect of exercise on blood glucose and insulin levels in women with gestational diabetes. J Matern Fetal Med 2001;10:52-58.
- Avery MD, Leon AS, Kopher RA. Effects of a partially home-based exercise program for women with gestational diabetes. Obstet Gynecol 1997;89:10-15.
- Brankston GN, Mitchell BF, Ryan EA, Okun NB. Resistance exercise decreases the need for insulin in overweight women with gestational diabetes mellitus. Am Journal of Obs and Gyn 2004;190:188-93.
- Clapp JF. Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy. J Pediatr 1996;129:856-863.
- Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS, Frederick IO, Williams MA. A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Research and Clinical Practice 2004;66:203-215.
- Dempsey JC, Sorensen TK, Williams MA, Lee IM, Miller RS, Dashow EE and Luthy DA. Prospective study of gestational diabetes mellitus risk in relation to maternal recreational physical activity before and during pregnancy. Am J Epidemiol 2004;159:663-670.
- Gray-Donald K, Robinson E, Collier A, David K, Renaud L, Rodrigues S. Intervening to reduce weight gain in pregnancy and gestational diabetes mellitus in Cree communities: An evaluation. CMAJ 2000;163(10):1247-1251.
- Horns PN, Ratcliffe LP, Leggett JC, Swanson MS. Pregnancy outcomes among active and sedentary primiparous women. JOGNN 1996; 25:49-54.
- Langer O, Hod M. Management of gestational diabetes mellitus. Obstet Gynecol Clin North Am 1996;23(1):137-159.
- Soultanakis HN, Artal R, Wiswell RA. Prolonged exercise in pregnancy: glucose homeostasis, ventilatory and cardiovascular responses. Seminars in Perinatology, 1996;20(4):315-327.
- Symons Downs D, Ulbrecht J. Understanding exercise beliefs and behaviors in women with gestational diabetes mellitus. Diabetes Care 29:236-240, 2006.
- Thornton PL, Kieffer EC, Salabarria-Pena Y, Odoms-Young A, Willis SK, Kim H, Salinas MA. Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: The role of social support. Maternal and Child Health Journal, 2006;10:95-104.
Search Plan and Results: Physical Activity 2006