GDM: Physical Activity/Exercise (2001)
Gestational Diabetes Mellitus Conclusion Statements: Exercise/physical activity (2001)
Regular physical activity decreases the common discomforts associated with pregnancy without a negative effect on maternal or neonatal outcomes. Regular physical activity is also beneficial in reducing insulin resistance, postprandial hyperglycemia and excessive weight gain. However, prolonged exercise (>60 minutes) is more likely to cause hypoglycemia in pregnancy.
- 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.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
Evidence Summary: Gestational Diabetes and Exercise-Physical Activity
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- 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, Leon AS, Kopher RA. Effects of a partially home-based exercise program for women with gestational diabetes. Obstet Gynecol 1997;89:10-15.
- 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.
- 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.
- Lesser KB, Gruppuso PA, Terry RB, Carpenter MW. Exercise fails to improve postprandial glycemic excursion in women with gestational diabetes. J Maternal-Fetal Medicine 1996; 5:211-217.
- Soultanakis HN, Artal R, Wiswell RA. Prolonged exercise in pregnancy: glucose homeostasis, ventilatory and cardiovascular responses. Seminars in Perinatology, 1996;20(4):315-327.