IR@PKUHSC  > 北京大学第一临床医学院
学科主题临床医学
Exercise intervention during pregnancy can be used to manage weight gain and improve pregnancy outcomes in women with gestational diabetes mellitus
Wang, Chen1; Zhu, Weiwei1,2; Wei, Yumei1; Feng, Hui1; Su, Rina1; Yang, Huixia1
关键词Pregnancy Gestational diabetes mellitus Exercise intervention Dietary intervention Gestational weight gain Preterm birth Macrosomia Low birth weight Caesarean delivery
刊名BMC PREGNANCY AND CHILDBIRTH
2015-10-12
DOI10.1186/s12884-015-0682-1
15
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Obstetrics & Gynecology
研究领域[WOS]Obstetrics & Gynecology
关键词[WOS]WORLD-HEALTH-ORGANIZATION ; DIAGNOSTIC-CRITERIA ; PHYSICAL-ACTIVITY ; FETAL-GROWTH ; MATERNAL OBESITY ; CHINESE WOMEN ; RISK ; ASSOCIATION ; CLASSIFICATION ; GUIDELINES
英文摘要

Background: The study aimed to evaluate whether exercise intervention can be applied to pregnant women with gestational diabetes mellitus (GDM) for controlling gestational weight gain (GWG) and combating GDM-related outcomes.

Methods: Retrospective six months analysis of 14,168 single pregnant women without diabetes from 15 hospitals in Beijing in 2013. Each participant′s demographic data, interventions condition and medical information were collected individually by questionnaires and relying on medical records. The level of statistical significance was set equal to 0.05.

Results: 2750 (19.4 %) pregnant women were diagnosed with GDM, 74.9 % of them received exercise intervention during pregnancy, and the starting time was 25.8 +/- 3.7 gestational weeks. Women with GDM with exercise intervention (GDM-E) had the lowest BMI increase during late and mid-pregnancy than women with GDM without exercise intervention (GDM-nE) (2.05 +/- 1.32 kg/m(2) vs. 2.40 +/- 1.30 kg/m(2), p < 0.01) and non-GDM women (2.05 +/- 1.32 kg/m(2) vs. 2.77 +/- 1.21 kg/m(2), p < 0.01). Moreover, GDM-E group experienced a significantly lower risk of preterm birth (5.58 % vs. 7.98 %, p < 0.001), low birth weight (1.03 % vs. 2.06 %, p < 0.001) and macrosomia (9.51 % vs. 11.18 %, p > 0.05) than GDM-nE group. After including dietary factors in the analysis, women with GDM without either dietary or exercise intervention (GDM-nDnE) had the highest risk of preterm birth(OR = 1.64, 95 % CI, 1.14-2.36), while women with GDM with dietary intervention only (GDM-DnE) had the highest risk of low birth weight (OR = 3.10, 95 % CI, 1.23-7.81). However, women with GDM with both dietary and exercise intervention had the lowest rate of macrosomia.

Conclusion: Exercise intervention is a suitable non-invasive therapeutic option that can be readily applied to manage weight gain and improve pregnancy outcomes in women with GDM.

语种英语
WOS记录号WOS:000362705000003
项目编号WDF0-57
资助机构"China GDM centers-Establishment and Training Dissemination" from the World Diabetes Foundation
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/64762
专题北京大学第一临床医学院
北京大学第三临床医学院_妇产科
作者单位1.Natl Inst Hosp Adm, Beijing, Peoples R China
2.Peking Univ, Hosp 1, Dept Obstet & Gynecol, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Wang, Chen,Zhu, Weiwei,Wei, Yumei,et al. Exercise intervention during pregnancy can be used to manage weight gain and improve pregnancy outcomes in women with gestational diabetes mellitus[J]. BMC PREGNANCY AND CHILDBIRTH,2015,15.
APA Wang, Chen,Zhu, Weiwei,Wei, Yumei,Feng, Hui,Su, Rina,&Yang, Huixia.(2015).Exercise intervention during pregnancy can be used to manage weight gain and improve pregnancy outcomes in women with gestational diabetes mellitus.BMC PREGNANCY AND CHILDBIRTH,15.
MLA Wang, Chen,et al."Exercise intervention during pregnancy can be used to manage weight gain and improve pregnancy outcomes in women with gestational diabetes mellitus".BMC PREGNANCY AND CHILDBIRTH 15(2015).
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