Effect of exercise modality on markers of insulin sensitivity and blood glucose control in pregnancies complicated with gestational diabetes mellitus: a systematic review.
Alexandra CremonaC O'GormanA CotterJ SaundersAlan E DonnellyPublished in: Obesity science & practice (2018)
Exercising three times per week for 40-60 min at 65-75% age-predicted heart rate maximum using cycling, walking or circuit training as a modality improved glycaemic control in GDM patients and reduced incidence of GDM in pregnant women with obesity. Further studies looking specifically at the effects of different modalities of exercise on glucose metabolism with combined strategies to enhance insulin sensitivity should be explored to maximize benefits for GDM pregnancies. Consistency in design and delivery of exercise-only interventions is required to make recommendations on a suitable exercise prescription in this population. In practice, adherence to consensus in diagnostic cut-offs for GDM diagnosis is fundamental for standardizing future research.
Keyphrases
- high intensity
- heart rate
- blood glucose
- physical activity
- resistance training
- type diabetes
- blood pressure
- end stage renal disease
- pregnant women
- heart rate variability
- preterm birth
- newly diagnosed
- insulin resistance
- metabolic syndrome
- healthcare
- primary care
- clinical practice
- weight loss
- peritoneal dialysis
- randomized controlled trial
- risk factors
- pregnancy outcomes
- prognostic factors
- current status
- body composition
- body mass index
- high fat diet induced
- weight gain
- quality improvement
- skeletal muscle
- lower limb
- study protocol