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Effects of weekly supervised exercise or physical activity counseling on fasting blood glucose in women diagnosed with gestational diabetes mellitus: A systematic review and meta-analysis of randomized trials.
Bgeginski, Roberta; Ribeiro, Paula A B; Mottola, Michelle F; Ramos, José Geraldo L.
Afiliação
  • Bgeginski R; Obstetrics and Gynecology Department, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
  • Ribeiro PAB; Graduate Program in Health Sciences, Gynecology and Obstetrics, Porto Alegre, Brazil.
  • Mottola MF; Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Ramos JGL; Faculty of Health Sciences, Department of Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, R. Samuel McLaughlin Foundation Exercise and Pregnancy Laboratory, School of Kinesiology, The University of Western Ontario, London, Canada.
J Diabetes ; 9(11): 1023-1032, 2017 Nov.
Article em En | MEDLINE | ID: mdl-28032459
BACKGROUND: Exercise is an important part of gestational diabetes mellitus (GDM) lifestyle management. However, no meta-analysis has analyzed the effects of exercise programs on fasting blood glucose (FBG) in women with GDM. A systematic review with meta-analysis was performed to evaluate the effects of weekly supervised exercise (EXE) or physical activity counseling (PA) in women with GDM compared with usual prenatal care (UPN) on glycemic control. METHODS: Eligible trials were identified from Medline, EMBASE, Web of Science, Scopus and SportDiscus up to December 2016. Data were retrieved from randomized controlled trials comparing UPN with UPN plus weekly supervised (at least once a week) prenatal exercise or PA counseling for which FBG values before and after intervention were available. Random-effects meta-analysis was performed for mean difference in FBG after exercise intervention. RESULTS: The search yielded 781 publications, of which 82 were assessed for eligibility and eight were included in the meta-analysis. The overall effect on absolute FBG concentrations was not significant (P = 0.11) compared with UPN. However, PA versus UPN showed a significant reduction in absolute FBG concentrations (weighted mean difference -3.88 mg/dL; 95% confidence interval -7.33, -0.42 mg/dL; I 2 48%; P heterogeneity < 0.15). CONCLUSIONS: Physical activity counseling in women with GDM showed a significant effect compared with UPN on FBG concentrations, possibly due to a longer follow-up time compared with the EXE groups. This result highlights the importance of an early intervention that lasts to delivery for best practice of GDM management.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Glicemia / Exercício Físico / Diabetes Gestacional / Aconselhamento / Terapia por Exercício Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline / Prognostic_studies / Systematic_reviews Limite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Diabetes Assunto da revista: ENDOCRINOLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Austrália
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Glicemia / Exercício Físico / Diabetes Gestacional / Aconselhamento / Terapia por Exercício Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline / Prognostic_studies / Systematic_reviews Limite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Diabetes Assunto da revista: ENDOCRINOLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Austrália