Effectiveness of Exercises in Glycaemic Control and Maternal Outcome among Women with Gestational Diabetes Mellitus- A Pilot study
Introduction: Diabetes Mellitus is a common medical problem that is very often seen in pregnancy in the present era. Pregnant women should keep in mind their health and lifestyle considerations or else pregnancy will end up with many complications. Pre-existing factors and pregnancy factors will...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14924/46594_CE[Ra]_F(Sh)_PF1(SC_SHU)_PFA(SC_KM)_PN(KM).pdf |
| Summary: | Introduction: Diabetes Mellitus is a common medical
problem that is very often seen in pregnancy in the present
era. Pregnant women should keep in mind their health and
lifestyle considerations or else pregnancy will end up with many
complications. Pre-existing factors and pregnancy factors will be
contributing and make pregnancy more complicated. Exercises
are recommended as a healthy practice which prevents many
diseases and provides a healthy life.
Aim: To evaluate the glycaemic level by focusing on exercises
to improve the maternal outcome.
Materials and Methods: A Pilot study with Quasi-experimental
pre-post control group design with 30 Gestational Diabetes
Mellitus (GDM) women (15 in each group) were selected who met
the inclusion and exclusion criteria. The study was conducted in
tertiary care Hospital between June 2019 and December 2019.
Based on the convenience sampling technique, the setting
was selected and a simple random technique was adopted
to select the subjects. The 15 subjects were included in each
groups, both intervention and control group. Exercises were
taught for the interventional group of women for 12 weeks.
Regular treatment was continued for both groups which include
medication, diet and regular walking. Pre-test and post-test
glycaemic scores were done for both the groups. Mann-whitney
test, ANOVA, post-hoc test, paired Eta square were also used
and IBM Statistical Package for the Social Sciences (SPSS)
version 23.0 was used.
Results: The study shows there was a significant difference in
the pre-Fasting Blood Sugar (FBS) and post FBS values in the
intervention group p-value <0.027. The paired Eta square value
was 0.303 which showed a moderate effect of the exercise on
the glycaemic value in the interventional group. There was a
significant difference in the pre glycosylated haemoglobin
(HbA1c) and post HbA1c values in both the intervention
and control group was p-value <0.023 and p-value <0.025,
respectively. The maternal outcome shows increased severity of
the complications in the control group while comparing with the
intervention group such as pre-eclampsia, operative interference,
and preterm deliveries. But there was no significant difference
in the maternal outcome observed between intervention and
control group p-value >0.05.
Conclusion: Regular moderate-intensity aerobic and resistance
exercise training during pregnancy is associated with lower
blood glucose level. Thus, study concluded that exercise has a
moderate effect on glycaemic control. |
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| ISSN: | 2249-782X 0973-709X |