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The Effect of Online Supervised Exercise Throughout Pregnancy on the Prevention of Gestational Diabetes in Healthy Pregnant Women During COVID-19 Pandemic: A Randomized Clinical Trial

Abstract

(1) Background: to examine the effect of an online supervised exercise program during pregnancy on the prevention of GDM, and on maternal and childbirth outcomes. (2) Methods: we conducted a randomized clinical trial (NCT04563065) in 260 pregnant women without obstetric contraindications who were randomized into two study groups: intervention group (IG, N = 130) or control group (CG, N = 130). An online supervised exercise program was conducted from 8-10 to 38-39 weeks of pregnancy. (3) Results: no significant differences were found at baseline in maternal characteristics; nevertheless, certain outcomes showed a favorable trend towards the IG. A lower number and percentage of GDM cases were found in the IG compared to the CG (N = 5/4.9% vs. N = 17/16.8%, = 0.006). Similarly, fewer cases of excessive maternal weight gain (N = 12/11.8% vs. N = 31/30.7%, = 0.001) were found in the IG, and a lower percentage of instrumental deliveries (N = 8/11.3% vs. N = 13/15.1%) and c-sections (N = 7/9.9% vs. N = 20/23.3%, = 0.046). (4) Conclusions: an online supervised exercise program can be a preventative tool for GDM in healthy pregnant women.

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References
1.
Bennett C, Walker R, Blumfield M, Gwini S, Ma J, Wang F . Interventions designed to reduce excessive gestational weight gain can reduce the incidence of gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials. Diabetes Res Clin Pract. 2018; 141:69-79. DOI: 10.1016/j.diabres.2018.04.010. View

2.
Gillman M, Rifas-Shiman S, Berkey C, Field A, Colditz G . Maternal gestational diabetes, birth weight, and adolescent obesity. Pediatrics. 2003; 111(3):e221-6. DOI: 10.1542/peds.111.3.e221. View

3.
Wang H, Li N, Chivese T, Werfalli M, Sun H, Yuen L . IDF Diabetes Atlas: Estimation of Global and Regional Gestational Diabetes Mellitus Prevalence for 2021 by International Association of Diabetes in Pregnancy Study Group's Criteria. Diabetes Res Clin Pract. 2021; 183:109050. DOI: 10.1016/j.diabres.2021.109050. View

4.
Doi S, Furuya-Kanamori L, Toft E, Musa O, Mohamed A, Clark J . Physical activity in pregnancy prevents gestational diabetes: A meta-analysis. Diabetes Res Clin Pract. 2020; 168:108371. DOI: 10.1016/j.diabres.2020.108371. View

5.
Bellamy L, Casas J, Hingorani A, Williams D . Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009; 373(9677):1773-9. DOI: 10.1016/S0140-6736(09)60731-5. View