Document Detail

Effects of a partially home-based exercise program for women with gestational diabetes.
MedLine Citation:
PMID:  8990428     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the effectiveness of a partially home-based, moderate-intensity aerobic exercise program for women with gestational diabetes. METHODS: This was a randomized experimental design. Thirty-three women with gestational diabetes were randomly assigned to the exercise or the no-exercise group. Subjects underwent hemoglobin A1C assay and submaximal cycle ergometer fitness tests at baseline and at study conclusion. Subjects kept diaries of home fasting and 2-hour postprandial blood glucose determinations. Exercise subjects were asked to exercise for 30 minutes three to four times weekly at 70% of estimated maximal heart rate for the weeks of study participation. Two exercise sessions weekly were supervised by the investigator, and two were unsupervised at home. Control-group subjects were asked to maintain their current activity level. RESULTS: Daily fasting and postprandial blood glucose levels, hemoglobin A1C, incidence of exogenous insulin therapy, and incidence of newborn hypoglycemia were not different between the groups. There was a training effect in the exercise group (P = .005) but not in the control group (P = .25). A significant decline in daily grams of carbohydrate consumed was observed in the control group (P = .03), but not in the exercise group (P = .97). No complications were found in the subjects who exercised. CONCLUSIONS: A partially home-based exercise program did not reduce blood glucose levels, but did result in a modest increase in cardiorespiratory fitness. The intervention appeared safe.
M D Avery; A S Leon; R A Kopher
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  89     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-02-10     Completed Date:  1997-02-10     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  10-5     Citation Subset:  AIM; IM    
Nurse-Midwifery Program, University of Minnesota, School of Nursing, Minneapolis, USA.
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MeSH Terms
Diabetes, Gestational / blood,  physiopathology,  therapy*
Heart Rate, Fetal
Infant, Newborn
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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