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| Resistance exercise decreases the need for insulin in overweight women with gestational diabetes mellitus |
| Brankston GN, Mitchell BF, Ryan EA, Okun NB |
| American Journal of Obstetrics and Gynecology 2004 Jan;190(1):188-193 |
| clinical trial |
| 5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: This study examines the effects of circuit-type resistance training on the need for insulin in women with gestational diabetes mellitus. STUDY DESIGN: Thirty-two patients with gestational diabetes mellitus were randomly assigned either to a group that was treated with diet alone or to a group that was treated with diet plus resistance exercise. RESULTS: The number of women whose condition required insulin therapy was the same, regardless of treatment. However, a subgroup analysis that examined only overweight women (prepregnant body mass index, > 25 kg/m2) showed a lower incidence of insulin use in the diet-plus-exercise group (p < 0.05). Women in the diet-plus-exercise group were prescribed less insulin (p < 0.05) and showed a longer delay from diagnosis to the initiation of insulin therapy (p < 0.05), compared with the diet-alone group. CONCLUSION: Resistance exercise training may help to avoid insulin therapy for overweight women with gestational diabetes mellitus.
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