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Exercise is associated with a reduction in gestational diabetes mellitus
Cordero Y, Mottola MF, Vargas J, Blanco M, Barakat R
Medicine and Science in Sports and Exercise 2015 Jul;47(7):1328-1333
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: To assess the effectiveness of a maternal exercise program (land/aquatic activities; both aerobic and muscular conditioning) in preventing gestational diabetes mellitus (GDM). METHODS: Two hundred and seventy-two pregnant women from Spain (age 33.24 +/- 4.3 years) without obstetric contraindications were recruited for a clinical randomized controlled trial. The intervention group (IG; n = 101) exercised for 60 minutes and 50 minutes on land and in water, respectively, 3 times per week. The control group (CG; n = 156) received usual standard care. RESULTS: The prevalence of GDM was reduced in the IG group (IG 1%, n = 1 versus CG 8.8%, n = 13 (Chi2 = 6.84; p = 0.009)) with a significant risk estimate (OR 0.103; 95% CI 0.013 to 0.803). CONCLUSION: The exercise program performed during pregnancy reduced the prevalence of GDM by preserving glucose tolerance.

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