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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
Uria-Minguito A, Silva-Jose C, Sanchez-Polan M, Diaz-Blanco A, Garcia-Benasach F, Carrero Martinez V, Alzola I, Barakat R
International Journal of Environmental Research & Public Health 2022 Oct;19(21):14104
clinical trial
5/10 [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: 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*

BACKGROUND: To examine the effect of an online supervised exercise program during pregnancy on the prevention of GDM, and on maternal and childbirth outcomes. 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. 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% versus n = 17/16.8%, p = 0.006). Similarly, fewer cases of excessive maternal weight gain (n = 12/11.8% versus n = 31/30.7%, p = 0.001) were found in the IG, and a lower percentage of instrumental deliveries (n = 8/11.3% versus n = 13/15.1%) and c-sections (n = 7/9.9% versus n = 20/23.3%, p = 0.046). CONCLUSIONS: An online supervised exercise program can be a preventative tool for GDM in healthy pregnant women.

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