Title
No effect of the FitFor2 exercise programme on blood glucose, insulin sensitivity, and birthweight in pregnant women who were overweight and at risk for gestational diabetes: Results of a randomised controlled trial
Author
Oostdam, N.
van Poppel, M.N.M.
Wouters, M.G.A.J.
Eekhoff, E.M.W.
Bekedam, D.J.
Kuchenbecker, W.K.H.
Quartero, H.W.P.
Heres, M.H.B.
van Mechelen, W.
Publication year
2012
Abstract
Objective To evaluate the effectiveness of an exercise programme for pregnant women who were overweight or obese and at risk for gestational diabetes mellitus (GDM). Design Randomised controlled trial. Setting Hospitals and midwifery practices in the Netherlands. Population Pregnant women who were overweight or obese and at risk for GDM between 2007 and 2011. Methods Normal care was compared with an exercise training programme during pregnancy. The training consisted of aerobic and strength exercises, and was aimed at improving maternal fasting blood glucose, insulin sensitivity, and birthweight. Linear regression analyses were performed to determine the effects. Main outcome measures Maternal outcome measures were fasting blood glucose (mmol/l), fasting insulin (pmol/l) and HbA1c (%), body weight (kg), body mass index (kg/m 2), and daily physical activity (minute/week). Offspring outcome measures were birthweight and fetal growth. Results A total of 121 women were randomly allocated to either a control (n = 59) or an intervention (n = 62) group. Intention-to-treat analysis showed that the exercise programme did not reduce maternal fasting blood glucose levels nor insulin sensitivity. Also, no effect was found on birthweight. Conclusions The exercise intervention performed over the second and third trimester of pregnancy had no effects on fasting blood glucose, insulin sensitivity, and birthweight, most probably because of low compliance. The high prevalence of women at risk for GDM calls for further research on possible interventions that can prevent GDM, and other types of interventions to engage this target group in physical activity and exercise. © 2012 RCOG.
Subject
Organisation
WH - Work & Health
BSS - Behavioural and Societal Sciences
Healthy for Life
Workplace
Healthy Living
Exercise
Gestational diabetes mellitus
Glucose
Insulin
Physical activity
Pregnancy
To reference this document use:
http://resolver.tudelft.nl/uuid:6f2692e0-ea75-480d-b693-553bf7a24d45
DOI
https://doi.org/10.1111/j.1471-0528.2012.03366.x
TNO identifier
462171
ISSN
1470-0328
Source
BJOG: An International Journal of Obstetrics and Gynaecology, 119 (9), 1098-1107
Document type
article