Physical activity patterns and gestational diabetes outcomes – The wings project

Anjana, R M and Sudha, V and Lakshmipriya, N and Anitha, C and Unnikrishnan, R and Bhavadharini, B and Mahalakshmi, M M and Maheswari, K and Kayal , A and Ram, U and Ranjani, H and Ninov, L and Deepa, M and Pradeepa, R and Pastakia, S D and Malanda, B and Belton, A and Mohan, V (2016) Physical activity patterns and gestational diabetes outcomes – The wings project. Diabetes Research and Clinical Practice, 116 . p. 253. ISSN 01688227

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Objective: To compare physical activity (PA) patterns in pregnant woman with and without gestational diabetes (GDM) and to assess the effects of an exercise intervention on change in PA patterns, blood glucose levels and pregnancy outcomes in GDM women. Methods: For the first objective, PA patterns were studied in 795 pregnant women with and without GDM. For the second objective, the Women in India with Gestational Diabetes Strategy-Model of Care (WINGS-MOC) intervention were evaluated in 151 women out of 189 with GDM. PA was assessed using a validated questionnaire and a pedometer. Changes in PA patterns, glycemic parameters and neonatal outcomes were evaluated. Results: Overall, only 10% of pregnant women performed recommended levels of PA. Women with GDM were significantly more sedentary compared to those without GDM (86.2 vs. 61.2%, p < 0.001). After the MOC was implemented in women with GDM, there was a significant improvement in PA and a decrease in sedentary behaviour amongst women (before MOC, moderate activity: 15.2%, sedentary: 84.8% vs. after MOC-moderate: 26.5%, sedentary: 73.5%; p < 0.001), and an increase in their daily step count from 2206/day to 2476/day (p < 0.001). Fasting 1 and 2-h postprandial glucose values significantly decreased (p < 0.001 for all). Sedentary behaviour was associated with a fourfold higher risk (p = 0.02), and recreational walking with 70% decreased risk, of adverse neonatal outcomes (p = 0.04) after adjusting for potential confounders. Conclusions: PA levels are inadequate amongst this group of pregnant women studied i.e. those with and without GDM. However, a low-cost, culturally appropriate MOC can bring about significant improvements in PA in women with GDM. These changes are associated with improved glycemic control and reduction in adverse neonatal outcomes.

Item Type:Article
Official URL/DOI:
Uncontrolled Keywords:Physical activity; Exercise; GDM; Asian Indians; Type 2 diabetes; Lifestyle intervention
Subjects:Diabetology > Gestational Diabetes
Divisions:Department of Epidemiology
Department of Diabetology
ID Code:996
Deposited By:surendar radha
Deposited On:24 Jun 2016 15:12
Last Modified:24 Jun 2016 15:12

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