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Daily walking is effective for the management of pregnant women with gestational diabetes mellitus

AIM: This study evaluated the usefulness of daily walking for gestational diabetes mellitus (GDM) management by analyzing the relationship between daily walking and glucose tolerance in pregnant women with GDM who were in the second trimester. METHODS: This longitudinal study was conducted at TOYOTA...

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Autores principales: Hayashi, Ayako, Oguchi, Hidenori, Kozawa, Yumi, Ban, Yukiko, Shinoda, Junji, Suganuma, Nobuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174974/
https://www.ncbi.nlm.nih.gov/pubmed/29974564
http://dx.doi.org/10.1111/jog.13698
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author Hayashi, Ayako
Oguchi, Hidenori
Kozawa, Yumi
Ban, Yukiko
Shinoda, Junji
Suganuma, Nobuhiko
author_facet Hayashi, Ayako
Oguchi, Hidenori
Kozawa, Yumi
Ban, Yukiko
Shinoda, Junji
Suganuma, Nobuhiko
author_sort Hayashi, Ayako
collection PubMed
description AIM: This study evaluated the usefulness of daily walking for gestational diabetes mellitus (GDM) management by analyzing the relationship between daily walking and glucose tolerance in pregnant women with GDM who were in the second trimester. METHODS: This longitudinal study was conducted at TOYOTA Memorial Hospital in Toyota, Japan, from January 2015 to June 2016. Pregnant women with GDM wore accelerometers on the waist for 7–12 weeks. RESULTS: Seventy‐three women with GDM were included in the present study; data collected from 24 women were analyzed. The estimated number of steps walked daily showed a significant positive correlation (r = 0.798, P = 0.000) with energy expenditure related to physical activity. There was a significant negative correlation (r = −0.603, P = 0.014) between the post‐ to pre‐research casual glucose level (CGL) ratio and the number of steps walked daily. No significant correlation (r = −0.004, P = 0.986) was detected between the ratio of hemoglobin A(1c) and the number of steps taken. When the study was completed, the 11 participants who walked ≥6000 steps/day showed significantly lower CGL (95 + 10 mg/dL [mean + SD]) than the 13 participants in the <6000 steps/day group (111 + 18 mg/dL) (P = 0.013). CONCLUSION: Simple walking for light intensity physical activity is effective for controlling the CGL in pregnant women with GDM. We recommend that pregnant women with GDM should walk a minimum of 6000 steps/day.
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spelling pubmed-61749742018-10-15 Daily walking is effective for the management of pregnant women with gestational diabetes mellitus Hayashi, Ayako Oguchi, Hidenori Kozawa, Yumi Ban, Yukiko Shinoda, Junji Suganuma, Nobuhiko J Obstet Gynaecol Res Original Articles AIM: This study evaluated the usefulness of daily walking for gestational diabetes mellitus (GDM) management by analyzing the relationship between daily walking and glucose tolerance in pregnant women with GDM who were in the second trimester. METHODS: This longitudinal study was conducted at TOYOTA Memorial Hospital in Toyota, Japan, from January 2015 to June 2016. Pregnant women with GDM wore accelerometers on the waist for 7–12 weeks. RESULTS: Seventy‐three women with GDM were included in the present study; data collected from 24 women were analyzed. The estimated number of steps walked daily showed a significant positive correlation (r = 0.798, P = 0.000) with energy expenditure related to physical activity. There was a significant negative correlation (r = −0.603, P = 0.014) between the post‐ to pre‐research casual glucose level (CGL) ratio and the number of steps walked daily. No significant correlation (r = −0.004, P = 0.986) was detected between the ratio of hemoglobin A(1c) and the number of steps taken. When the study was completed, the 11 participants who walked ≥6000 steps/day showed significantly lower CGL (95 + 10 mg/dL [mean + SD]) than the 13 participants in the <6000 steps/day group (111 + 18 mg/dL) (P = 0.013). CONCLUSION: Simple walking for light intensity physical activity is effective for controlling the CGL in pregnant women with GDM. We recommend that pregnant women with GDM should walk a minimum of 6000 steps/day. John Wiley & Sons Australia, Ltd 2018-07-05 2018-09 /pmc/articles/PMC6174974/ /pubmed/29974564 http://dx.doi.org/10.1111/jog.13698 Text en © 2018 The Authors. Journal of Obstetrics and Gynaecology Research published by John Wiley & Sons Australia, Ltd on behalf of Japan Society of Obstetrics and Gynecology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Hayashi, Ayako
Oguchi, Hidenori
Kozawa, Yumi
Ban, Yukiko
Shinoda, Junji
Suganuma, Nobuhiko
Daily walking is effective for the management of pregnant women with gestational diabetes mellitus
title Daily walking is effective for the management of pregnant women with gestational diabetes mellitus
title_full Daily walking is effective for the management of pregnant women with gestational diabetes mellitus
title_fullStr Daily walking is effective for the management of pregnant women with gestational diabetes mellitus
title_full_unstemmed Daily walking is effective for the management of pregnant women with gestational diabetes mellitus
title_short Daily walking is effective for the management of pregnant women with gestational diabetes mellitus
title_sort daily walking is effective for the management of pregnant women with gestational diabetes mellitus
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174974/
https://www.ncbi.nlm.nih.gov/pubmed/29974564
http://dx.doi.org/10.1111/jog.13698
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