Anne Harrison|Nora Shields|Nicholas F. Taylor|Helena Frawley
Exercise improves glycaemic control in women diagnosed with gestational diabetes mellitus: a systematic review
La Trobe University|CHI Health Mercy Council Bluffs|Cooper Green Mercy Hospital|La Trobe University|Northern Health|La Trobe University|Eastern Health|La Trobe University|Cabrini Hospital
exercise improve postprandial glycaemic control women diagnosed gestational diabetes mellitusa systematic review randomised trialspregnant women diagnosed gestational diabetes mellitusexercise performed week sufficient achieve aerobic effect changes muscle metabolismpostprandial blood glucose fasting blood glucose glycated haemoglobin requirement insulin adverse events adherencethis systematic review identified eight randomised controlled trials involving 588 participants seven trials 544 participants data suitable metaanalysis five trials scored 6 pedro scale indicating relatively low risk bias metaanalysis showed exercise adjunct standard care significantly improved postprandial glycaemic control md 033mmoll 95 ci 049 017 lowered fasting blood glucose md 031 mmoll 95 ci 056 005 compared standard care alone increase adverse events effects similar magnitude found aerobic resistance exercise programs performed moderate intensity greater 20 30minutes three four times per week metaanalysis show exercise significantly reduced requirement insulin studies reported complications adverse events either similar reduced exerciseaerobic resistance exercise performed moderate intensity least three times per week safely helps control postprandial blood glucose levels measures glycaemic control women diagnosed gestational diabetes mellitusprospero crd42015019106 harrison al shields n taylor nf frawley hc 2016 exercise improves glycaemic control women diagnosed gestational diabetes mellitus systematic reviewjournal physiotherapy62 188196