Effects of an aquatic physical exercise program on glycemic control and perinatal outcomes of gestational diabetes: study protocol for a randomized controlled trial

da Silva Jr, José Roberto; Borges, Paulo Sérgio; Agra, Karine F.; Pontes, Isabelle Albuquerque; Alves, João Guilherme Bezerra
December 2013
Trials;2013, Vol. 14 Issue 1, p1
Academic Journal
Background Gestational diabetes mellitus (GDM) is increasing worldwide and has been associated with adverse perinatal outcomes and high risk for chronic disease both for the mother and for the child. Physical exercise is feasible for diabetic pregnant women and contributes to better glycemic control and to a decrease in adverse perinatal outcomes. However, there are no randomized controlled trials (RCT) assessing the effects of aquatic physical exercise on GDM control and adverse maternal and fetal outcomes. Methods/design An RCT will be conducted at Instituto de Medicina Integral Prof Fernando Figueira (IMIP), Brazil. A total of 72 pregnant women will be studied; 36 gestational diabetics will undergo an aquatic physical exercise program in a thermal pool, 3 times per week over 2 months. The primary endpoint will be glucose level control and use of insulin; secondary endpoints will be the following maternal and fetal outcomes: weight gain during pregnancy, blood pressure, pre-eclampsia diagnosis, intrauterus growth restriction, preterm birth, Cesarean section, macrosomia and maternal or neonatal intensive care admission. Endpoints between intervention and control group will analyzed by t test for unpaired data and χ 2 test, and the level of significance will set at <0.05. Discussion The physical proprieties of water make aquatic exercises ideal for pregnant women. An aquatic physical exercise program developed for GDM women will be trialed in a thermal pool and under the supervision of physiotherapist to ensure compliance. It is expected that this study will provide evidence as to the effect of aquatic physical exercise on GDM control. Trial registration NCT01940003.


Related Articles

  • Weight gain in pregnancy 'a risk factor for diabetes'. Mundasad, Smitha // GP: General Practitioner;3/5/2010, p17 

    The article focuses on a study conducted by Kaiser Permanente researchers, which found that the risk of developing gestational diabetes may be increased by gaining weight in the first trimester of pregnancy. According to the study, among overweight and non-white women, this association between...

  • Early Intensive Obstetric and Medical Nutrition Care Is Associated with Decreased Prepregnancy Obesity Impact on Perinatal Outcomes. Reyes, Enrique; Martínez, Nayeli; Parra, Adalberto; Castillo-Mora, Alfredo; Ortega-González, Carlos // Gynecologic & Obstetric Investigation;Jan2012, Vol. 73 Issue 1, p75 

    Background/Aims: To compare the gestational weight gain and adverse perinatal outcomes in urban Mexican women with prepregnancy overweight or obesity, under an early intensive obstetric and nutrition program versus women with prepregnancy normal weight. Methods: A cohort of 546 pregnant women...

  • Exercise during pregnancy and gestational diabetes-related adverse effects: a randomised controlled trial. Barakat, Ruben; Pelaez, Mireia; Lopez, Carmina; Lucia, Alejandro; Ruiz, Jonatan R. // British Journal of Sports Medicine;Jul2013, Vol. 47 Issue 10, p679 

    Objective To examine the effect of regular moderate-intensity exercise (three training sessions/week) on the incidence of gestational diabetes mellitus (GDM, primary outcome). We also examined if the exercise intervention modifies the association between GDM and birth weight and risk of...

  • Effects of lifestyle intervention in obese pregnant women on gestational weight gain and mental health: a randomized controlled trial. Bogaerts, A F L; Devlieger, R; Nuyts, E; Witters, I; Gyselaers, W; Van den Bergh, B R H // International Journal of Obesity;Jun2013, Vol. 37 Issue 6, p814 

    Objective:Lifestyle intervention could help obese pregnant women to limit their weight gain during pregnancy and improve their psychological comfort, but has not yet been evaluated in randomized controlled trials. We evaluated whether a targeted antenatal lifestyle intervention programme for...

  • Insulin Lispro, Pregnancy, and Retinopathy. Bhattacharyya, Arpandev; Vice, Patricia A. // Diabetes Care;Dec99, Vol. 22 Issue 12, p2101 

    Focuses on a study which evaluated the effectiveness of insulin lispro in treating pregnant diabetic patients. Administration of insulin lispro; Analysis of data; Factors for the deterioration or development of retinopathy.

  • Olanzapine.  // Reactions Weekly;2/23/2008, Issue 1190, p20 

    The article describes the case of a woman who developed gestational diabetes mellitus while being treated with olanzapine for bipolar disorder type II. She was managed with dietary changes and underwent a successful delivery at 40 weeks. Eleven months after birth, her lipid profile was...

  • Changes in prepregnancy body mass index between pregnancies and risk of gestational and type 2 diabetes. Whiteman, Valerie; Aliyu, Muktar; August, Euna; McIntosh, Cheri; Duan, Jingyi; Alio, Amina; Salihu, Hamisu // Archives of Gynecology & Obstetrics;Jul2011, Vol. 284 Issue 1, p235 

    Introduction: We investigated whether changes in interpregnancy body mass index (BMI) influence the risk of gestational and type 2 diabetes among a cohort of women with two consecutive live, singleton births of 20-44 weeks gestation ( n = 232,272). Methods: Logistic regression models were used...

  • Factors Associated with Depressive Symptoms in the Early Postpartum Period Among Women with Recent Gestational Diabetes Mellitus. Nicklas, Jacinda; Miller, Laura; Zera, Chloe; Davis, Roger; Levkoff, Sue; Seely, Ellen // Maternal & Child Health Journal;Nov2013, Vol. 17 Issue 9, p1665 

    Women with gestational diabetes mellitus (GDM) have a substantial risk of subsequently developing type 2 diabetes. This risk may be mitigated by engaging in healthy eating, physical activity, and weight loss when indicated. Since postpartum depressive symptoms may impair a woman's ability to...

  • Mild gestational diabetes in pregnancy and the adipoinsular axis in babies born to mothers in the ACHOIS randomised controlled trial. Pirc, Louise K.; Owens, Julie A.; Crowther, Caroline A.; Willson, Kristyn; De Blasio, Miles J.; Robinson, Jeffrey S. // BMC Pediatrics;2007, Vol. 7, p18 

    Background: Mild gestational diabetes is a common complication of pregnancy, affecting up to 9% of pregnant women. Treatment of mild GDM is known to reduce adverse perinatal outcomes such as macrosomia and associated birth injuries, such as shoulder dystocia, bone fractures and nerve palsies....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics