Department of Obstetrics and Gynecology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Am J Obstet Gynecol. 2010 Dec;203(6):556.e1-6. doi: 10.1016/j.ajog.2010.07.015. Epub 2010 Sep 22.
The objective of the study was to evaluate the effect of a resistance exercise program with an elastic band on insulin requirement and glycemic control in patients with gestational diabetes mellitus (GDM).
Sixty-four patients with gestational diabetes mellitus were randomly assigned into 2 groups: an exercise group (EG; n = 32) and a control group not submitted to the exercise program (CG; n = 32).
A significant reduction in the number of patients who required insulin was observed in the EG (7/32) compared with the CG group (18/32) (P = .005). The percentage of time spent within the proposed target glucose range (of at least 80% of weekly measurements below the limits preestablished for the disease) was significantly higher in EG compared with the CG group (EG = 0.63 ± 0.30; CG = 0.41 ± 0.31; P = .006).
The resistance exercise program was effective in reducing the number of patients with GDM who required insulin and in improving capillary glycemic control in this population.
本研究旨在评估使用弹性带进行抗阻运动对妊娠糖尿病患者胰岛素需求和血糖控制的影响。
64 例妊娠糖尿病患者被随机分为 2 组：运动组（EG；n = 32）和未进行运动方案的对照组（CG；n = 32）。
与 CG 组（18/32）相比，EG 组（7/32）中需要胰岛素的患者数量显著减少（P =.005）。与 CG 组相比，EG 组在目标血糖范围内的时间百分比显著更高（每周至少 80%的测量值低于疾病预先设定的限值）（EG = 0.63 ± 0.30；CG = 0.41 ± 0.31；P =.006）。
抗阻运动方案可有效减少 GDM 患者对胰岛素的需求，并改善该人群的毛细血管血糖控制。
