Department of Gynecology and Obstetrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
PLoS One. 2019 Aug 9;14(8):e0220947. doi: 10.1371/journal.pone.0220947. eCollection 2019.
Obesity and lack of physical exercise are associated with the increase of diabetes mellitus in women of reproductive age and during the gestational period. The objective of the present study was to evaluate physical activity levels during the pregnancy and postpartum periods and the influence of body mass index (BMI) in women with gestational diabetes mellitus (GDM) or low risk pregnancy. The Pregnancy Physical Activity Questionnaire (PPAQ), translated and validated for Portuguese, was used for the evaluation of physical activity (PA) level. The sample was stratified according to preconception BMI and the presence or absence of diagnosis of GDM, resulting in four groups with 66 participants each: low risk pregnancy (LRP) with normal weight (BMI ≥ 18.5 and ≤ 24 kg/m2), LRP and overweight/obese (BMI ≥ 25 kg/m2), GDM with normal weight and GDM with overweight/obese. The level of PA of each participant was measured as Metabolic Equivalent of Task (MET) during the preconceptional period (T0), in the third trimester of gestation (T1), and three months after delivery (T2). The comparison of the MET values showed that the values found in the evaluation three months after delivery (T2) were higher than 1.00 (1.10 MET for the LRP-normal weight, 1.06 MET for LRP-overweight/obese, 1.02 MET for the GDM- normal weight, 1.07 MET for the GDM-overweight/obese). On the pre-gestational (T0) and third trimester (T1) analyzes, the values were less than 1.00 MET. The analysis between groups in relation to BMI and diagnosis of GDM showed no difference.
肥胖和缺乏体育锻炼与育龄期和妊娠期妇女糖尿病发病率的增加有关。本研究的目的是评估妊娠期和产后的身体活动水平，以及身体质量指数（BMI）对患有妊娠期糖尿病（GDM）或低风险妊娠的妇女的影响。用于评估身体活动（PA）水平的 Pregnancy Physical Activity Questionnaire（PPAQ）已被翻译并验证为葡萄牙语。根据孕前 BMI 和是否存在 GDM 诊断对样本进行分层，结果分为四个组，每组 66 名参与者：低风险妊娠（LRP）且体重正常（BMI≥18.5 且≤24kg/m2）、LRP 且超重/肥胖（BMI≥25kg/m2）、体重正常的 GDM 和超重/肥胖的 GDM。每位参与者的 PA 水平在孕前（T0）、妊娠晚期（T1）和产后三个月（T2）期间以代谢当量（MET）测量。MET 值的比较表明，产后三个月（T2）的评估值高于 1.00（LRP-正常体重组为 1.10MET，LRP-超重/肥胖组为 1.06MET，GDM-正常体重组为 1.02MET，GDM-超重/肥胖组为 1.07MET）。在孕前（T0）和妊娠晚期（T1）分析中，值低于 1.00MET。BMI 和 GDM 诊断组间分析无差异。
