AFIPE Research Group, Faculty of Physical Activity and Sport Sciences-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain.
Gynecology and Obstetrics Department, Hospital Universitario Severo Ochoa de Leganés, 28911 Leganes, Spain.
Int J Environ Res Public Health. 2022 Oct 28;19(21):14104. doi: 10.3390/ijerph192114104.
(1) Background: to examine the effect of an online supervised exercise program during pregnancy on the prevention of GDM, and on maternal and childbirth outcomes. (2) Methods: we conducted a randomized clinical trial (NCT04563065) in 260 pregnant women without obstetric contraindications who were randomized into two study groups: intervention group (IG, N = 130) or control group (CG, N = 130). An online supervised exercise program was conducted from 8-10 to 38-39 weeks of pregnancy. (3) Results: no significant differences were found at baseline in maternal characteristics; nevertheless, certain outcomes showed a favorable trend towards the IG. A lower number and percentage of GDM cases were found in the IG compared to the CG (N = 5/4.9% vs. N = 17/16.8%, = 0.006). Similarly, fewer cases of excessive maternal weight gain (N = 12/11.8% vs. N = 31/30.7%, = 0.001) were found in the IG, and a lower percentage of instrumental deliveries (N = 8/11.3% vs. N = 13/15.1%) and c-sections (N = 7/9.9% vs. N = 20/23.3%, = 0.046). (4) Conclusions: an online supervised exercise program can be a preventative tool for GDM in healthy pregnant women.
(1) 背景：研究目的在于探讨孕期在线监督运动方案对妊娠期糖尿病（GDM）预防以及母婴结局的影响。(2) 方法：本研究为一项随机临床试验（NCT04563065），共纳入 260 例无产科禁忌证的孕妇，随机分为两组：干预组（IG，n=130）和对照组（CG，n=130）。在妊娠 8-10 周至 38-39 周期间，IG 组接受在线监督运动方案。(3) 结果：两组孕妇的基线母体特征无显著差异；但某些结局指标呈现出有利于 IG 组的趋势。IG 组的 GDM 发生率（N=5/4.9%）显著低于 CG 组（N=17/16.8%）（OR=0.006）。同样，IG 组中体重过度增加的发生率（N=12/11.8%）显著低于 CG 组（N=31/30.7%）（OR=0.001），器械分娩率（N=8/11.3%）和剖宫产率（N=7/9.9%）也显著低于 CG 组（分别为 N=13/15.1%和 N=20/23.3%）（OR=0.046）。(4) 结论：在线监督运动方案可能是预防健康孕妇发生 GDM 的有效手段。
