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Role of Exercise in Reducing Gestational Diabetes Mellitus

MOTTOLA, MICHELLE F. PhD; ARTAL, RAUL MD

Clinical Obstetrics and Gynecology: September 2016 - Volume 59 - Issue 3 - p 620–628
doi: 10.1097/GRF.0000000000000211
Clinical Updates in Women's Health Care

Exercise plays an important role in reducing the prevalence of gestational diabetes mellitus (GDM) in women with or without risk factors. GDM risk factors include obesity, family history of diabetes, high-risk ethnicity, increased maternal age, history of GDM, delivering a macrosomic infant, excessive gestational weight gain early in pregnancy (before glucose screening), sedentary behavior, low physical activity, and vitamin D deficiency. Most GDM patients can be managed with lifestyle modifications that include medical nutrition therapy and physical activity. When adherence is high and women are fully engaged in the exercise program, GDM can be effectively managed and prevented.

*R. Samuel McLaughlin Foundation-Exercise & Pregnancy Laboratory, School of Kinesiology, Faculty of Health Sciences, Department of Anatomy & Cell Biology, Schulich School of Medicine & Dentistry, Children’s Health Research Institute, The University of Western Ontario, London, Canada

Department of Obstetrics/Gynecology and Women’s Health, Saint Louis University, St Louis, Missouri

Supported by Canadian Institutes of Health Research, Rx&D—Health Research Foundation of Canada.

Correspondence: Michelle F. Mottola, PhD, FACSM, R. Samuel McLaughlin Foundation-Exercise & Pregnancy Laboratory, School of Kinesiology, Faculty of Health Sciences, Department of Anatomy & Cell Biology, Schulich School of Medicine & Dentistry, Children's Health Research Institute, The University of Western Ontario, London, Canada. E-mail: mmottola@uwo.ca

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