Application of diversified and quantitative management model of exercise intervention in patients with gestational diabetes mellitus

Abstract

Objective: The study aims to explore the application of diversified and quantitative management model of exercise intervention in patients with gestational diabetes mellitus (GDM).

Methods: From January 2018 to July 2018, 150 pregnant women with GDM were recruited from HangZhou Maternity Hospital, and were randomly divided into control group (n = 75) and experimental group (n = 75). All patients were registered pregnancy exercise self-efficacy scale (P-ESES), fasting blood glucose (FBG), and 2-hour postpranational blood glucose (2hPG). Patients in control group received conventional sports, while patients in experimental group added multiple quantitative exercise intervention management mode until delivery (accumulated at least 30 min per day, the time of not less than 150 min per week). After 4 weeks of intervention, patients in both groups were measured P-ESES, FBG, and 2hPG levels.

Results: A total of 12 patients dropped out of the study, was lost to follow-up or was admitted to another hospital; therefore, 138 cases (68 vs. 70) were included in analysis. There was no significant difference of P-ESES, FBG, and 2hPG of patients in baseline. After four weeks intervention, compared with the control group, the P-ESES score was significantly increased (p<.05), the overcoming movement disorder, overcoming emotional disorder, and overcoming support disorder scores were significantly improved (p<.05), and the levels of FBG and 2hPG were significantly decreased (p<.05) in experimental group. Finally, the coincidence rate of weight gain during pregnancy was increased, the rate of macrosomia delivery and cesarean section were decreased in experimental group (p<.05).

Conclusion: Quantitative management model of multiform exercise therapy improved patients with GDM.

Keywords:

• Quantification
• exercise
• gestational diabetes mellitus
• health education mode
• P-ESES

Acknowledgements

Ethical approval: This study was approved by the Research Ethical Committee of Hangzhou Maternity Hospital. The volunteers were informed.

Authors' contributions

Conception and design of the research: YW; acquisition of data: GZ; analysis and interpretation of data: YW; statistical analysis: YW; Obtaining funding:YW, MX drafting the manuscript: YW; revision of manuscript for important intellectual content: MX. All authors read and approved the final manuscript.

Disclosure statement

The authors declare no conflict of interest.

Data availability statement

All data generated or analyzed during this study are included in this published article.

Additional information

Funding

This study was supported by the, Zhejiang Provincial Natural Science Foundation of China [No. BY21H040002] and Zhejiang Provincial Medical and Health Technology Project [No. 2021KY935].