Republic of the PhilippinesTARLAC STATE

UNIVERSITYCollege of Science – Nursing

DepartmentLucinda Campus, Brgy. Ungot, Tarlac City Philippines
2300Tel No.: (045) 493-1865 Fax: (045) 982-0110 website: www/tsu.edu.ph

FOR NCM 109

The effect of exercise on the prevention of

gestational diabetes in obese and overweight
pregnant women: a systematic review and
meta-analysis
https://dmsjournal.biomedcentral.com/articles/10.1186/s13098-019-0470-6

Submitted By:
Bethrice Melegrito
BSN 2B

In partial fulfillment of the requirements for

NCM 109
Submitted To:
Rowena
Clinical Instructor
 TSU NURSING|Level II
LRDR
– Journal Report

Gestational diabetes mellitus (GDM) is one of the most prevalent

complications of pregnancy, and its incidence globally is rising in tandem with the
rise in type 2 diabetes. Some review publications examining the influence of
exercise activities on preventing GDM, regardless of obesity, have shown
contradictory results. As a result, the goal of this study was to conduct a systematic
evaluation of papers on the influence of exercise activities on the prevention of
GDM in obese and overweight pregnant women. A variety of risk factors influence
the occurrence and progression of GDM. Obesity and overweight, high maternal
age, a family history of T2D, a previous history of GDM, polycystic ovary
syndrome, persistent glucosuria, recurrent abortions, a previous history of a large
baby (birth weight 4000 g), a history of stillbirth, a history of chronic hypertension
or blood pressure associated with pregnancy, and maternal smoking, among other
risk factors, are the most common risk factors. Among these risk factors, women
who are overweight, obese, or morbidly obese have a two-, four-, or eight-fold
greater chance of having GDM, respectively. With the global rise in obesity and
the resulting rise in GDM, preventative methods are required to minimize the
unintended effects of obesity and hyperglycemia during pregnancy. To prevent and
treat GDM, therapies such as lifestyle modifications, the use of metformin,
glyburide, myo-inositol, insulin, nutrition, and exercise activities are being used.
Some review articles that look at the influence of exercise activities on preventing
GDM, regardless of obesity, have shown contradictory results. In pregnancy, it is
preferable to utilize a low-cost, simple, and safe preventative strategy. According
to several research, physical exercise during pregnancy has these characteristics, as
well as being useful against insulin resistance. So, in the current study, we
evaluated physical activity in relation to several diabetes prevention measures.
 TSU NURSING|Level II
LRDR
– Journal Report

Personal Comment
The article discusses how exercise activities alone did not have a significant
effect on the overall incidence of GDM in obese or overweight pregnant women,
but when the effect measure was taken into account, the incidence of GDM was 24
percent lower in the intervention group than in the control group. This disparity is
significant between the two groups. As systematic review literatures both indicate
knowledge gaps on the study issue and pave the way for future investigations, it
appears that further randomized controlled trials are needed to get a comprehensive
conclusion on the kind, intensity, and duration of exercise in preventing GDM.