Daily walking is effective for the management of pregnant women with gestational diabetes mellitus.
Daily walking is effective for the management of pregnant women with gestational diabetes mellitus.
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DOI：
10.1111/jog.13698
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Suganuma N
中科院分区：
文献类型：
--
作者：
Hayashi A;Oguchi H;Kozawa Y;Ban Y;Shinoda J;Suganuma N
本研究通过分析妊娠中期患有 GDM 的孕妇每天步行与糖耐量之间的关系，评估了每天步行对妊娠糖尿病 (GDM) 管理的有用性。这项纵向研究于 2015 年 1 月至 2016 年 6 月在日本丰田市丰田纪念医院进行。患有 GDM 的孕妇在腰部佩戴加速度计 7 至 12 周。本研究纳入了 73 名患有 GDM 的女性；对从 24 名女性收集的数据进行了分析。每天步行的估计步数与体力活动相关的能量消耗呈显着正相关（r = 0.798，P = 0.000）。研究后与研究前的休闲血糖水平（CGL）比率与每天行走的步数之间存在显着的负相关（r = -0.603，P = 0.014）。血红蛋白 A1c 比率与步数之间未检测到显着相关性（r = -0.004，P = 0.986）。研究完成后，每日行走 ≥ 6000 步的 11 名参与者的 CGL (95 + 10 mg/dL [平均值 + 标准差]) 显着低于每日行走 <6000 步组的 13 名参与者 (111 + 18 mg/dL) (P = 0.013)。简单步行进行轻度体力活动可有效控制 GDM 孕妇的 CGL。我们建议患有 GDM 的孕妇每天至少步行 6000 步。
This study evaluated the usefulness of daily walking for gestational diabetes mellitus (GDM) management by analyzing the relationship between daily walking and glucose tolerance in pregnant women with GDM who were in the second trimester. This longitudinal study was conducted at TOYOTA Memorial Hospital in Toyota, Japan, from January 2015 to June 2016. Pregnant women with GDM wore accelerometers on the waist for 7–12 weeks. Seventy‐three women with GDM were included in the present study; data collected from 24 women were analyzed. The estimated number of steps walked daily showed a significant positive correlation (r = 0.798, P = 0.000) with energy expenditure related to physical activity. There was a significant negative correlation (r = −0.603, P = 0.014) between the post‐ to pre‐research casual glucose level (CGL) ratio and the number of steps walked daily. No significant correlation (r = −0.004, P = 0.986) was detected between the ratio of hemoglobin A1c and the number of steps taken. When the study was completed, the 11 participants who walked ≥6000 steps/day showed significantly lower CGL (95 + 10 mg/dL [mean + SD]) than the 13 participants in the <6000 steps/day group (111 + 18 mg/dL) (P = 0.013). Simple walking for light intensity physical activity is effective for controlling the CGL in pregnant women with GDM. We recommend that pregnant women with GDM should walk a minimum of 6000 steps/day.
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影响因子：
5.1
作者：
Morikawa, Mamoru;Yamada, Takashi;Minakami, Hisanori
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