Halse, Rhiannon E., Wallman, Karen E., Dimmock, James A., Newnham, John P., and Guelfi, Kym J. (2015) Home-based exercise improves fitness and exercise attitude and intention in women with GDM. Medicine and Science in Sports and Exercise, 47 (8). pp. 1698-1704.

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Abstract

Purpose: The purpose of the study was to determine the effect of a home-based cycling program for women with a recent diagnosis of gestational diabetes mellitus (GDM) on aerobic fitness, weight gain, self-reported mobility, attitude, and intentions toward maternal exercise, and obstetric and neonatal outcomes.

Methods: Forty women (mean T SD, 28.8 T 0.9-wk gestation) were randomized to either a supervised, home-based exercise program, combining continuous steady-state and interval cycling at various intensities, in combination with unsupervised moderate intensity aerobic activity and conventional diabetic management (EX; n = 20) or to conventional management alone (CON; n = 20). The program began following diagnosis until week 34 of pregnancy (mean T SD duration of training, 6 T 1 wk).

Results: Mean compliance to the training program was 96%. Maternal aerobic fitness, and attitude and intentions toward exercise were improved in response to the home-based exercise intervention compared with CON (P G 0.05). No differences were observed between the groups with respect to maternal weight gain or obstetric and neonatal outcomes (P 9 0.05).

Conclusion: A home-based exercise program of 6 T 1 wk in duration commenced after diagnosis of GDM can improve aerobic fitness and attitude and intentions toward exercise, with no adverse effect on maternal and neonatal pregnancy outcomes.

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