Study on the effect of aerobic exercise combined with resistance exercise on improving maternal and neonatal outcomes of ges-tational diabetes mellitus
Objective To explore the effects of different exercise methods on maternal and infant outcomes in patients with gestational diabetes mellitus.Methods From November 2022 to April 2023,380 patients with gestational diabetes mellitus who received regular birth check-up in a Grade-A hospital in Beijing were selected as research objects.They were divided into the combined exercise group(207 cases)and the aerobic exercise group(173 cases)according to their exercise courses.The combined exercise group received aerobic exercise combined with re-sistance exercise guidance.The aerobic exercise group received aerobic exercise guidance.The differences of biochemical indexes,health status during pregnancy and maternal and infant outcome indexes between the two groups were compared.Results After exercise instruction,the gly-cated hemoglobin level in the combined exercise group was lower than that in the aerobic exercise group(P＜0.05).The rate of failure to achieve target weight gain during pregnancy,the rate of insulin use,the rate of cesarean section,the rate of postpartum hemorrhage and the rate of infants older than gestational age were lower than those in the aerobic exercise group(P＜0.05).In gestational diabetes mellitus patients with normal weight before pregnancy,the glycated hemoglobin level,the rate of non-standard weight gain during pregnancy,and the incidence of postpartum hemorrhage and of infants older than gestational age in combined exercise group were all lower than those in aerobic exercise group(P＜0.05).For overweight and obese gestational diabetes mellitus patients before pregnancy,the glycated hemoglobin level,the rate of non-standard weight gain during pregnancy and the insulin use rate in the combined exercise group were all lower than those in the aerobic exercise group(P＜0.05).Conclusion Combined exercise guidance has more advantages in controlling blood glucose level in patients with gestational diabetes mellitus,improving health status during pregnancy and optimizing outcomes of mothers and infants,which is worthy of clinical promotion.
gestational diabetes mellitusexercisehealth condition during pregnancymaternal and neonatal outcomes
万方数据
维普
